Dietary effects on bowel function and daily life | |
1 | Would you agree that your diet affects your stomach? (e.g. constipation, diarrhea or bloatedness) (No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please, explain how) |
2 | Would you agree that how you eat affects your stomach? (No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please, explain how) |
3a | Do you adjust your diet for your stomach’s sake? (No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please explain how) |
3b | If yes: Why? (Laxative effect/Constipating effect/Less gases/Other. If so, what?) |
4 | Do you choose specific types of food to help your stomach? (Yes/No) |
5 | Do you avoid specific types of food to help your stomach? (Yes/No) |
6 | Is there anyone else in your family that adjusts their diets to help their stomach? (Yes/No) |
7 | Does your diet limit you (in school, when you are with friends or in general)? (I’ve never thought about it, so I don’t find it relevant/No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please explain how) |
8 | Do you think about how your diet affect your stomach? (No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please explain how) |
9 | To parents: Do you think about your child's diet and how it affects his/her stomach? (No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please explain how) |
10 | Does your diet affect you emotionally? (No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please explain how) |
11 | To parents: Does your child’s diet affect you emotionally? (No, never/Yes, sometimes/Yes, often/Yes, always/Not currently but I have in the past/Please explain how) |
12a | Would you be interested in finding out more information about how your diet affects your stomach? (Yes/No) |
12b | If yes: Where or who would you turn to to find out more information? (Open answer) |
The effect of specific food items on bowel function | |
13a | Does the food item affect your stomach? (For every food item: Yes/No/I don’t know) |
13b | If yes: In which way? (For every food item: Laxative effect/Constipating effect/Gives gases/Gives pain/Other. If so, what?) |
Food items listed: Fruits: pineapple, orange, apricot, banana, clementine, strawberry, kiwi, cherry, lingonberry, melon, nectarine, peach, plum, pear, dried fruit, grapes, apple Vegetables: avocado, cauliflower, broccoli, beans, cabbage, lentils, onion, corn, carrot, pepper, parsley, potato, rhubarb, celery, fruit peel, asparagus, mushroom, tomato, peas Dairy: cream, ice cream, lactose-free milk, milk, cheese, butter, yoghurt Bread, flour, rice: bread with grains/seeds, Swedish cracker, cornmeal, pasta, rice, flour, white bread Meat, fish, egg: fish, pork, beef, sausage, chicken, salami, shellfish, egg Sweets and snacks: pastry, chips, chocolate, candy, popcorn, rice cakes, pretzel sticks Beverages: soda (with sugar), soda (free from sugar), water, carbonated drink, wine/beer, formula Cooking effects: deep fried food, spicy food, fried food, soup Spices and seeds: curry, cayenne, chili/tabasco, chamomile, sesame, sunflower seeds, poppy seeds Nuts etc.: cashew, hazelnut, peanut, chestnut, almond, brazil nut, walnut, soya Other food item (Open answer) |