| 1. |
Are you taking a folic acid supplement of at least 400 ug? |
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| 2. |
How many meals/snacks are you eating daily? |
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| 3. |
Are you eating carbohydrate-rich foods (one portion = one slice bread, 1/2 cup of pasta, rice or cereal, one medium potato, 3-4 crackers etc.) at regular times during the day? |
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| 4. |
Have you increased your total food intake if you were underweight or at a normal weight at the start of pregnancy? |
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| 5. |
How many portions (one portion = 3/4 cup) of calcium-rich foods (e.g. dairy products, tofu, beans, green leafy vegetables) are you eating daily? |
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| 6. |
How many portions (one portion = one matchbox size) of iron-rich foods (e.g. meat, chicken, oily fish, legumes, fortified cereals, eggs, dried fruit etc.) are you eating daily? |
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| 7. |
How many portions of fruit (fresh/dried/juice) are you consuming daily? |
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| 8. |
How many cups of fluid (water, caffeine-free and alcohol-free drinks) are you drinking daily? |
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| 9. |
How many caffeine-containing drinks (e.g. cup of coffee, tea, cola, energy drinks) or foods (e.g. chocolate) are you having daily? |
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| 10. |
How many drinks or foods containing artificial sweeteners do you have daily? |
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| 11. |
How many alcohol-containing drinks do you have? |
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| 12. |
How often do you eat foods rich in fibre (e.g. whole grain cereals, bread, crackers, rice, fruit, vegetables)? |
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| 13. |
Do you take a multivitamin- and mineral supplement on a daily basis? |
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| 14. |
Do you eat any of the following regularly during pregnancy? Raw eggs, liver, unpasteurised milk and soft cheeses. |
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