Hhq-Gp-1 Healthy Heart Questionnaire - Urban Indian Heart Health Program (Page 6 of 15) in pdf

Hhq-Gp-1 Healthy Heart Questionnaire - Urban Indian Heart Health Program Page 6

Healthy Heart Questionnaire (HHQ-GP-1)

21. What kind of milk did you usually use? (Pick the one that you used most often in the past 30

days.)

○ Whole milk

○ Soy/lactose free

○ 2% fat

○ Canned milk

○ 1% fat

○ Powdered milk

○ ½% fat

○ Did not use milk in past 30 days

○ Non-fat or skim

22. What kinds of fat or oil did you usually use in cooking in the past 30 days (if more than one,

choose the one used most often)?

○ Pam/cooking spray

○ Stick margarine/butter/margarine blend/soft-tub

○ Lard, fatback, bacon fat

○ Crisco

○ Vegetable oil/olive oil/corn oil

23. How often do you do the following things? Mark your answer with an X.

Most of

All of the

Does Not

Never

Sometimes

the Time

Time

Apply

a. Do you use fresh vegetables instead of canned

○

vegetables?

○

b. Do you use bouillon cubes when you cook?

c. Do you read food labels to choose foods with a

○

low-sodium content?

○

d. Do you add salt to fruit?

e. Do you add salt to the water when you cook

○

beans, rice, pasta, or vegetables?

○

f. Do you use a saltshaker at the table?

g. Do you fill your saltshaker with a mixture of

○

herbs and spices instead of salt?

h. Do you choose fruits and vegetables instead of

○

potato chips, french fries, or pork rinds?

i. Do you eat low-fat cheese instead of regular

○

cheese?

j. Do you read food labels to help you choose foods

○

lower in saturated fat, trans fat, and cholesterol?

○

k. Do you remove the skin before cooking chicken?

l. Do you drain the fat and throw it away when you

○

cook ground meat?

m. Do you choose fat-free or low-fat salad dressing

○

or mayonnaise instead of regular?

n. Do you read labels to choose foods lower in

○

calories?

o. Do you bake or grill foods instead of frying them?

○

p. Do you serve more vegetables on your plate than

○

meat?

○

q. Do you serve yourself large portions of food?

r. Do you eat fruits instead of desserts or snacks that

○

contain large amounts of sugar?

24. Are you able to buy or grow low-cost vegetables?

○

Yes

Hhq-Gp-1 Healthy Heart Questionnaire - Urban Indian Heart Health Program Page 6

Related Articles

Related forms

Related Categories