1.
Do you eat dairy products (1 serving = 1 glass milk or 1 yoghurt or 1 matchbox size cheese)?
Never
Seldom
Most days 1 –2 servings
More than 2 servings daily
2.
If your answer to the above question was "never" or "seldom eat dairy", are you taking a calcium supplement?
No
Yes, I take a supplement or eat dairy regularly
3.
Do you eat eggs?
never
seldom
3 – 5 eggs per week
more than 5 eggs per week
4.
Do you eat nuts and/or seeds?
never
seldom
most days
5.
Do you eat legumes and/or soya?
never
seldom
most days
6.
Do you know about combining your food to get complete proteins (for example, legumes have to be combined with a grain food to make up a complete protein)?
no / unsure
yes
7.
Do you eat fruit and vegetables?
seldom or never
1-3 servings daily
more than 3 servings daily
8.
Do you eat green leafy vegetables (e.g. broccoli, spinach, cabbage)?
never
seldom
most days
9.
Do you try to include iron-rich foods in your diet (e.g. dried figs, apricots, raisins, tofu, fortified breakfast cereal, soya etc.) or do you take an iron supplement?
never
seldom
daily
10.
Do you eat vitamin C-rich foods (e.g. citrus fruits, guavas, tomatoes, broccoli, Brussels sprouts, kiwi fruit, cabbage, peppers etc.)?
never
seldom
often
11.
If you avoid all animal products, are you on a vitamin B12 supplement?
avoid all animal products and not on B12 supplement
eat some animal products (eggs and/or milk) and/or take a B12 supplement
12.
Your diet may be inadequate if your needs are higher than normal
pregnant, breastfeeding, previous history of anaemia, excessive bleeding (e.g. heavy periods), heavy exercise
none of the above
