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Lifestyle Modifications for Fatty Liver Disease

The document contains a 14-question survey assessing lifestyle habits related to diet, exercise, and eating behaviors for patients with non-alcoholic fatty liver disease. The questions ask about meal frequency, consumption of sweets, fried foods, snacks, sugar, fruits/veggies, saturated fat, dining out, exercise frequency and duration. Response options range from daily to weekly to monthly consumption or exercise.

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Roshin Tejero
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181 views3 pages

Lifestyle Modifications for Fatty Liver Disease

The document contains a 14-question survey assessing lifestyle habits related to diet, exercise, and eating behaviors for patients with non-alcoholic fatty liver disease. The questions ask about meal frequency, consumption of sweets, fried foods, snacks, sugar, fruits/veggies, saturated fat, dining out, exercise frequency and duration. Response options range from daily to weekly to monthly consumption or exercise.

Uploaded by

Roshin Tejero
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Adherence to Lifestyle Modification Advices in Non-alcoholic Fatty Liver Disease Questionnaire

Q1 How often do you eat meals in a day (including tea, coffee, fruits, salads, snacks)?

 A) >6 times

 B) 6 times

 C) 5 times

 D) 4 times

 E) 3 times.

Q2 How often do you drink sweetened beverages like soft drinks, juices, etc.?

 A) At least once daily

 B) 3 to 6 times a week

 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q3 How often do you eat sweets such as Laddu, Barfi, Jalebi, Kulfi, Chocolate, Halwa, Rice pudding, etc.?

 A) At least once daily

 B) 3 to 6 times a week

 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q4 How often do you eat fried foods such as Puri, Parathas, Kachori, Tikki, Bhature, Pakoras, Samosas
etc.?

 A) At least once daily

 B) 3 to 6 times a week

 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q5 How often do you eat high salt snacks such as Namkeen, Bhujia, Pickles, Chutney, Papad etc.?

 A) At least once daily

 B) 3 to 6 times a week
 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q6 How often do you consume sugar and honey in tea, coffee, curd, lassi, etc?

 A) At least once daily

 B) 3 to 6 times a week

 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q7 How often do you eat fruit and salad?

 A) Every time in the main diet

 B) At least once a day

 C) 3 to 4 times a week

 D) 1 time a week

 E) Less than once a week.

Q8 How often do you eat sprouted pulses and green vegetables?

 A) Every time in the main diet

 B) At least once a day

 C) 3 to 4 times a week

 D) 1 time a week

 E) Less than once a week.

Q9 How often do you eat saturated fat like mutton fat, egg yolks, etc.?

 A) At least once daily

 B) 3 to 6 times a week

 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q10 How often do you eat refined food items like burgers, pizza, etc.?

 A) At least once daily


 B) 3 to 6 times a week

 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q11 How often do you eat ghee, butter, cream, mayonnaise, etc.?

 A) At least once daily

 B) 3 to 6 times a week

 C) 1 to 2 times a week

 D) 2 to 3 times a month

 E) Once a month or less.

Q12 How often do you eat out of the house (such as wedding, party, family function etc.)?

 A) More than 3 times a week

 B) More than once a week

 C) 2 times in a month

 D) 1 time in a month

 E) Less than 1 time in a month.

Q13 How many days do you exercise in a week?

 A) Daily

 B) 5 to 6 times a week

 C) 3 to 4 times a week

 D) 1 to 2 times a week

 E) Never.

Q14 How much time do you exercise for each session?

 A) >40 minutes

 B) 30–40 minutes

 C) 20–30 minutes

 D) 20–10 minutes

 E) < 10 minutes.

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