Part A: General questions about you and your family
We’ll start with some general questions about you and your family. Please choose your
answers from the options on the answer sheet in front of you.
1.
What is your date of birth?
Day
2.
Month
What is your sex?
Male 
3.
4.
Year
Female 
What is your marital status?
Single (never married) 
Separated (but still legally married) 
Married 
Divorced 
Co-habiting or civil partnership 
Widowed 
What is your ethnic group?
For ‘any other’ please ask the parent to specify and write on the line
White:
Black or Black British:
British 
Caribbean 
Irish 
African 
Any other White background 
Any other Black background 
Mixed:
Chinese or other ethnic group:
White and Black Caribbean 
Chinese 
White and Black African 
Any other 
White and Asian 
Any other Mixed background 
Asian or Asian British:
Indian 
Pakistani 
Bangladeshi 
Any other Asian background 
1
5.
Which of these best describes your employment situation?
For ‘other’ please ask the parent to specify and write on the line
Employed full-time 
Full-time parent/homemaker 
Employed part-time 
Long-term sick or disabled 
Self-employed or freelance 
Carer 
Unemployed – looking for work 
Other 
Full-time student 
6.
Do you receive any of these benefits?
For ‘other’ please ask the parent to specify and write on the line
7.
No benefits 
Child Tax Credits 
Job Seeker’s Allowance 
Child Benefit 
Income Support 
Healthy Start 
Housing Benefit 
Other 
What is your highest qualification?
For ‘other’ please ask the parent to specify and write on the line
8.
No qualifications 
BTEC/NVQ Level 4, 5 or 6 
BTEC/NVQ Level 1 or 2 
Higher National Diploma (HND) 
GCSE or O Level 
University Degree 
BTEC/NVQ Level 3 
Postgraduate 
A Level or AS Level 
Other qualification 
How many children do you have (who live in the same house as you)?
Insert number
9.
What are their ages?
List ages (specify months or years)
Circle the age of the child who will be the subject of 24 hour recalls (must be
between 18 months and 5 years)
2
10.
Do you use one or more children’s centres?
Yes 
No 
If yes please name centre/s used
11.
How often do you use it/them?
Every day 
Occasionally 
3 or 4 days a week 
Never 
1 or 2 days a week 
12.
What do you use it/them for?
For ‘other’ please ask the parent to specify and write on the line
Child care 
Courses or classes 
Stay and play sessions 
Support and advice 
Groups e.g. dads, young people 
Other 
Part B: Questions about your food intake
These questions are about what you had to eat and drink yesterday. Please try to
answer as honestly as possible. Start from question 13.
13.
Did you eat any of the following foods yesterday?
If yes, please ask what sort and how much and write details on line
a.
Fruit (includes fresh, frozen, canned, dried)
b.
Vegetables or salad (includes fresh, frozen, canned)
3
c.
Puddings, desserts or ice cream
d.
Chocolate or confectionery (sweets)
e.
Cakes or biscuits (any kind)
14.
Did you drink any of the following drinks yesterday?
If yes, please ask what sort and how much and write details on line
a.
Fruit Juice (100%, freshly squeezed or from concentrate)
b.
Squash or ‘fruit drinks’ (e.g. Ribena, High Juice, Fruit Shoots)
Prompt for standard or low sugar varieties
c.
Fizzy drinks (e.g. Coke, Fanta, lemonade)
Prompt for standard or diet varieties
d.
Plain water (from a tap or bottled)
4
e.
Milk or flavoured milk (e.g. milkshakes)
f.
Hot drinks (e.g. tea, coffee, hot chocolate)
g.
Alcoholic drinks (e.g. beer, wine, spirits)
If the parent mentions anything unusual about ‘yesterday’ please enter here:
Part C: Questions about your knowledge and attitudes towards food
Now I have some more questions about food. Please choose your answers from the
options on the answer sheet in front of you. Start from question 15.
15.
How many portions of fruit and vegetables a day are health professionals
advising children to eat?
Please tell me if you think the following statements are true or false.
16.
Tinned fruit is a good source of vitamin C.
True 
17.
False 
Don’t know 
Frozen vegetables do not contain as many nutrients as fresh vegetables.
True 
False 
Don’t know 
5
18.
The first ingredient listed on a food label is the one present in the largest
quantity.
True 
False 
Don’t know 
19.
Children may need to try a new food up to 10 times before they like it.
True 
20.
False 
Don’t know 
The best drinks for children under 5 years are milk and water.
True 
False 
Don’t know 
For the next questions (21-24), please look at the scale and tell me which number
between 1 and 5 reflects how confident you feel about each of the following statements.
Insert number 1-5 next to each statement
1 = Not at all confident
5 = Extremely confident
21.
