2002 FDA Health and Diet Survey

Topline Frequency Report
(November 2007)

Chung-Tung Jordan Lin
Consumer Studies Staff
Division of Social Sciences
Office of Regulations, Policy and Social Sciences
Center for Food Safety and Applied Nutrition
Email: chung-tung.lin@fda.hhs.gov

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Table of Contents

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Results are based on a random-digit-dialing telephone survey of 2,743 English-speaking non-institutionalized adults (aged 18 years and older) in the 50 states and the District of Columbia. Two versions of the questionnaire were sequentially administered to the sample. Version 1 had 1,374 respondents and Version 2 had 1,369 respondents. Households were selected from a nationally representative single-stage sample of telephone numbers generated from the GENESYS system. The eligible respondent in a household was selected using the most-recent birthday method. The survey was conducted by a contractor during May 14 - September 24, 2002. A response rate of 30 percent was obtained; the rate was calculated per the Response Rate 3 (RR3) formula by the American Association for Public Opinion Research. Results have been weighted to adjust for number of land phone lines in a household, number of adults in a household, and Census distributions of gender, race/ethnicity, and education in the 50 states and District of Columbia.

Notes to the following tabulations

The number of respondents who answered a question, or sample size ("n"), is shown for each question.An asterisk (*) denotes a percentage value between zero and one. Row or column percentages may not sum to 100 due to rounding, multiple responses, or both.

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Screener and Introduction

Hello, I'm ________________ calling for the United States Food and Drug Administration, the FDA. We're doing a 15-minute survey about people's opinions about foods, health, and dietary supplements. May I speak to the member of your household who is aged 18 or over and has had the most RECENT birthday? Would that be you?

Yes	[READ "Your answers to this survey are voluntary and will be kept confidential. No identifying information will appear on any report of this study." THEN, GO TO THE FIRST QUESTION.]
No	[READ THE FOLLOWING.]

May I speak with a member of the household who is at least 18 years old and has the most recent birthday?

Yes	[REINTRODUCE.]
No/Not Available	[GO TO SMS.]

[IF NOT AVAILABLE, ASK FOR THE FIRST NAME OF THE ELIGIBLE RESPONDENT FOR CALL-BACK PURPOSE.]

[REINTRODUCE AS NECESSARY.]

INTERVIEWER: CODE SEX WITHOUT ASKING.

• Male
• Female
• Not Sure

[VERSION 1 - GO TO SECTION A; VERSION 2 - SKIP TO SECTION G.]

(Version 1, v1)

Section A. Awareness of diet-disease relationship (Cancer)

First let's focus on your opinions regarding diet and health issues.

(v1)A1. Have you heard anything about cancer being related to things people eat or drink? (n=1,374)

	Percent
YES	76
NO	24	[SKIP TO B1]
[DON'T READ] DON'T KNOW (DK)/NOT SURE (NS)	*	[SKIP TO B1]
[DON'T READ] REFUSED (RF)	*	[SKIP TO B1]

(v1)A2. What things that people eat or drink might make them MORE likely to get cancer? [DON'T READ LIST.] [PROBE ONLY ONCE: Are there any other things people eat or drink that make them more likely to get cancer?] (n=1,087)

		Percent
Additives/chemicals		6.6
Alcohol		13.6
Artificial colors/dyes		1.9
Artificial Sweetener/Aspartame/NutraSweet		4.5
Caffeine/coffee/tea		4.9
Charcoal/barbecued food/burnt food		5.0
Equal/Sweet n' Low		2.2
Fats		14.6
Fried foods(s)		4.8
Junk food(s)		2.0
Meats/specific meats		15.5
Nitrates/nitrites/nitrosamines		1.4
Polyunsaturated fat		*
Preservatives		3.4
Processed foods/refined foods		2.4
Saccharin		2.1
Saturated fat		*
Smoking		7.2
Trans fat or trans fatty acids		*
Other
	Bread/carbohydrates	1.2
	(High) cholesterol	*
	Dairy products	1.4
	Dietary supplements	*
	Sugar/candy/sweets	1.2
	Water	4.7
	Unspecified	3.2
	Everything/food	2.3
	Fast food	*
	Fruits/vegetables	2.8
	Not enough fiber	*
	Pesticides/insecticides	2.0
	Pickled food	*
	Pollution	*
	Soda/carbonated drinks	1.7
[DON'T READ] DK/NS/RF		29.3

(v1)A3. Have you heard about any things people could eat or drink that might help PREVENT cancer? (n=1,087)

	Percent
YES	80
NO	18	[SKIP TO B1]
[DON'T READ] DK/NS	*	[SKIP TO B1]
[DON'T READ] RF	*	[SKIP TO B1]

(v1)A4. What things could people eat or drink that might help PREVENT cancer? [DON'T READ LIST.] [PROBE ONLY ONCE: Are there any other things people eat or drink that might help prevent cancer?] (n=904)

		Percent
Antioxidants		6.5
Beta-carotene/Vitamin A		3.0
Dietary supplements		3.4
Fiber/roughage/whole grain cereals/bran		12.6
Fish/fish oil/omega 3 oil		7.0
Fruits/specific fruit		31.3
Fruit juice(s)/vegetable juice(s)		16.7
Poultry/chicken		1.2
Vegetables/specific vegetable(s)		66.2
Vitamin C/ascorbic acid		3.1
Vitamin E		2.4
Other
	Aspirin	*
	Garlic	*
	Green tea/tea	2.3
	Herbal/herbs	*
	Milk	*
	Natural/organic foods	*
	Soy/soy products	*
	Water	4.5
	Wine	2.3
	Avoid fatty foods	*
	Exercise	*
	Not smoking	1.3
	Restrict alcohol	*
	Lean meat/less (red) meat	1.1
	Low fat diet/good diet	1.4
	Unspecified	5.5
[DON'T READ] DK/NS/RF		10.9

Section B. Dietary Management Practices (Diet Monitoring)

Now I'd like to ask you about your current diet.

(v1)B1. Do you try to keep track, on a daily basis, of the amount of calories, sodium, fat, or other nutrients, including vitamins and minerals, you eat? (n=1,374)

	Percent
YES	32
NO	68	[SKIP TO C1]
[DON'T READ] DK/NS	*	[SKIP TO C1]
[DON'T READ] RF	*	[SKIP TO C1]

(v1)B2. How do you keep track of the amount of calories or specific nutrients you eat each day? Do you [READ AND ROTATE LIST] (n=459)

	Percent
	YES	NO	DK/NS	RF
a. Record amounts of foods eaten at each meal or each day	29	71	0	*
b. Follow a specific diet or eating plan	54	46	0	*
c. Read the nutrition label	92	8	*	0
d. Count the number of servings you eat from different food groups	57	42	*	*

Section C. Dietary Management Practices (Cholesterol)

(v1)C1. Are you on a diet to lower blood cholesterol recommended by a doctor or other health professional? (n=1,374)

	Percent
YES	18	[SKIP TO D1_1]
NO	81
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

(v1)C2.Which of these three statements best describes your feelings about your blood cholesterol level? (n=1,155)

	Percent
I am not especially concerned about it	59
I probably should try to lower it but I haven't really tried	20
I have been trying to reduce my blood cholesterol level	17
[DON'T READ] DK/NS	3
[DON'T READ] RF	*

Section D. Fat and Cholesterol Knowledge

(Version 1 and Version 2 combined)

(v1+v2)D1_1. Have you heard about different kinds of fat, like saturated fat and polyunsaturated fat? (n=2,743)

	Percent
YES	88
NO	12	[SKIP TO E1_1]
[DON'T READ] DK/NS	*	[SKIP TO E1_1]
[DON'T READ] RF	*	[SKIP TO E1_1]

(v1+v2)D1_2. Is saturated fat usually found in [READ] (n=2,523)

	Percent
Vegetables and vegetable oils or	16
Animal products like meat and dairy products	71
[DON'T READ] DK/NS	13
[DON'T READ] RF	*

(v1+v2)D1_3. Is polyunsaturated fat usually found in [READ] (n=2,523)

	Percent
Vegetables and vegetable oils or	56
Animal products like meat and dairy products	21
[DON'T READ] DK/NS	22
[DON'T READ] RF	*

(v1+v2)D1_4. Which kind of fat is higher in calories? [READ] (n=2,523)

	Percent
Saturated fat, or	51
Polyunsaturated fat	6
Or, are they both the same	24
[DON'T READ] DK/NS	19
[DON'T READ] RF	*

(v1+v2)D1_5. Which kind of fat is more likely to raise people's blood cholesterol level? [READ] (n=2,523)

