NATIONAL INSTITUTES OF HEALTH II 3 3 Dec 9 Aug 4 4 Sep 5 5 Oct Today's date: 6 6 Nov 7 7 Dec YEAR 8 8 9 9 Jan 2010 |___|___| In what month were Feb 2011 0 0 you born? Mar 2012 1 1 Apr 2013 2 2 Jan In what year were May 2014 3 3 Feb you born? Jun 2015 Mar 4 Jul 2016 Are you male or 19 |___|___| Apr 5 Aug 2017 female? 0 0 May 6 Sep 2018 1 1 Jun Oct 2019 7 Male 2 2 Jul Nov 2020 8 Female Over the past 12 months, how often did you drink NEVER carrot juice? 1 time per month or less 1 time per day NEVER 2–3 times per month 2–3 per day 1–2 times per week 4–5 times per day 1 time per month or less 1 time per day 3–4 times per week 6 or more per day 2–3 per month 2–3 times per day 5–6 times per week 1–2 times per week 4–5 times per day 3–4 times per week 6 or more times per day 5–6 times per week 3. Over the past 12 months, how often did you drink orange juice or grapefruit juice? 2. Over the past 12 months, how often did you NEVER (GO TO QUESTION 4) drink tomato juice or other vegetable juice? (Please do not include carrot juice.)
NATIONAL INSTITUTES OF HEALTH II Today's date: YEAR Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec |___|___| 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 0 0 1 1 2 2 3 3 4 5 6 7 8 9 In what month were you born? Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec In what year were you born? 19 |___|___| 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 Are you male or female? Male Female Over the past 12 months, how often did you drink carrot juice? NEVER 1 time per month or less 1 time per day 2–3 per month 2–3 times per day 1–2 times per week 4–5 times per day 3–4 times per week 6 or more times per day 5–6 times per week 2. Over the past 12 months, how often did you drink tomato juice or other vegetable juice? (Please do not include carrot juice.) NEVER 1 time per month or less 1 time per day 2–3 times per month 2–3 per day 1–2 times per week 4–5 times per day 3–4 times per week 6 or more per day 5–6 times per week 3. Over the past 12 months, how often did you drink orange juice or grapefruit juice? NEVER (GO TO QUESTION 4)
dhq2_pastyear_noportion.docx