2005-2006 Kansas Health, Activity and Nutrition (K-HANS) Survey

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	About the K-HANS Survey	KANSAS HEALTH, ACTIVITY AND NUTRITION SURVEY (K-HANS) 2005-2006
	Technical Notes

Section 1: Race/Ethnicity Screener
1.1 Data Results 1.1	First, I need to ask you a few questions that will help us ensure we are getting adequate representation from different groups of people. Are you of Hispanic or Latino?
1.2 Data Results 1.2	Which one or more of the following would you say is your race? (Mark all that apply) White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian, Alaska Native Other (specify)
1.3 Data Results 1.3	Which one of these groups would you say best represents your race? (Mark only one) White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian, Alaska Native Other (specify)

Section 2: Health Status
2.1 Data Results 2.1	Would you say that in general your health is: Excellent Very good Good Fair Poor
Crosstabulation Table:		Percentage of Adults with Fair or Poor Self-Perceived Health Status
2.2 Data Results 2.2	Now thinking about your physical health, which includes physical illness and injury, for how may days during the past 30 days was your physical health not good?
2.3 Data Results 2.3	Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?
Crosstabulation Table:		Percentage of Adults Who Reported Their Mental Health Was Not Good on 14 or More Days in the Past 30 Days
2.4 Data Results 2.4	Have you ever been told by a doctor, nurse or other health professional that you have diabetes? (If “Yes” and female respondent, ask “Was this only when you were pregnant?”)
Crosstabulation Table:		Percentage of Adults with Diagnosed Diabetes
2.5 Data Results 2.5	Have you ever been told by a doctor, nurse, or other health professaionl that you have high blood pressure? (If “Yes” and female respondent, ask “Was this only when you were pregnant?”)
Crosstabulation Table:		Percentage of Adults with Diagnosed Hypertension
2.6 Data Results 2.6	Are you currently taking medicine for your high blood pressure?
2.7 Data Results 2.7	Blood cholesterol is a fatty substance found in the blood. Have you ever had your coholesterol checked?
2.8 Data Results 2.8	About how long has it been since you last had your cholesterol checked?
2.9 Data Results 2.9	Have you ever been told by a doctor, nurse, or other health professional that your blood cholesterol is high?
Crosstabulation Table:		Percentage of Adults Tested and Diagnosed with High Cholesterol
2.10 Data Results 2.10	Have you ever been told by a doctor, nurse, or other health professional that you have asthma?
2.11 Data Results 2.11	Do you still have asthma?
Crosstabulation Table:		Percentage of Adults with Current Asthma

Section 3: Adult Time Contraints
3.1 Data Results 3.1	Are you currently: Employed for wages Self-employed Out of work for more than 1 year Out of work for less than 1 year A homemaker A student Retired Unable to work
3.2 Data Results 3.2	You indicated that you were [insert response from Q3.1]. On average, how many hours per week, if any, do you work at a job or buisness?
3.3 Data Results 3.3	You indicated that there are [insert reported number of adults] adults living in your household. Besides yourself, how many of the other adults in your household are employed outside the house?