How confident do you feel about being able to cook from
basic ingredients?
22.
How confident do you feel about following a simple recipe?
23.
How confident do you feel about introducing new foods to
your child under 5?
24.
How confident are you that you know what foods are good
for your child?
6
The next questions (25-29) are about potential barriers to healthy eating for you – not
your child. How certain are you that you could overcome the following barriers?
Please look at the scale and tell me which number between 1 and 4 reflects how certain
you feel about each of the following statements.
Insert number 1-4 next to each statement
1 = Very uncertain
2 = Rather uncertain
3 = Rather certain
4 = Very certain
25.
I can manage to stick to healthy foods even if I need a long
time to develop the necessary routines.
26.
I can manage to stick to healthy foods even if I have to try
several times until it works.
27.
I can manage to stick to healthy foods even if I have to
rethink my entire way of eating.
28.
I can manage to stick to healthy foods even if I do not receive
a great deal of support from others when making my first
attempts.
29.
I can manage to stick to healthy foods even if I have to make
a detailed plan.
For the next questions (30-41), please look at the scale and tell me which number
between 1 and 5 reflects your level of agreement or disagreement with each of the
following statements.
Insert number 1-5 next to each statement
1 = Disagree strongly
2 = Disagree
3 = Neither agree or disagree
4 = Agree
5 = Agree strongly
30.
I don’t think much about food each day.
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31.
Cooking or barbequing is not very fun.
32.
Talking about what I have eaten or am going to eat is
something I like to do.
33.
Compared with other daily decisions, my food choices are
not very important.
34.
When I travel, one of the things I anticipate most is eating the
food there.
35.
I do most or all of the cleaning up after eating.
36.
I enjoy cooking for others and myself.
37.
When I eat out, I don’t think or talk much about how the food
tastes.
38.
I do not like to mix or chop food.
39.
I do most or all of my own food shopping.
40.
I do not wash dishes or clean the table.
41.
I care whether or not a table is nicely set.
Part D: Questions about your child’s eating behaviours
Questions 42-50 are about your child who is attending Cherry (must be aged 18 months
to 5 years) so please think about him/her when you answer. Please choose your
answers from the options on the answer sheet in front of you. Start from question 42.
42.
My child refuses new foods at first.
Never 
43.
Rarely 
Sometimes 
Often 
Always 
My child enjoys tasting new foods.
Never 
Rarely 
Sometimes 
Often 
Always 
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44.
My child enjoys a wide variety of foods.
Never 
45.
Rarely 
Sometimes 
Often 
Always 
Rarely 
Sometimes 
Often 
Always 
Rarely 
Sometimes 
Often 
Always 
Does your child eat the same food as the family?
Never 
49.
Always 
My child decides that s/he doesn’t like a food, even without tasting it.
Never 
48.
Often 
My child is interested in tasting food s/he hasn’t tasted before.
Never 
47.
Sometimes 
My child is difficult to please with meals.
Never 
46.
Rarely 
Rarely 
Sometimes 
Often 
Always 
What does your child usually drink from?
A feeder or beaker with spout 
Go to Q50
A plastic cup or beaker without spout (with or without
straw) 
A ‘no spill’ beaker 
Go to Q50
An ordinary cup (with or without straw) 
Go to Q50
A bottle with a screw-on top or sports top 
Go to Q50
A baby’s bottle 
Go to Q51
Something else 
Go to Q50 or 51
Go to Q50
For ‘something else’ ask for details and enter below
50.
Does he/she have a baby’s bottle at all these days, even just to go to bed
with?
Include all drinks given from a bottle
Yes 
No, never has a bottle 
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Part E: Questions about how you feel about parenting
The last questions (51-58) are about how you feel about parenting. Please choose your
answers from the options on the answer sheet in front of you. Start from question 51.
51.
I feel that I have too little time by myself.
Never 
52.
Often 
Always 
Rarely 
Sometimes 
Often 
Always 
Rarely 
Often 
Always 
Sometimes 
Rarely 
Sometimes 
Often 
Always 
Rarely 
Sometimes 
Often 
Always 
I am doing everything I can to give my child a good life.
Never 
58.
Sometimes 
I feel that being a parent is much more work than pleasure.
Never 
57.
Rarely 
I feel that I am not as good a parent as I could be.
Never 
56.
Always 
My child makes too many demands.
Never 
55.
Often 
My child gets on my nerves.
Never 
54.
Sometimes 
I wish I did not have so many responsibilities.
Never 
53.
Rarely 
Rarely 
Sometimes 
Often 
Always 
Often 
Always 
I feel tired from raising a family.
Never 
Rarely 
Sometimes 
The end – remember to thank the parent
Parent ID number (also write on front)
10