	Percent
Saturated fat, or	59
Polyunsaturated fat or	5
Both, or	24
Neither	2
[DON'T READ] DK/NS	10
[DON'T READ] RF	*

(v1+v2)D1_6. If a fat or oil has been hydrogenated, has it become [READ] (n=2,523)

	Percent
More saturated, or	28
Less saturated	38
[DON'T READ] no change	*
[DON'T READ] DK/NS	32
[DON'T READ] RF	*

(v1+v2)D1_7. If a food is labeled as containing only vegetable oil, would it be [READ] (n=2,523)

	Percent
Low in saturated fat	39
High in saturated fat	10
Could it be either high or low in saturated fat	40
[DON'T READ] DK/NS	12
[DON'T READ] RF	*

(v1+v2)D1_8. Have you heard of mono-unsaturated fat or oil? (n=2,523)

	Percent
YES	50
NO	49
[DON'T READ] DK/NS	1
[DON'T READ] RF	*

(v1+v2)D1_9. Is cholesterol the same thing as [READ] (n=2,523)

	Percent
Saturated fat, or	15
Polyunsaturated fat, or	1
Neither	59
[DON'T READ] DK/NS	25
[DON'T READ] RF	*

(v1+v2)D1_10. Is cholesterol found in [READ] (n=2,523)

	Percent
Vegetables and vegetable oils	2
Animal products like meat and dairy products, or	30
All foods containing fat or oil	59
[DON'T READ] DK/NS	9
[DON'T READ] RF	*

(v1+v2)D1_11. If a food is labeled cholesterol-free, is it also likely to be [READ] (n=2,523)

	Percent
Low in saturated fat	46
High in saturated fat, or	3
Could it be either high or low in saturated fat	40
[DON'T READ] DK/NS	11
[DON'T READ] RF	*

Section E. Trans Fatty Acids and Hydrogenated Oils

(Version 1 and Version 2 combined)

(v1+v2)E1_1. Have you heard of trans fatty acids, also called trans fat? (n=2,743)

	Percent
YES	34
NO	65	[SKIP TO E1_4]
[DON'T READ] DK/NS	*	[SKIP TO E1_4]
[DON'T READ] RF	0	[SKIP TO E1_4]

(v1+v2)E1_2. Do trans fatty acids raise blood cholesterol, lower blood cholesterol or have no effect on blood cholesterol? (n=1,069)

	Percent
Raise cholesterol	37
Lower cholesterol	18
Have no effect	8
[DON'T READ] DK/NS	37
[DON'T READ] RF	*

(v1+v2)E1_3. Are trans fatty acids often found in [R EAD] (n=1,069)

	Percent
	YES	NO	DK/NS	RF
a. Butter	45	23	32	*
b. Margarine	56	14	30	0
c. Vegetable cooking oils	37	24	38	*
d. Cookies and other baked foods sold in stores	61	9	30	*

(v1+v2)E1_4. Have you heard of hydrogenated oils or partially hydrogenated oils? (n=2,743)

	Percent
YES	47
NO	51	[SKIP TO F1]
[DON'T READ] DK/NS	2	[SKIP TO F1]
[DON'T READ] RF	*	[SKIP TO F1]

(v1+v2)E1_5. Do hydrogenated oils or partially hydrogenated oils raise blood cholesterol, lower blood cholesterol or have no effect on blood cholesterol? (n=1,515)

	Percent
Raise cholesterol	39
Lower cholesterol	15
Have no effect	13
[DON'T READ] DK/NS	33
[DON'T READ] RF	*

(v1+v2)E1_6. Are hydrogenated oils or partially hydrogenated oils often found in [READ] (n=1,515)

	Percent
	YES	NO	DK/NS	RF
a. Butter	46	31	22	*
b. Margarine	71	8	21	*
c. Vegetable cooking oils	59	18	22	*
d. Cookies and other baked foods sold in stores	79	4	17	*

[VERSION 1 - GO TO SECTION F; VERSION 2 - SKIP TO SECTION M.]

Section F. Knowledge of Dietary Deficiencies

(v1)F1. Have you heard about any health problems that might be related to [READ AND ROTATE LIST] (n=1,374)

	Percent
	YES	NO	DK/NS	RF
a. Not eating enough calcium	84	15	*	0
b. Not eating enough antioxidant vitamins	45	50	5	*
c. Not eating enough fiber	76	23	*	*
d. Not eating enough folic acid	54	42	4	*

[SKIP TO SECTION M.]

Version 2 (v2)

Section G. Awareness of Diet-Disease Relationship (Heart Disease)

First, let's focus on your opinions regarding diet and health issues.

(v2)G1. Have you heard anything about heart disease or heart attacks being related to things people eat or drink? (n=1,369)

	Percent
YES	83
NO	15	[SKIP TO H1]
[DON'T READ] DK/NS	*	[SKIP TO H1]
[DON'T READ] RF	*	[SKIP TO H1]

(v2)G2. What things that people eat or drink might be related to heart disease or heart attacks? [DON'T READ LIST.] [PROBE ONLY ONCE: Are there any other things people eat or drink that might be related to heart disease or heart attacks?] (n=1,178)

		Percent
Alcohol		28.7
Caffeine/coffee/tea		5.8
Calories/eating too much/overweight		2.6
Cholesterol		27.0
Dairy products/milk/cheese		6.1
Eggs		5.8
Fats		53.0
Fried foods/greasy foods/oily foods		14.6
Junk food(s)		5.0
Meat/red meat/specific meat		19.6
Salt/salty foods/sodium		7.9
Saturated fat		4.5
Smoking		11.2
Sugar/sweet foods		6.6
Trans fat or trans fatty acids		*
Other
	Carbohydrates	1.8
	Butter	*
	Drugs	1.1
	No/lack of exercise	*
	Additives/preservatives	*
	Carbonated drinks	*
	Spicy/smoky food	*
	Bad diet	*
	Unspecified.	2.8
[DON'T READ] DK/NS/RF		5.3

(v2)G3. Have you heard about any things people could eat or drink that might help PREVENT heart disease or heart attacks? (n=1,178)

	Percent
YES	81
NO	17	[SKIP TO H1]
[DON'T READ] DK/NS	*	[SKIP TO H1]
[DON'T READ] RF	0	[SKIP TO H1]

(v2)G4. What things could people eat or drink that might help PREVENT heart disease or heart attacks? [DON'T READ LIST.] [PROBE ONLY ONCE: Are there any other things people eat or drink that might help prevent heart disease or heart attacks?] (n= 978)

		Percent
Dietary supplements		4.2
Fiber/roughage/whole grain cereals/bran		20.4
Fish		8.8
Fish oil/omega 3 oil		3.5
Fruits/specific fruit		35.9
Olive oil/monounsaturated fat/oils		2.8
Poultry/chicken		4.2
Red wine/wine		17.6
Vegetables/specific vegetable		48.6
Vegetable oils/polyunsaturated fat/oils		3.6
Other
	Aspirin	8.8
	Juices (fruit, vegetable)	6.3
	Garlic	1.4
	Green tea/tea	*
	Nuts	1.1
	Soy/soy products	1.6
	Vitamins	2.9
	Water	4.6
	Eat less/moderately	*
	Exercise	2.0
	Health(y) foods.	1.7
	Less/lean meat	3.5
	Less fat/cholesterol	8.2
	Less salt/sodium	*
	Medication	*
	Restrict alcohol.	1.7
	Unspecified	7.0
[DON'T READ] DK/NS/RF		5.8

Section H. Awareness of Diet-Disease Relationship (High Blood Pressure)

(v2)H1. Have you heard anything about high blood pressure being related to things people eat or drink? (n=1,369)

	Percent
YES	75
NO	24	[SKIP TO J1]
[DON'T READ] DK/NS	*	[SKIP TO J1]
[DON'T READ] RF	*	[SKIP TO J1]

(v2)H2. What things that people eat or drink might be related to high blood pressure? [DON'T READ LIST.] [PROBE ONLY ONCE: Are there any other things people eat or drink that might be related to high blood pressure?] (n=1,047)

		Percent
Alcohol		23.3
Caffeine/coffee		7.4
Calcium/milk/dairy products		2.5
Calories/eating too much/overweight		2.2
Cholesterol/eggs		7.8
Fats		23.8
Fried food(s)		5.9
Junk food(s)		3.0
Meats/specific meats.		13.4
Salt/salty foods/sodium		52.6
Saturated fat		1.3
Smoking		2.5
Sugar		5.6
Trans fat or trans fatty acids		*
Other
	Carbohydrates	1.3
	Fast foods	*
	Greasy foods/fried foods	1.0
	Processed/preservatives	*
	Carbonated drinks/soda.	*
	Spicy foods	*
	Stress	1.2
	Unspecified	5.3
[DON'T READ] DK/NS/RF		7.3

Section J. Dietary Management Practices (Weight Control)

Now I'd like to ask you about your current diet.

