宁夏地区老年人膳食频率调查表
膳食频率表
| | 不吃 | 次/天 | 次/周 | 次/月 | 次/年 | 每次食用量 两/毫升 |
| 米 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 面 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 杂粮 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 薯类 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 豆制品 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 猪肉 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 禽兽 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 牛、羊 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 鱼虾类 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 新鲜蔬菜 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 新鲜水果 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 腌制品 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 蛋 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 油炸 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 坚果 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 奶制品 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 饮料 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 酒类 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 食用油 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |