1–3 days in past month 1–3 days per week 153. Please mark any of the following herbal, 4–6 days per week botanical, or other supplements you took Every day more than once per week. Chondroitin Ginseng 151. How often did you take Vitamin E (NOT as part Coenzyme Q-10 Glucosamine/ chondroitin of a multivitamin in Question 146)? Echinacea Peppermint Energy supplements Probiotics NEVER Fish oil/omega 3’s Saw palmetto Flaxseed/oil Soy supplement 1–3 days in past Garlic Sports supplements 1–3 days per week Ginger wort 4–6 days per week Ginkgo biloba Every day The last two questions ask you about other Thank you very much for completing this supplements you took more than once per week. questionnaire! Because we want to be able to use all the information you have provided, we 152. Please mark any of the following single would greatly appreciate it if you would please supplements you took more than once per take a moment to review each page making sure week (NOT as part of a multivitamin in that you: Question 147): Did not skip any pages and B-6 Occu-vite/Eye health Crossed out the incorrect answer and B-complex Potassium B-12 Selenium circled the correct answer if you made any Beta-carotene Vitamin A changes. Folic acid/folate Vitamin D Magnesium Zinc
1–3 days in past month 1–3 days per week 4–6 days per week Every day 151. How often did you take Vitamin E (NOT as part of a multivitamin in Question 146)? NEVER 1–3 days in past 1–3 days per week 4–6 days per week Every day The last two questions ask you about other supplements you took more than once per week. 152. Please mark any of the following single supplements you took more than once per week (NOT as part of a multivitamin in Question 147): B-6 B-complex B-12 Beta-carotene Folic acid/folate Magnesium Occu-vite/Eye health Potassium Selenium Vitamin A Vitamin D Zinc 153. Please mark any of the following herbal, botanical, or other supplements you took more than once per week. Chondroitin Coenzyme Q-10 Echinacea Energy supplements Fish oil/omega 3’s Flaxseed/oil Garlic Ginger Ginkgo biloba Ginseng Glucosamine/ chondroitin Peppermint Probiotics Saw palmetto Soy supplement Sports supplements wort Thank you very much for completing this questionnaire! Because we want to be able to use all the information you have provided, we would greatly appreciate it if you would please take a moment to review each page making sure that you: Did not skip any pages and Crossed out the incorrect answer and circled the correct answer if you made any changes.
dhq2_pastmonth_noportion.docx