Deli shop, specify (0144 3) Directly at the farm, specify (0144 4) Supermarket, specify (0144 5) Other, specify (0144 6) Not applicable (Do not eat meat) (0144 7) In of the following stores do you normally buy milk and dairy products? (Check all that apply) (0145) Market, specify (0145 1) Deli shop, specify (0145 2) Cheese shop, specify (0145 3) Directly at the farm, specify (0145 4) Supermarket, specify (0145 5) Other, specify (0145 6) Not applicable (Do not eat (0145 7) In which of the following stores do you normally buy vegetables and fruit? (Check all that apply) (0146) Greengrocer, specify (0146 1) Market, specify (0146 2) Deli shop, specify (0146 3) Directly at the farm, specify (0146 4) Supermarket, specify (0146 5) specify (0146 6) In which of the following stores do you normally buy fish and shellfish? (Check all that apply) (0147) Fish shop, specify (0147 1) Market, specify (0147 2) Deli shop, specify (0147 3) Supermarket, specify (0147 4) Other, specify (0147 5) Not applicable (Do not eat fish or shellfish) (0147 6) Do you have a shopper/loyalty card for the shop(s) where you buy your groceries? (0151) Yes (0151 1) No (0151 0) If yes, 5.7.1 Specify for which shop(s) (0151c) 5.7.2 Would you agree that we contact the store(s) to get your shopping records? (0151d) Yes, loyalty card number: _________ No How do you usually pay for your food purchases? (0150) Cash (0150 1) card (0150 2) Cheque (0150 4)
(0144 3) Deli shop, specify (0144 4) Directly at the farm, specify (0144 5) Supermarket, specify (0144 6) Other, specify (0144 7) Not applicable (Do not eat meat) In of the following stores do you normally buy milk and dairy products? (Check all that apply) (0145) (0145 1) Market, specify (0145 2) Deli shop, specify (0145 3) Cheese shop, specify (0145 4) Directly at the farm, specify (0145 5) Supermarket, specify (0145 6) Other, specify (0145 7) Not applicable (Do not eat In which of the following stores do you normally buy vegetables and fruit? (Check all that apply) (0146) (0146 1) Greengrocer, specify (0146 2) Market, specify (0146 3) Deli shop, specify (0146 4) Directly at the farm, specify (0146 5) Supermarket, specify (0146 6) specify In which of the following stores do you normally buy fish and shellfish? (Check all that apply) (0147) (0147 1) Fish shop, specify (0147 2) Market, specify (0147 3) Deli shop, specify (0147 4) Supermarket, specify (0147 5) Other, specify (0147 6) Not applicable (Do not eat fish or shellfish) Do you have a shopper/loyalty card for the shop(s) where you buy your groceries? (0151) (0151 1) Yes (0151 0) No If yes, 5.7.1 Specify for which shop(s) (0151c) 5.7.2 Would you agree that we contact the store(s) to get your shopping records? (0151d) Yes, loyalty card number: _________ No How do you usually pay for your food purchases? (0150) (0150 1) Cash (0150 2) card (0150 4) Cheque
Outbreak-investigation-questionnaire-Repository-questions-2016v2_EN.docx