(v2)J1. Are you on a reduced-calorie or weight-loss diet? (n=1,369)

	Percent
YES	19
NO	81	[SKIP TO J3]
[DON'T READ] DK/NS	*	[SKIP TO J3]
[DON'T READ] RF	*	[SKIP TO J3]

(v2)J2. Did a doctor or other health professional advise you to lose weight? (n=279)

	Percent
YES	46
NO	54
[DON'T READ] DK/NS	0
[DON'T READ] RF	0

(v2)J3. There are some food products specially made to have less fat; they're often labeled "low fat" or "fat free" or something like that. Have you ever seen any of these products or seen them in advertising? (n=1,369)

	Percent
YES	93
NO	7	[SKIP TO K1]
[DON'T READ] DK/NS	*	[SKIP TO K1]
[DON'T READ] RF	*	[SKIP TO K1]

(v2)J4. Do you buy "low fat" or "fat free" foods regularly, only sometimes, hardly ever, or do you never buy these products? (n=1,295)

	Percent
REGULARLY	26
SOMETIMES	40
HARDLY EVER	17
NEVER	17
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Section K. Dietary Management Practices (Sodium)

(v2)K1. Are you on a low-salt or low-sodium diet recommended by a doctor or other health professional? (n=1,369)

	Percent
YES	14	[SKIP TO K3]
NO	86
[DON'T READ] DK/NS	*
[DON'T READ] RF	0

(v2)K2. Which of these four statements best describes your own feelings about your salt or sodium consumption? [READ; ACCEPT ONLY ONE ANSWER.] (n=1,185)

	Percent
a. I don't think I personally have any need to worry about my sodium consumption	46
b. I think I probably should reduce it, but I haven't really tried	23
c. I have been trying to reduce my sodium consumption, but not very successfully	6
d. I have reduced my sodium consumption quite a bit	22
[DON'T READ] DK/NS	3
[DON'T READ] RF	*

(v2)K3. There are some food products specially made to have less sodium; they're often labeled "low sodium" or "salt free" or something like that. Have you ever seen any of these products or seen them in advertising? (n=1,369)

	Percent
YES	88
NO	12	[SKIP TO D2_1]
[DON'T READ] DK/NS	*	[SKIP TO D2_1]
[DON'T READ] RF	*	[SKIP TO D2_1]

(v2)K4. Do you buy "low salt" or "low sodium" foods regularly, only sometimes, hardly ever, or do you never buy these products? (n=1,244)

	Percent
REGULARLY	15
SOMETIMES	33
HARDLY EVER	24
NEVER	27
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

[GO TO SECTION D.]

(There was no Section L.)

(All Respondents)

Section M. Use of Food Labels

M1. Next, I'd like you to think about the labels on many food products that list ingredients and provide nutrition and other information.When you buy a product for the FIRST TIME, how often do you read this information? Would you say [READ] (n=2,743)

	Percent
OFTEN	44
SOMETIMES	25
RARELY, OR	13
NEVER	18	[SKIP TO N1]
[DON'T READ] DK/NS	*	[SKIP TO N1]
[DON'T READ] RF	0	[SKIP TO N1]

M2. People tell us they use food product labels in many different ways. When you look at food labels, either in the store or at home, how often, if at all, do you use the labels in the following ways? Would you say you often, sometimes, rarely or never use the label [READ AND ROTATE LIST] (n=2,357)

	Percent
	OFTEN	SOMETIMES	RARELY	NEVER	DK/NS	RF
a. To help you decide which brand of a particular food item to buy	44	32	14	11	*	*
b. To figure out how much of the food product you or your family should eat	30	28	21	20	*	*
c. To compare different food items with each other	45	31	14	10	*	*
d. To see if something said in advertising or on the package is actually true	32	33	19	15	*	*
e. To get a general idea of the nutritional content of the food	48	33	12	7	*	*
f. To see how high or low the food is in things like calories, salt, vitamins, or fat	59	27	9	5	*	*
g. To help you in meal planning	28	29	20	22	*	*
h. To see if there is an ingredient that you or someone in your family should avoid	47	21	15	17	*	*

M3. In the last TWO WEEKS, can you remember an instance where your decision to buy or use a food product was changed because you read the nutrition label? (n=2,357)

	Percent
YES	51
NO	48
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Section N. Prevalence of Supplement Use in the Past 12 Months

(All Respondents)

Now please think about dietary supplements such as vitamins, minerals, herbs, and other supplements that you may take in addition to your regular diet. [PAUSE.]

N1. First, have you taken a multi-vitamin or multi-mineral supplement in the past 12 months, that is, since (month) 2001? [IF NECESSARY, EXPLAIN THESE PRODUCTS ARE THINGS LIKE ONE-A-DAY, MEGA-VITAMIN, CENTRUM A-TO-ZINC, AND OTHER PRODUCTS THAT CONTAIN A VARIETY OF DIFFERENT VITAMINS, MINERALS, AND MAY ALSO CONTAIN OTHER THINGS AS WELL.] (n=2,743)

	Percent
YES	62
NO	38
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

N2. And in the past 12 months, have you taken a specialized or single-ingredient vitamin or mineral supplement such as Vitamin C, Vitamin E, iron, or calcium? [EXCLUDE: VITAMINS AND MINERALS ADDED TO FOODS OR BEVERAGES - EXAMPLE: VITAMIN-D IN FORTIFIED MILK AND VITAMIN-C IN FORTIFIED ORANGE JU ICE. INCLUDE: (1) SINGLE-INGREDIENT PRODUCTS THAT COME WITH AUXILIARY INGREDIENTS - EXAMPLE: A SUPPLEMENT SOLD AS A CALCIUM BUT ALSO INCLUDES MAGNESIUM, COPPER, AND A FEW OTHER THINGS; (2) PRODUCTS LIKE "CALCIUM-MAGNESIUM-ZINC" WHICH ALSO CONTAINS A FEW OTHER THINGS; (3) VITAMIN B-COMPLEX; (4) CALCIUM ANTACID, IF TAKEN FOR THE CALCIUM.IF RESPONDENT IS NOT SURE WHETHER THE PRODUCT(S) HE OR SHE TOOK IS CONSIDERED A VITAMIN OR MINERAL SUPPLEMENT, USE THE CHECKLIST IN THE APPENDIX TO HELP HIM OR HER IDENTIFY THE KIND OF SUPPLEMENT.]

[IF ANSWER IS NOT CLEARLY A SUPPLEMENT AND SOUNDS LIKE IT MAY BE AN INGREDIEN T IN FOOD, ASK "Is that in your food or is it taken separately as a supplement?"] (n=2,743)

	Percent
YES	56
NO	44
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

N3. Have you taken any kind of herbs, botanicals, or other dietary supplements in the past 12 months, that is, since (month) 2001? We are talking about things such as garlic pills, echinacea, ginkgo, glucosamine, St. John's wort, amino acids, or fish oil. [INCLUDE: SINGLE-INGREDIENT PRODUCTS AND PRODUCTS WITH MORE THAN ONE KIND OF SUPPLEMENT MIXED TOGETHER. INCLUDE: GINSENG TEA AND OTHER HERBAL TEAS TAKEN MAINLY FOR HEALTH PURPOSES. EXCLUDE: FRESH GARLIC, FRESH GINSENG, GINSENG ROOT, AND HERBS USED TO FLAVOR FOODS IN COOKING SUCH AS GARLIC FOR SPAGHETTI SAUCE OR PEPPERMINT FOR TEA. EXCLUDE: SUPPLEMENTS THAT ARE NOT TAKEN BY MOUTH, SUCH AS VITAMIN E OR ALOE USED ON SKIN. PRODUCTS MAY BE IN THE FORM OF TABLET, CAPSULE, PILL, EXTRACT, GRANULE, LOZENGE, SYRUP, TEA, TINCTURE, OR IN THEIR NATURAL FORM SUCH AS ROOT AND LEAF. IF RESPONDENT IS NOT SURE WHETHER THE PRODUCT(S) HE OR SHE TOOK IS CONSIDERED A HERBAL SUPPLEMENT, USE THE CHECKLIST IN THE APPENDIX TO HELP HIM OR HER IDENTIFY THE KIND OF SUPPLEMENT.]

[IF ANSWER IS NOT CLEARLY A SUPPLEMENT AND SOUNDS LIKE IT MAY BE AN INGREDIENT IN FOOD, ASK "Is that in your food or is it taken separately as a supplement?"] (n=2,743)

	Percent
YES	30
NO	69	[IF N1 OR N2=YES, SKIP TO P1 or P4; IF N1=N2=N3=NO/DK/NS/RF, SKIP TO T1]
[DON'T READ] DK/NS	*	[IF N1 OR N2=YES, SKIP TO P1 or P4; IF N1=N2=N3=NO/DK/NS/RF, SKIP TO T1]
[DON'T READ] RF	*	[IF A1 OR A2=YES, SKIP TO P1 or P4; IF N1=N2=N3=NO/DK/NS/RF, SKIP TO T1]

N4. What herbs, botanicals, or other dietary supplements have you taken in the past 12 months? I can write up to five. [DON'T READ LIST. RECORD UP TO FIVE RESPONSES; RECORD FIRST, SECOND, AND THIRD MENTIONS.] [REMIND, IF NECESSARY, "We'd like to know the herbs, botanicals, or dietary supplements other than a vitamin or mineral you have taken in the past 12 months. "REPEAT, IF NECESSARY, PRODUCT DEFINITION IN N3. IF RESPONDENT HAS DIFFICULTY DECIDING WHAT TO REPORT, ASK FOR THE FIVE SUPPLEMENTS TAKEN MOST REGULARLY IN THE PAST 12 MONTHS.] [ASK FOR SPELLING, IF NECESSARY.] [PROBE ONLY ONCE.] (n=888)

		Percent
Acidophilus, bacteria, or other probiotics supplements		0.45
Alpha-Lipoic acid		0.34
Amino acid(s)   [Isoleucine, Leucine, L-Lysine, Methionine, Phenylalaine, Threonine, Tryptophan, Valine]		3.39
Androstenedione or Andro		0.25
Antioxidant(s), antioxidant amino acid(s), antioxidant vitamins		0.85
Bee pollen, propolis, or royal jelly		0.85
Black cohosh		1.09
Blue green algae, wheat grass, or other green food supplements		0.07
Calcium		9.40
Cayenne or capsicum		0.75
Chloride		0.15
Choline		0.10
Chromium		0.72
Cobalt		0.07
Coenzyme Q10 or CoQ10		0.81
Copper		0.11
Creatine		2.15
DHEA		0.65
Echinacea		19.48
Ephedra or Ma-Huang		2.16
Evening primrose oil		0.77
Feverfew		0.16
Fish oil or Omega 3 oil		7.48
Flaxseed oil		1.72
5 HTP		0.05
Floride		0.07
Folate/folic acid/vitamin B9		1.75
Garlic (not as food)		16.62
Germanium		0.82
Ginger (not as food)		1.38
Ginkgo or ginkgo biloba		14.64
Ginseng (including tea taken mainly for health)		11.73
Glucosamine sulphate or glucosamine and chondroitin		10.92
Goldenseal		2.28
Mixed herbal products or herbal/botanical combinations		5.32
Herbal teas		4.69
Homeopathics		0.22
Iron		1.86
Kava (or Kava kava)		1.48
Lecithin		1.12
Lycopene		1.16
Magnesium		1.49
Manganese		0.26
Melatonin		0.86
Milk thistle		1.60
MSM or methylsulfonylmethane		4.26
Multi-mineral or multi-vitamin/multi-mineral		6.71
Phosphorus		0.57
Potassium		1.19
Probiotics		0.07
Red yeast		0.46
Saw palmetto		1.85
Selenium		0.75
Shark cartilage		0.14
Soy extract or isoflavones		1.09
St. John's wort.		6.52
Valerian		0.66
Vitamins (specialized or single-ingredient)		14.21
Wild yam		0.18
Weight loss/control formula		0.45
Zinc		2.52
Other	Aloe	0.49
	Billberry	0.56
	Chamomile	0.45
	Cat's claw	0.75
	Chondroitin	0.68
	Cranberry	0.67
	Enzymes	0.07
	Fiber (caplets/pills/etc)	0.49
	Grape seed (extract)	0.75
	Leutine	0.46
	"Metabolife"	0.89
	Non-specified	16.07
[DON'T READ] DK/NS/RF		5.95

(There was no Section O.)

Section P. Doctor's Knowledge of Supplement Use

[IF N1, N2, OR N3 = YES, AND VERSION 1]

(v1)P1. On a slightly different subject, have you taken any prescription drug in the past 12 months? (n=1,048)

	Percent
YES	73
NO	27	[SKIP TO Q1 OR Q16]
[DON'T READ] DK/NS	0	[SKIP TO Q1 OR Q16]
[DON'T READ] RF	0	[SKIP TO Q1 OR Q16]

(v1)P2. While you took the prescription drug, did you also take a dietary supplement? (n=788)

	Percent
YES	59
NO	41	[SKIP TO Q1 OR Q16]
[DON'T READ] DK/NS	*	[SKIP TO Q1 OR Q16]
[DON'T READ] RF	0	[SKIP TO Q1 OR Q16]

(v1)P3. Did you discuss taking both products with your doctor or other healthcare professional? ["BOTH PRODUCTS" MEANS THE PRESCRIPTION DRUG AND THE DIETARY SUPPLEMENT.] [IF NECESSARY, EXPLAIN HEALTHCARE PROFESSIONAL ARE PEOPLE LIKE A MEDICAL DOCTOR, A PHYSICIAN'S ASSISTANT, A DENTIST, A PSYCHIATRIST, A PHARMACIST, OR A REGISTERED NURSE.] (n=472)

	Percent
YES	65	[SKIP TO Q1 OR Q16]
NO	34	[SKIP TO Q1 OR Q16]
[DON'T READ] DK/NS	*	[SKIP TO Q1 OR Q16]
[DON'T READ] RF	0	[SKIP TO Q1 OR Q16]

[IF N1, N2, OR N3 = YES, AND VERSION 2]

(v2)P4. In the past 12 months, have you taken a dietary supplement to treat or prevent a health problem or condition instead of taking a prescription drug? (n=1,053)

	Percent
YES	21
NO	79	[SKIP TO Q1 OR Q16]
[DON'T READ] DK/NS	*	[SKIP TO Q1 OR Q16]
[DON'T READ] RF	0	[SKIP TO Q1 OR Q16]

(v2)P5. Did you discuss the substitution with your doctor or healthcare professional? [IF NECESSARY, EXPLAIN HEALTHCARE PROFESSIONAL ARE PEOPLE LIKE A MEDICAL DOCTOR, A PHYSICIAN'S ASSISTANT, A DENTIST, A PSYCHIATRIST, A PHARMACIST, OR A REGISTERED NURSE.] (n=238)

	Percent
YES	51	[SKIP TO Q1 OR Q16]
NO	48	[SKIP TO Q1 OR Q16]
[DON'T READ] DK/NS	*	[SKIP TO Q1 OR Q16]
[DON'T READ] RF	0	[SKIP TO Q1 OR Q16]

[IF (N1=Y OR N2=Y) BUT N3=NO/DK/NS/RF, GO TO Q1. IF N3=YES, SKIP TO Q16.]

Section Q. Sources of Information and Perceptions of Dietary Supplements Labels

(Two sets of questions, one for vitamin/mineral users (Q1 - Q15) and the other for users of herbs, botanicals, and other supplements (Q16 - Q30)).

Q1. Before you try a vitamin or mineral supplement for the first time, do you usually, sometimes, hardly ever, or do you never look for information about the supplement? (n=1,213)

	Percent
Usually	57
Sometimes	19
Hardly Ever	7
Never	15	[SKIP TO Q3]
[DON'T READ] DK/NS	*	[SKIP TO Q3]
[DON'T READ] RF	*	[SKIP TO Q3]

Q2. Please tell me whether you personally get a lot, a little, or no information about vitamin or mineral supplements from each of the following. [READ AND ROTATE LIST. RECORD START. KEEP A AND B TOGETHER AND DON'T CHANGE THEIR ORDER.] (n=1,021)

	Percent
	A Lot	A little	no info	DK/NS	RF
a. An alternative medicine practitioner like a nutrition therapist or a herbal therapist [ALSO INCLUDES: PRACTITIONER/THERAPIST OF ACUPUNCTURE, BIOFEEDBACK, CHIROPRACTIC, CHELATION THERAPY, ENERGY HEALING/REIKI, FOLK MEDICINE, HYPNOSIS, HERBAL THERAPY, HOMEOPATHY, MASSAGE, NATUROPATHY, NUTRITION THERAPY, OSTEOPATHY.]	11	22	66	*	*
b. A medical doctor, physician's assistant, registered nurse, or dietitian	31	44	24	*	*
c. Family or friends	22	50	28	*	*
d. A sales person at a store	7	29	63	*	*
e. Newspapers, magazines, books, or medical articles	27	49	23	*	*
f. Television or radio	11	54	35	*	*
g. The Internet	11	20	69	*	0
h. Product labels	38	47	14	*	*