Section 4: Physical Activity
4.1 Data Results 4.1	When you are at work, which of the following best describes what you do? Would you say: Mostly sitting or standing Mostly walking Mostly heavy labor or physically demanding work
4.2 Data Results 4.2	Do you have lunch breaks or other regular breaks during most workdays?
4.3 Data Results 4.3	In a usual week, do you use your lunch or other regular work breaks to do physical activity or exercise, such as walking, aerobics, or jogging for at least 10 minutes at a time?
4.4 Data Results 4.4	Does your workplace have any policies or rules that state whether or not employees may use lunch or other break times for exercise or physical activity?
4.5 Data Results 4.5	What is the main reason you are not more physically active during your break time?
We are interested in two types of physical activity: vigorous and moderate. Vigorous activities cause large increases in breathing or heart rate while moderate activities cause small increases in breathing or heart rate.
4.6 Data Results 4.6	Now, thinking about the moderate physical activities that you do [fill in (when you are not working), if 'employed' or 'self-employed'] in a usual week, do you do moderate activities for at least 10 minutes at a time, such as brisk walking, bicycling, vacuuming, gardening, or anything else that causes small increases in breathing or heart rate?
4.7 Data Results 4.7	How many days per week do you do these moderate activities for at least 10 minutes at a time?
4.8 Data Results 4.8	On days when you do moderate activities for at least 10 minutes at a time, how much total time per day do you spend doing these activities?
Crosstabulation Table:		Percentage of Adults Not Participating in Recommended Level of Physical Activity
4.9 Data Results 4.9	Now, thinking about the vigorous physical activities that you do [fill in (when you are not working), if 'employed' or 'self-employed'] in a usual week, do you do vigorous activities for at least 10 minutes at a time, such as running, aerobics, heavy yard work, or anything else that causes large increases in breathing or heart rate?
4.10 Data Results 4.10	How many days per week do you do these vigorous activities for at least 10 minutes at a time?
4.11 Data Results 4.11	On days when you do vigorous activities for at least 10 minutes at a time, how much total time per day do you spend doing these activities?
Crosstabulation Table:		Percentage of Adults Not Participating in Recommended Level of Vigorous Physical Activity
		Links to the same crosstabulation table: 'Percentage of Adults Not Participating in Recommended Level of Physical Activity', as in the moderate physical acitivty question 4.8 above.

Section 5: Personal Barriers to Physical Activity
5.1 Data Results 5.1	Are you currently physically active or exercising as much as you WANT?
5.2 Data Results 5.2	Are you currently physically active or exercising as much as you think you SHOULD?
5.3 Data Results 5.3	What is the main personal reason that you do not exercise more or be more physically active?
5.4 Data Results 5.4	What one thing would it take to get you to exercise more or be more physically active?

Section 6: Community Environment
6.1 Data Results 6.1	During the past month, did you walk for transportation, like to go to or from work, to run errands, or to go somewhere else that you wanted or needed to go?
6.2 Data Results 6.2	In your community, are there businesses or places where you need to go, such as stores or churches, where you can walk instead of driving?
6.3 Data Results 6.3	Do you consider it safe to walk there?
6.4 Data Results 6.4	During the past month, how often did you ride a bicycle for transportation, like to go to or from work, run errands, or to go somewhere else that you wanted or needed to go?
6.5 Data Results 6.5	In your community are there public swimming pools, parks, walking trails, bike trails, or other recreation facilities you could use at no cost if you wanted to?
6.6 Data Results 6.6	In your community are there health clubs or other recreation facilities that require you to pay to use if you wanted to?
6.7 Data Results 6.7	What, if anything, about your community or neighborhood keeps you from doing physical activities or exercising more? [Mark all responses, do not read] Not enough sidewalks Not enough bike lanes or paths Not enough recreational facilities Not enough physical activity programs High crime No street lights Unattended dogs Too many hills Bad weather Heavy traffic Poor air from cars Poor scenery Rual environment or remote area> Gang violence Verbal abuse from persons on street Mentally ill or homeless people on street Random gunshots Speeding drivers Nothing or no reason Other reason (specifiy)

Section 7: Sedentary Behaviors
7.1 Data Results 7.1	On a typical day that you work, but not counting time at your job, how many hours and minutes per day do you watch TV, video tapes or DVDs?
Crosstabulation Table:		Percentage of Adults Who Reported Watching TV, Video Tapes or DVDs 4 or More Hours Per Work Day
7.2 Data Results 7.2	On a typical day that you work, but not counting time at your job, how many hours and minutes do you spend using a computer or playing interactive electronic games, computer games, Nintendo, Gameboy, PlayStation, or others?
7.3 Data Results 7.3	On a typical day [fill in (that you do not work), if Q3.2 >0 hours worked], how many hours and minutes per day do you watch TV, video tapes, or DVDs?
Crosstabulation Table:		Percentage of Adults Who Reported Watching TV, Video Tapes or DVDs 4 or More Hours Per Non-Work Day
7.4 Data Results 7.4	On a typical day [fill in (that you do not work), if Q3.2 >0 hours worked], how many hours and minutes per day do you spend using a computer or playing interactive electronic games, computer games, Nintendo, Gameboy, PlayStation, or others?

