Hello.İ We are pleased to announce that you are on our shortened candidate list for the Long Term Nutrition Study.İ

 

If you are interested in being in selected to participate in the study, we ask that you complete the final questionnaire below.İ From this questionnaire, we will select our final candidates.İ Please return this questionnaire to us by July *, 2002.

 

As a reminder, if selected for the Long Term Nutrition Study, your participation would involve: 1) the submission of your weekly grocery receipts, 2) the completion and submission of a questionnaire that reflects your food consumption for the week, and 3) your participation in one interview.İİ You will be provided self-address stamped envelopes to mail your receipts and questionnaires to us.İ

 

We anticipate starting the long-term survey in mid-July.İ It will last a maximum of 3 months.İ You will be paid $20 for each weekly you submit your receipts and questionnaire in a timely manner (following the survey schedule).İ Failure to submit your receipts according to the survey schedule could result in decreased compensation or termination of participation.

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If you are not interested in participating in our study, please e-mail me back stating this, so we can contact someone else to take your spot.İ If we do not hear from you by July *, 2002, we will automatically contact someone else to take your spot.İ

 

 

QUESTIONNAIRE

 

In the pre-selection questionnaire, we asked you to estimate the number of times you eat out.İ We would like you to break this number down into the number of times you eat out for lunch and the number of times you eat out for dinner.

 

1.İ How often do you eat out for LUNCH? (check one)

[İ ] < 1/monthİ [İ ] 1-3/monthİİİİİ [İ ] 1/week

[İ ] 2-3/weekİİİ [İ ] 4-6/weekİİİİİİİ [İ ] 1/day

 

2. İHow often do you eat out for DINNER? (check one)

[İ ] < 1/monthİ [İ ] 1-3/monthİİİİİ [İ ] 1/week

[İ ] 2-3/weekİİİ [İ ] 4-6/weekİİİİİİİ [İ ] 1/day

 

3.İ Please break down the amount of time you shop at the following grocery stores by percentage:

 

 

Safeway:İİİ İİİİİİİİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Cala:İİİ İİİİİİİİİİİİİİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Bell Markets:İİİİİİİİİİ İİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Andronicoís:İİİİİİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Trader Joeís:İİİİİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Albertsons:İİİİİİİİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Whole Foods: İİİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Berkeley Bowl: İİİİİİİİİİİ İİİİİİİİİİİ %

İİİİİİİİİİİ Other: ___________İ İİİİİ İİİİİİİİİİİ %

 

(e.g.İ İİİİİİİİİİİ Safeway :İİİ İİİİİİİİİİİİİİİ İİİİİİİİİİİ 33%

İİİİİİİİİİİ Cala:İİ İİİİİİİİİİİİİİİİİİİİİİİ İİİİİİİİİİİ 33%

İİİİİİİİİİİ Bell Markets:İİİİİİİİİ İİİİİİİİİİİ İİİİİİİİİİİ 0%

İİİİİİİİİİİ Andronicoís:İİİİİİİİİİİİİİ İİİİİİİİİİİ 0%

İİİİİİİİİİİ Trader Joeís:İİİİİİİİİİİİİİ İİİİİİİİİİİ 33%

İİİİİİİİİİİ Albertsons:İİİİİİİİİİİİİİİİ İİİİİİİİİİİ 0%

İİİİİİİİİİİ Whole Foods: İİİİİİİİİİİ İİİİİİİİİİİ İİİİİİİİİİİ 0%

İİİİİİİİİİİ Berkeley Bowl: İİİİİİİİİİ İİİİİİİİİİİ 0%

İİİİİİİİİİİ Other: ___________İ İİİİİİİİİİİ 0%İİİİİİİİİİİ )

 

4.İ The survey will last a maximum of three months, starting in mid-July.İ Do you anticipate any change in circumstance during the months of mid-July to September that may affect how much and how often you buy groceries and cook meals? (e.g. extended travel plans, house guests, any commitments that would require you to eat out more)İİ

 

İİİİİİİİİİİ [İİİ ] Yesİİİİİ [İİ ] No

 

İİİİİİİİİİİ If YES, please explain:

 

 

 

5.İ This research project would require you to participate in one personal interview.İ We would like to either video or audio tape the interview.İ We will not disclose your identity on the tape, and the tape will be destroyed at the termination of the research project.İ Would you be willing to be video/audio taped during your interview?İ

 

İİİİİİİİİİİ [İİİ ] Yesİİİİİ [İİ ] No