Q3. Now, let's talk about the labels on vitamin and mineral products. Do you yourself use these labels to find out [READ AND ROTATE LIST. RECORD START.] [LABELS INCLUDE LABELS ON THE BOTTLES/PACKAGES AND PACKAGE INSERTS.] (n=1,213)

	Percent
	YES	NO	Info not on label	DK/NS	RF
a. What ingredients are in the product	75	25	*	*	0
b. The amounts of specific ingredients in the product	70	30	*	*	*
c. What the product is for	78	22	*	*	0
d. If there are side effects or drug interactions from using the product	73	27	*	*	0
e. If anyone should avoid the product	69	30	*	*	*
f. How different brands of a supplement compare to each other	62	37	*	*	*

Q4. Thinking about the information you see on these labels, how easy is it to understand the label information about ingredients. Would you say very easy, somewhat easy, somewhat difficult, or very difficult? (n=1,213)

	Percent
Very easy	21
Somewhat easy	44
Somewhat difficult	25
Very difficult	7
[DON'T READ] DK/NS	2
[DON'T READ] RF	*

Q5. How useful is the label information about ingredients to you? Would you say very useful, somewhat useful, not too useful, or not at all useful? (n=1,213)

	Percent
Very useful	34
Somewhat useful	52
Not too useful	8
Not at all useful	4
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Q6. In addition to ingredients, the vitamin and mineral labels may have information about health benefits. Have you ever seen any information about health benefits on these labels? (n=1,213)

	Percent
YES	51
NO	47	[SKIP TO Q9]
[DON'T READ] DK/NS	2	[SKIP TO Q9]
[DON'T READ] RF	*	[SKIP TO Q9]

Q7. How easy is it to understand the label information about health benefits? Would you say very easy, somewhat easy, somewhat difficult, or very difficult? (n=636)

	Percent
Very easy	26
Somewhat easy	57
Somewhat difficult	14
Very difficult	2
[DON'T READ] DK/NS	2
[DON'T READ] RF	*

Q8. How useful is the label information about health benefits? Would you say very useful, somewhat useful, not too useful, or not at all useful? (n=636)

	Percent
Very useful	27
Somewhat useful	62
Not too useful	8
Not at all useful	2
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Q9. Have you ever seen any information on vitamin and mineral labels about health risks such as side effects, adverse reactions, interactions with medications, or who should be careful about taking a product? (n=1,213)

	Percent
YES	62
NO	37	[SKIP TO Q12]
[DON'T READ] DK/NS	*	[SKIP TO Q12]
[DON'T READ] RF	0	[SKIP TO Q12]

Q10. How easy is it to understand the label information about health risks? Would you say very easy, somewhat easy, somewhat difficult, or very difficult? (n=748)

	Percent
Very easy	38
Somewhat easy	46
Somewhat difficult	12
Very difficult	2
[DON'T READ] DK/NS	2
[DON'T READ] RF	*

Q11. How useful is the label information about health risks? Would you say very useful, somewhat useful, not too useful, or not at all useful? (n=748)

	Percent
Very useful	42
Somewhat useful	50
Not too useful	6
Not at all useful	*
[DON'T READ] DK/NS	*
[DON'T READ] RF	0

Q12. Now, compare the labels on vitamin and mineral supplements with the labels on foods. In general, which labels are easier to understand, [ROTATE: dietary supplement labels, food labels], or are they the same? (n=1,213)

	Percent
Dietary supplement labels are easier to understand	15
Food label labels are easier to understand	35
They are the same	45
[DON'T READ] Both are easy to understand	*
[DON'T READ] Both are difficult to understand	*
[DON'T READ] DK/NS	5
[DON'T READ] RF	*

Q13. In general, which labels do a better job providing the information you need to make decisions, [READ AND ROTATE IN THE SAME ORDER AS IN Q12: the dietary supplement labels, the food labels], or are they the same? (n=1,213)

	Percent
Dietary supplement labels do a better job	17
Food labels do a better job	36
They are the same	43
[DON'T READ] Both do a good job	*
[DON'T READ] Neither does a good job	*
[DON'T READ] DK/NS	4
[DON'T READ] RF	*

Q14. Now compare the labels on vitamin and mineral supplements with the labels on over-the-counter drugs. In general, which labels are easier to understand, [ROTATE: dietary supplement labels, over-the-counter drug labels], or are they the same? (n=1,213)

	Percent
Dietary supplement labels are easier to understand	16
Over-the-counter drug labels are easier to understand	25
They are the same	53
[DON'T READ: both are easy to understand]	0
[DON'T READ: both are difficult to understand]	0
[DON'T READ] DK/NS	6
[DON'T READ] RF	*

Q15. In general, which labels do a better job of providing the information you need to make decisions, [READ AND ROTATE IN THE SAME ORDER AS IN Q14: the dietary supplement labels, the over-the-counter drug labels], or are they the same? (n=1,213)

	Percent
Dietary supplement labels do a better job	11	[SKIP TO R1]
Over-the-counter drug labels do a better job	30	[SKIP TO R1]
They are the same	52	[SKIP TO R1]
[DON'T READ] Both do a good job	*	[SKIP TO R1]
[DON'T READ] Neither does a good job	*	[SKIP TO R1]
[DON'T READ] DK/NS	7	[SKIP TO R1]
[DON'T READ] RF	*	[SKIP TO R1]

[ASK Q16 IF N3=YES.]

Q16. Before you try an herb, botanical, or other dietary supplement for the first time, do you usually, sometimes, hardly ever, or do you never look for information about the supplement? [IF NECESSARY, REMIND RESPONDENT THAT WE ARE TALKING ABOUT THINGS LIKE GARLIC PILLS, GLUCOSAMINE, ST.JOHN'S WORT, AMINO ACIDS, AND FISH OIL.] (n=888)

	Percent
Usually	71
Sometimes	16
Hardly ever	5
Never	8	[SKIP TO Q18]
[DON'T READ] DK/NS	*	[SKIP TO Q18]
[DON'T READ] RF	0	[SKIP TO Q18]

Q17. Please tell me whether you yourself get a lot, a little, or no information about herbs, botanicals, or other dietary supplements from each of the following. [READ AND ROTATE LIST. RECORD START. KEEP A AND B TOGETHER AND DON'T CHANGE THEIR ORDER.] (n=831)

	Percent
	A lot	A little	No info	DK/NS	RF
a. An alternative medicine practitioner like an herbal or chiropractic therapist [ALSO INCLUDES: PRACTITIONER/THERAPIST OF ACUPUNCTURE, BIOFEEDBACK, CHELATION THERAPY, ENERGY HEALING/REIKI, FOLK MEDICINE, HYPNOSIS, HOMEOPATHY, MASSAGE, NATUROPATHY, NUTRITION THERAPY, OSTEOPATHY.]	11	25	65	*	*
b. A medical doctor, physician's assistant, registered nurse, or dietitian	18	44	37	*	0
c. Family or friends	25	57	18	*	0
d. A sales person at a store	8	36	55	*	0
e. Newspapers, magazines, books, or medical articles	38	46	15	0	0
f. Television or radio	9	50	41	0	*
g. The Internet	20	30	49	*	0
h. Product labels	26	57	15	*	*

Q18. Now, let's talk about the labels on herbs, botanicals, and other dietary supplement products. Do you yourself use these labels to find out [READ AND ROTATE LIST. RECORD START.] (n=888)

	Percent
	YES	NO	Info not on label	DK/NS	RF
a. What ingredients are in the product	88	12	*	*	0
b. The amounts of specific ingredients in the product	81	19	*	*	*
c. What the product is for	83	16	*	*	*
d. If there are side effects or drug interactions from using the product	82	16	2	*	*
e. If anyone should avoid the product	80	19	*	*	0
f. How different brands of a supplement compare to each other	71	29	*	*	*

Q19. Thinking about the information you see on these labels. How easy is it to understand the label information about ingredients? Would you say very easy, somewhat easy, somewhat difficult, or very difficult? (n=888)

	Percent
Very easy	21
Somewhat easy	48
Somewhat difficult	25
Very difficult	5
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Q20. How useful is the label information about ingredients to you? Would you say very useful, somewhat useful, not too useful, or not at all useful? (n=888)

