Respondent sequence number
ANY DIETARY SUPPLEMENTS TAKEN?
TOTAL # OF DIETARY SUPPLEMENTS TAKEN
SUPPLEMENT ID NUMBER
SUPPLEMENT NAME
WAS CONTAINER SEEN?
MATCHING CODE
HOW LONG SUPPLEMENT TAKEN (DAYS)?
HOW OFTEN TAKEN PAST MONTH? (QUANTITY)
HOW OFTEN TAKEN PAST MONTH? (UNIT)
HOW MUCH TAKEN EACH TIME? (QUANTITY)
HOW MUCH TAKEN EACH TIME? (UNIT)
ANTACID REPORTED AS A DIETARY SUPPLEMENT
Supplement ID number
Supplement name
Supplement information source
Formulation type
Serving size quantity
Serving size unit
Alternative serving size
Count of vitamins in the supplement
Count of minerals in the supplement
Count of amino acids in the supplement
Count of botanicals in the supplement
Count of other ingredients in supplement
Ingredient ID
Ingredient name
Ingredient operator
Ingredient quantity
Ingredient unit
Ingredient category
Blend flag
Blend component ID
Blend component name
Blend component category
Format name
Starting value for format
Format value label
Type of format