	Percent
Very useful	34
Somewhat useful	54
Not too useful	9
Not at all useful	3
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Q21. In addition to ingredients, the labels on herbs, botanicals, and other dietary supplements may have information about health benefits. Have you ever seen any information about health benefits on these labels? (n=888)

	Percent
Yes	67
No	31	[SKIP TO Q24]
[DON'T READ] DK/NS	2	[SKIP TO Q24]
[DON'T READ] RF	*	[SKIP TO Q24]

Q22. How easy is it to understand the label information about health benefits? Would you say very easy, somewhat easy, somewhat difficult, or very difficult? (n=591)

	Percent
Very easy	32
Somewhat easy	50
Somewhat difficult	16
Very difficult	2
[DON'T READ] DK/NS	*
[DON'T READ] RF	0

Q23. How useful is the label information about health benefits? Would you say very useful, somewhat useful, not too useful, or not at all useful? (n=591)

	Percent
Very useful	30
Somewhat useful	61
Not too useful	6
Not at all useful	2
[DON'T READ] DK/NS	*
[DON'T READ] RF	0

Q24. Have you ever seen any information on labels of herbs, botanicals, and other dietary supplements about health risks such as side effects, adverse reactions, interactions with medications, or who should be careful about taking a product? (n=888)

	Percent
Yes	70
No	29	[SKIP TO Q27]
[DON'T READ] DK/NS	2	[SKIP TO Q27]
[DON'T READ] RF	*	[SKIP TO Q27]

Q25. How easy is it to understand the label information about health risks? Would you say very easy, somewhat easy, somewhat difficult, or very difficult? (n=608)

	Percent
Very easy	43
Somewhat easy	42
Somewhat difficult	13
Very difficult	*
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Q26. How useful is the label information about health risks? Would you say very useful, somewhat useful, not too useful, or not at all useful? (n=608)

	Percent
Very useful	46
Somewhat useful	47
Not too useful	5
Not at all useful	*
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

Q27. Now compare the labels on herbs, botanicals, and other dietary supplements with the labels on foods. In general, which labels are easier to understand, [ROTATE: dietary supplements labels, food labels], or are they the same? (n=888)

	Percent
Dietary supplement labels are easier to understand	20
Food labels are easier to understand	34
They are the same	43
[DON'T READ] Both are easy to understand	*
[DON'T READ] Both are difficult to understand	*
[DON'T READ] DK/NS	3
[DON'T READ] RF	*

Q28. In general, which labels do a better job providing the information you need to make decisions, [READ AND ROTATE IN THE SAME ORDER AS IN Q27: the dietary supplement labels, the food labels], or are they the same? (n=888)

	Percent
Dietary supplement labels do a better job	26
Food labels do a better job	35
They are the same	37
[DON'T READ] Both do a good job	*
[DON'T READ] Neither does a good job	*
[DON'T READ] DK/NS	2
[DON'T READ] RF	*

Q29. Now compare the labels on herbs, botanicals, and other dietary supplements with the labels on over-the-counter drugs. In general, which labels are easier to understand, [ROTATE: dietary supplement labels, over-the-counter drug labels], or are they the same? (n=888)

	Percent
Dietary supplement labels are easier to understand	18
Over-the-counter drug labels are easier to understand	29
They are the same	48
[DON'T READ] Both are easy to understand	*
[DON'T READ] Both are difficult to understand	*
[DON'T READ] DK/NS	4
[DON'T READ] RF	*

Q30. In general, which labels do a better job providing the information you need to make decisions, [READ AND ROTATE IN THE SAME ORDER AS IN Q29: the labels on supplements, the labels on over-the-counter drugs], or are they the same? (n=888)

	Percent
Dietary supplement labels do a better job	17	[SKIP TO R4]
Over-the-counter drug labels do a better job	31	[SKIP TO R4]
They are the same	49	[SKIP TO R4]
[DON'T READ] Both do a good job	*	[SKIP TO R4]
[DON'T READ] Neither does a good job	*	[SKIP TO R4]
[DON'T READ] DK/NS	3	[SKIP TO R4]
[DON'T READ] RF	*	[SKIP TO R4]

Section R. Perceptions and Knowledge of Dietary Supplements

(R1 - R3: Vitamin/Mineral Supplement Users)

R1. For each of the following, please tell me if you strongly agree, somewhat agree, somewhat disagree, or strongly disagree with the statement. [READ AND ROTATE LIST. RECORD START.] (n=1,213)

	Percent
	strongly agree	somewhat agree	somewhat disagree	strongly disagree	DK/	RF
a. A good reason for me to take vitamin or mineral supplements is to prevent illnesses	46	40	7	6	*	*
b. A good reason for me to take vitamin or mineral supplement is to treat illness	24	38	22	14	2	*
c. It is important to educate myself about vitamin and mineral supplements before I try them	70	25	2	2	*	*
d. I try to pay attention to possible side effects or drug interactions when I take vitamin or mineral supplements	64	24	5	4	2	*

R2. As far as you know, does the government set manufacturing standards for vitamin and mineral supplements? (n=1,213)

	Percent
Yes	57
No	30
[DON'T READ] DK/NS	13
[DON'T READ] RF	*

R3. As far as you know, does the government approve vitamin and mineral supplements before they are marketed to consumers? (n=1,213)

	Percent
Yes	55	[SKIP TO S1]
No	32	[SKIP TO S1]
[DON'T READ] DK/NS	12	[SKIP TO S1]
[DON'T READ] RF	*	[SKIP TO S1]

(R4 - R6: Users of Herbs, Botanicals, or Other Dietary Supplements)

R4. For each of the following, please tell me if you strongly agree, somewhat agree, somewhat disagree, or strongly disagree with the statement. [READ AND ROTATE LIST. RECORD START.] (n=888)

	Percent
	strongly agree	somewhat agree	somewhat disagree	strongly disagree	DK/ NS	RF
a. A good reason for me to take herbs, botanicals, or other supplements is to prevent illnesses	57	33	5	3	*	*
b. A good reason for me to take herbs, botanicals, or other supplement is to treat illnesses	33	41	15	9	*	*
c. It is important to educate myself about herbs, botanicals, or other supplements before I try them	80	17	2	*	*	*
d. I try to pay attention to possible side effects or drug interactions when I take herbs, botanicals, or other supplements	71	21	6	*	*	*

R5. As far as you know, does the government set manufacturing standards for herbs, botanicals, and other dietary supplements? (n=888)

	Percent
Yes	40
No	51
[DON'T READ] DK/NS	9
[DON'T READ] RF	*

R6. As far as you know, does the government approve herbs, botanicals, and other dietary supplements before they are marketed to consumers? (n=888)

	Percent
Yes	35	[GO TO S1]
No	56	[GO TO S1]
[DON'T READ] DK/NS	9	[GO TO S1]
[DON'T READ] RF	*	[GO TO S1]

Section S. Adverse Experience with Dietary Supplements

(All Supplement Users: N1, N2 OR N3=1)

S1. In the past 12 months, that is, since (month) 2001, have you experienced any health problem that you thought might be related to any dietary supplements you took? (n=2,101)

	Percent
Yes	4
No	95	[SKIP TO U1 (Version 1) or U6 (Version 2)]
[DON'T READ] DK/NS	*	[SKIP TO U1 (V1) or U6 (V2)]
[DON'T READ] RF	*	[SKIP TO U1 (V1) or U6 (V2)]

S2. The last time you had such a problem, what were the major symptoms of the problem? [ACCEPT UP TO THREE ANSWERS.] (n=87)

	Percent of all mentions
Heart problems/chest pain	12.5
Abdominal pain	8.4
Headache	7.7
Rashes	6.7
Allergy/reaction	6.0
Nausea	5.1
Blood pressure problems	4.7
Diarrhea	4.5
Cramping/muscle aches	4.4
Sleep problems	2.8
Dizziness/fainting	3.1
Itching	1.5
Anxiety/nervousness	1.4
Drowsiness	1.2
Vomiting	*
Other symptoms (unspecified)	29.7

	Percent of all respondents
[DON'T READ] DK/NS	0
[DON'T READ] RF	*

S3. What supplements did you think were related to your problem? [ACCEPT UP TO THREE ANSWERS.] (n=87)

	Percent of all mentions
Multi-vitamins	13.3
"Xenadrine"	6.7
Unspecified vitamins/minerals	5.4
Iron	5.1
Ginko Biloba	4.6
Vitamin C	4.6
Calcium	3.6
"Metabolife"	3.4
Vitamin E	2.7
Ginseng	2.7
"Phen Phen"	2.5
St. John's wort	2.3
Vitamin B	2.1
Other supplements	41.0

	Percent of all respondents
[DON'T READ] DK/NS	1.2
[DON'T READ] RF	1.9

S4. What did you do about your problem? Did you [READ AND ROTATE LIST] (n=87)

	Percent
	YES	NO	DK/NS	RF
a. Stop taking the supplements	90	8	*	*
b. See a doctor	48	52	0	0
c. Complain to the manufacturer or the store where you bought the supplements	9	92	0	0
d. Report to any health authorities [IF YES, ASK S5;OTHERWISE, SKIP TO S6.]	25	75	0	0
e. Go to an emergency room	12	88	0	0

S5. Did you report your problem to [READ AND ROTATE LIST] (n=21)

	Percent
	YES	NO	DK/NS	RF
a. The Food and Drug Administration	0	100	0	0
b. The CDC, Centers for Disease Control and Prevention	0	100	0	0
c. A health department or poison control center	0	100	0	0
d. Your doctor	90	10	0	0

S6. Did a doctor say the problem was related to dietary supplements? (n=87)

	Percent
Yes	42	[SKIP TO U1(Version 1) OR U6(Version 2)]
No	53	[SKIP TO U1(Version 1) OR U6(Version 2)]
[DON'T READ] DK/NS	4	[SKIP TO U1(Version 1) OR U6(Version 2)]
[DON'T READ] RF	1	[SKIP TO U1(Version 1) OR U6(Version 2)]

Section T. Supplement Non-User Information

(Supplement non-users: if N1, N2, and N3 = NO/DK/RF)

T1. You said that you had not taken a dietary supplement in the past 12 months. Have you taken any dietary supplement in the past 5 years? [IF NECESSARY, REMIND RESPONDENTS THAT WE ARE TALKING ABOUT THINGS LIKE MULTI-VITAMINS, VITAMIN C, IRON, CALCIUM, ECHINACEA, ST. JOHN'S WORT, AMINO ACID, AND FISH OIL.] (n=642)

	Percent
Yes	23
No	75	[SKIP TO T5(Version 1) or T8(Version 2)]
[DON'T READ] DK/NS	2	[SKIP TO T5(Version 1) or T8(Version 2)]
[DON'T READ] RF	*	[SKIP TO T5(Version 1) or T8(Version 2)]

T2. In the past 5 years, have you taken any multi-vitamin or multi-mineral supplement? [IF NECESSARY, EXPLAIN THESE PRODUCTS ARE THINGS LIKE ONE-A-DAY, MEGA-VITAMIN, AND OTHER PRODUCTS THAT CONTAIN A VARIETY OF DIFFERENT VITAMINS, MINERALS, AND MAY ALSO CONTAIN OTHER THINGS AS WELL.] (n=165)

	Percent
Yes	70
No	30
[DON'T READ] DK/NS	0
[DON'T READ] RF	0

T3. In the past 5 years, have you taken any specialized or single-ingredient vitamin or mineral such as Vitamin C, Vitamin E, iron, calcium? [EXCLUDE: VITAMINS AND MINERALS ADDED TO FOODS OR BEVERAGES - EXAMPLE: VITAMIN-D IN FORTIFIED MILK AND VITAMIN-C IN FORTIFIED ORANGE JUICE. INCLUDE: (1) SINGLE-INGREDIENT PRODUCTS THAT COME WITH AUXILIARY INGREDIENTS - EXAMPLE: A SUPPLEMENT SOLD AS A CALCIUM BUT ALSO INCLUDES MAGNESIUM, COPPER, AND A FEW OTHER THINGS; (2) PRODUCTS LIKE "CALCIUM-MAGNESIUM-ZINC" WHICH ALSO CONTAINS A FEW OTHER THINGS; (3) VITAMIN B-COMPLEX; (4) CALCIUM ANTACID, IF TAKEN FOR THE CALCIUM. IF RESPONDENT IS NOT SURE WHETHER THE PRODUCT(S) HE OR SHE TOOK IS CONSIDERED A VITAMIN OR MINERAL SUPPLEMENT, USE THE CHECKLIST IN THE APPENDIX TO HELP HIM OR HER IDENTIFY THE KIND OF SUPPLEMENT.] (n=165)

	Percent
Yes	55
No	44
[DON'T READ] DK/NS	*
[DON'T READ] RF	0

T4. In the past 5 years, have you taken any other kinds of dietary supplements? [IF NECESSARY, REMIND RESPONDENTS THAT WE ARE TALKING ABOUT THINGS LIKE ECHINACEA, ST. JOHN'S WORT, AMINO ACID, AND FISH OIL.] (n=165)

	Percent
Yes	28	[GO TO T5 (Version 1) OR T8 (Version 2)]
No	72	[GO TO T5 (Version 1) OR T8 (Version 2)]
[DON'T READ] DK/NS	0	[GO TO T5 (Version 1) OR T8 (Version 2)]
[DON'T READ] RF	0	[GO TO T5 (Version 1) OR T8 (Version 2)]

(v.1 and Supplement Non-Users)

(v1)T5. For each of the following, please tell me if you strongly agree, somewhat agree, somewhat disagree, or strongly disagree with the statement? [READ AND ROTATE LIST.] (n=326)

	Percent
	Strongly agree	somewhat agree	somewhat disagree	strongly disagree	DK/NS	RF
a. I can get everything I need from the food I eat	40	30	21	6	2	*
b. Vitamin and mineral supplements cost too much	38	26	9	7	20	*
c. I am not sure what vitamin or mineral supplements can do for me	26	34	19	12	8	*
d. I am concerned about the safety of vitamin and mineral supplements	34	26	16	19	4	*

(v1)T6. As far as you know, does the government set manufacturing standards for vitamin and mineral supplements? (n=326)

	Percent
Yes	43
No	28
[DON'T READ] DK/NS	29
[DON'T READ] RF	*

(v1)T7. As far as you know, does the government approve vitamin and mineral supplements before they are marketed to consumers? (n=326)

	Percent
Yes	52	[SKIP TO U1]
No	28	[SKIP TO U1]
[DON'T READ] DK/NS	21	[SKIP TO U1]
[DON'T READ] RF	0	[SKIP TO U1]

(v. 2 and Supplement Non-users)

(v2)T8. For each of the following, please tell me if you strongly agree, somewhat agree, somewhat disagree, or strongly disagree with the statement? [READ AND ROTATE LIST.] (n=316)

	Percent
	Strongly agree	somewhat agree	somewhat disagree	strongly disagree	DK/NS	RF
a. I can get everything I need from the food I eat	48	30	12	8	2	*
b. Herbs, botanicals, and other dietary supplements cost too much	34	30	13	3	19	*
c. I am not sure what herbs, botanicals, or other dietary supplements can do for me	32	34	10	11	12	*
d. I am concerned about the safety of herbs, botanicals, and other dietary supplements	28	36	16	15	5	*

(v2)T9. As far as you know, does the government set manufacturing standards for herbs, botanicals, and other dietary supplements? (n=316)

	Percent
Yes	30
No	49
[DON'T READ] DK/NS	19
[DON'T READ] RF	*

(v2)T10. As far as you know, does the government approve herbs, botanicals, and other dietary supplements before they are marketed to consumers? (n=316)

	Percent
Yes	37	[SKIP TO U6]
No	46	[SKIP TO U6]
[DON'T READ] DK/NS	16	[SKIP TO U6]
[DON'T READ] RF	*	[SKIP TO U6]

Section U. Children's and Teenagers' Use of Dietary Supplements

(2 versions - Version 1 about children 1-12 years old and Version 2 about teenagers 13-17 years old.)

(version 1)

(v1)U1. Now, I have a few more questions about dietary supplements. Are there any children from 1 to 12 years old in this household? (n=1,374)

	Percent
Yes	32
No	67	[SKIP TO V1]
[DON'T READ] DK/NS	*	[SKIP TO V1]
[DON'T READ] RF	*	[SKIP TO V1]

(v1)U2. In the past 12 months, that is, since (month) 2001, has any child in this household taken any kind of dietary supplement? [IF NECESSARY, EXPLAIN THAT WE ARE NOT TALKING ABOUT THINGS LIKE VITAMIN A IN CARROTS OR VITAMIN C ADDED TO ORANGE JUICES.] (n=401)

	Percent
Yes	31
No	69	[SKIP TO V1]
[DON'T READ] DK/NS	*	[SKIP TO V1]
[DON'T READ] RF	0	[SKIP TO V1]

(v1)U3. Did the child or children take any multi-vitamin or multi-mineral? (n=145)

	Percent
Yes	94
No	6
[DON'T READ] DK/NS	*
[DON'T READ] RF	0

(v1)U4. Did the child or children take any dietary supplement other than a multi-vitamin or multi-mineral? (n=145)

	Percent
Yes	29
No	71
[DON'T READ] DK/NS	0
[DON'T READ] RF	0

(v1)U5. Were any of the dietary supplements taken to prevent or treat a specific health problem or condition? (n=145)

	Percent
Yes	25	[SKIP TO V1]
No	74	[SKIP TO V1]
[DON'T READ] DK/NS	*	[SKIP TO V1]
[DON'T READ] RF	0	[SKIP TO V1]

(version 2)

(v2)U6. Now, I have a few more questions about dietary supplements. Is any member in your household aged 13 to 17 years old? (n=1,369)

	Percent
Yes	20
No	79	[SKIP TO V1]
[DON'T READ] DK/NS	0	[SKIP TO V1]
[DON'T READ] RF	*	[SKIP TO V1]

(v2)U7. In the past 12 months, that is, since (month) 2001, has any teenager taken a dietary supplement? Please do not include the vitamins, minerals, or herbs that come in foods or drinks. [IF NECESSARY, EXPLAIN THAT WE ARE NOT TALKING ABOUT THINGS LIKE VITAMIN A IN CARROTS OR VITAMIN C IN ORANGE JUICES.] (n=236)

	Percent
Yes	20
No	80	[SKIP TO V1]
[DON'T READ] DK/NS	*	[SKIP TO V1]
[DON'T READ] RF	*	[SKIP TO V1]

(v2)U8. Did the teenager or teenagers take any multi-vitamin or multi-mineral? (n=61)

	Percent
Yes	83
No	15
[DON'T READ] DK/NS	3
[DON'T READ] RF	0

(v2)U9. Did the teenager or teenagers take any dietary supplement other than a multi-vitamin or multi-mineral? (n=61)

	Percent
Yes	43
No	54
[DON'T READ] DK/NS	3
[DON'T READ] RF	0

(v2)U10. Were any of the dietary supplements taken to prevent or treat a specific health problem or condition? (n=61)

	Percent
Yes	36
No	62
[DON'T READ] DK/NS	3
[DON'T READ] RF	0

(All respondents)

Section V. Demographics and Health Status

Finally, I have a few more questions for statistical purposes.

V1. Are there any telephone numbers in addition to (the telephone number being called) in your home that you receive calls on? [EXCLUDING NUMBERS USED ONLY FOR FAX OR COMPUTER, OR CELLULAR PHONE NUMBERS.] (n=2,743)

	Percent
Yes	9
No	89	[SKIP TO V3]
[DON'T READ] RF	*	[SKIP TO V3]
[DON'T READ] DK/NS	2	[SKIP TO V3]

V2. Is this/Are these number(s) for (n=401)

	Percent
Home use	52
Business and home use	26
Business use only	20
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

V3. How many people live in your household who are 18 years or older? (n=2,743)

	Percent
1	14
2	52
3	20
4	9
5 - 12	4
[DON'T READ] DK/NS	*
[DON'T READ] RF	2

V4. And how many people 17 or younger live in your household? (n=2,694; not asked=43)

	Percent
1	56
2	17
3	14
4	7
5 - 9	*
[DON'T READ] DK/NS	*
[DON'T READ] RF	3

V5. What year were you born? (n=2,743)

	Percent
19 ________ (RANGE: 1900-1984)	96
[DON'T READ] DK/NS	*
[DON'T READ] RF	4

[AGE = 2002 - V5.]

	Percent
18 - 29	18
30 - 39	18
40 - 49	22
50 - 59	19
60 - 69	12
70 +	12

V6. What is the last grade or year of school that you have completed? [DO NOT READ LIST.] (n=2,743)

	Percent
0-11 YEARS	16
12 YEARS/HIGH SCHOOL GRADUATE	31
1-3 YEARS OF COLLEGE	26
4 YEARS OF COLLEGE/COLLEGE GRADUATE	14
POSTGRADUATE/MASTERS/DOCTORATE/LAW/MD	10
[DON'T READ] DK/NS	*
[DON'T READ] RF	3

V7. Are you of Hispanic or Latino origin? (n=2,743)

	Percent
YES	11
NO	86
[DON'T READ] DK/NS	*
[DON'T READ] RF	3

V8. What is your race? I am going to read you several categories of race. You may choose as many as they apply. Are you [ACCEPT MULTIPLE ANSWERS] (n=2,743)

	Percent
White	75
Black or African American	11
Asian	2
Native Hawaiian or other Pacific Islander	*
American Indian or Alaskan Native	4
(Volunteered) Hispanic	5
Other [SPECIFY]	1
[DON'T READ] DK/NS	*
[DON'T READ] RF	4

GENDER. [INTERVIEWER: IF SEX AT INTRODUCTION IS ''NOT SURE," PLEASE CODE SEX IF POSSIBLE. DO NOT ASK.] (n=2,743)

	Percent
Male	48
Female	52
Not Sure	*

[IF FEMALE AND BORN AFTER 1951, GO TO V9; OTHERWISE, SKIP TO V11.]

In order to better understand the opinions of women who are expecting or have small children, we need to ask a couple of questions.

V9. Do you think you are pregnant now? (n=900)

	Percent
YES	3
NO	96
[DON'T READ] DK/NS	*
[DON'T READ] RF	*

V10. Are you now breastfeeding a child? (n=900)

	Percent
YES	2
NO	97
[DON'T READ] DK/NS	0
[DON'T READ] RF	*

V11. Have you ever been told by a doctor or other healthcare professional that you have any of the following health conditions? I don't need to know which condition, just whether you have any of them. [READ: "high blood pressure, diabetes, high cholesterol, heart disease, obesity or overweight, cancer, liver disease, arthritis, or osteoporosis."] (n=2,743)

	Percent
YES	45
NO	52
[DON'T READ] DK/NS	*
[DON'T READ] RF	3

V12. I am going to read you a list of categories of income. Please stop me when I read the category that includes your total household income before taxes for last year. (n=2,743)

	Percent
Less than $10,000	7
From $10,000 up to $20,000	10
From $20,000 up to $35,000	15
From $35,000 up to $50,000	16
From $50,000 up to $75,000	16
From $75,000 up to $100,000	10
$100,000 or more	9
[DON'T READ] DK/NS	0
[DON'T READ] RF	16

[READ: THANK YOU FOR YOUR COOPERATION. THOSE ARE ALL THE QUESTIONS I HAVE.]

APPENDIX. LIST OF SUPPLEMENTS

Vitamin Products

• Antioxidant vitamin(s)
• Vitamin A or beta-carotene
• Vitamin B complex
• Vitamin B1 or thiamine
• Vitamin B2 or riboflavin
• Vitamin B6
• Vitamin B5 or pantothenic acid
• Vitamin B12
• Niacin or Vitamin B3
• Folic acid, folate, or Vitamin B9
• Vitamin C
• Vitamin D
• Vitamin E
• Vitamin H or biotin
• Vitamin K or phytonadione
• Multi-vitamin, multi-vitamin/multi-mineral, or mega-vitamin
• One-a-day

Mineral Products

• Calcium
• Chloride
• Choline
• Chromium
• Cobalt
• Copper
• Fluoride
• Germanium
• Iodine
• Iron
• Magnesium
• Manganese
• Multi-mineral or multi-vitamin/multi-mineral
• Phosphorus
• Potassium
• Selenium
• Zinc

Herbal or Botanical Products

• Black cohosh
• Cayenne or capsicum
• Echinacea
• Ephedra or Ma-Huang
• Evening primrose oil
• Feverfew
• Garlic
• Ginger
• Ginkgo or ginkgo biloba
• Ginseng
• Goldenseal
• Herbal/botanical combinations
• Kava kava
• Milk thistle
• Red yeast
• Saw palmetto
• St. John's wort
• Valerian
• Wild yam
• yohimbe

Other Supplement Products

• Amino acid(s)
  • Isoleucine
  • Leucine
  • L-Lysine
  • Methionine
  • Phenylalaine
  • Threonine
  • Tryptophan
  • Valine
• Androstenedione or Andro
• Antioxidant(s), or antioxidant amino acid(s)
  Acidophilus, bacteria, or other probiotics supplements
• Alpha-Lipoic acid
• Bee pollen, propolis, or royal jelly
• Blue green algae, wheat grass, or other green food supplements
• Coenzyme Q10 or CoQ10
• Creatine
• DHEA
• Fish oil or Omega 3 oil
• 5 HTP
• Flax seed oil
• Glucosamine sulphate or glucosamine and chondroitin
• Homeopathics
• Lecithin
• Lycopene
• Melatonin
• MSM or methylsulfonylmethane
• Probiotics
• Shark cartilage
• Soy extract or isoflavones