Section 8: Dietary Intake
8.1 Data Results 8.1	Would you consider your eating habits to be... Excellent Very good Good Fair Poor
Next, I'm going to ask you about specific food groups. I am only interested in the foods you eat. Please include all foods you eat, both at home and away from home.
8.2 Data Results 8.2	How many servings of fruit or fruit juice, including fresh, canned, frozen, or dried, do you usually eat or drink per day or per week?
Crosstabulation Table:		Percentage of Adults Who Reported Consuming Less Than 5 Servings of Fruits and Vegetables Per Day
8.3 Data Results 8.3	How many servings of vegetables or vegetable juice, including fresh, canned, or frozen, do you usually eat or drink per day or per week? Please include potatoes, but not French Fries.
Crosstabulation Table:		Links to the same crosstabulation table: 'Percentage of Adults Who Reported Consuming Less Than 5 Servings of Fruits and Vegetables Per Day', as in the servings of fruit question 8.2 above.
8.4 Data Results 8.4	How many servings of any kind of breads, rolls, cereals, pasta, rice, or other grain foods, do you usually eat per day or per week? Examples of a serving are one slice of bread; one-half cup of cooked cereal, rice or pasta; or one cup of cold cereal. [If asked, please include bagels and muffins.]
8.5 Data Results 8.5	How often do you usually eat sweets, such as cakes, pies, donuts, cookies, or candy bars? [If necessary, probe with "How many times per day or per week do you usually eat sweets, such as cakes, pies, donuts, cookies, or candy bars?"]
8.6 Data Results 8.6	How often do you usually eat snack foods, such as crackers, chips, or nuts? [If necessary, probe with "How many times per day or per week do you usually eat snack foods, such as crackers, chips, or nuts?"]
8.7 Data Results 8.7	How many servings of beef, pork, hot dogs, lunch meats, or eggs do you usually eat per day or per week? A serving of meat is 2 to 3 oz., or about the size of a deck of cards.
8.8 Data Results 8.8	How many servings of fish or poultry do you usually eat per day or per week? A serving of poultry or fish is about 2 to 3 oz., or about the size of a deck of cards.
8.9 Data Results 8.9	How many servings of peanut butter or cooked dried beans, such as navy, pinto, or kidney beans, do you usually eat per day or per week? A serving of peanut butter is 2 tablespoons; a serving of cooked dried beans is about one-half cup.
8.10 Data Results 8.10	How many servings of milk or yogurt do you usually consume per day or per week? Please include milk on cereal and chocolate milk. A serving of either milk or yogurt is 8 oz. or one cup.
Crosstabulation Table:		Percentage of Adults Who Reported Consuming Less Than 3 Servings of Dairy Products Per Day
8.11 Data Results 8.11	Do you usually drink... Whole milk 2% milk 1% milk Skim milk or 1/2% milk Combination of types Other (specify)
8.12 Data Results 8.12	How many servings of cheese do you usually consume per day or per week? Please include cottage cheese and foods with cheese in them. A serving of cheese is about 1 1/2 oz.; a serving of cottage cheese is one cup.
Crosstabulation Table:		Links to the same crosstabulation table: 'Percentage of Adults Who Reported Consuming Less Than 3 Servings of Dairy Products Per Day', as in the milk consumption question 8.10 above.
8.13 Data Results 8.13	Are you currently trying to decrease or limit the amount of fat in the foods that you eat?
8.14 Data Results 8.14	Are you currently trying to decrease or limit the amount of cholesterol in the foods that you eat?
8.15 Data Results 8.15	Are you currently trying to decrease or limit the amount of salt in the foods that you eat?
8.16 Data Results 8.16	Are you currently trying to decrease or limit the amount of carbohydrates in the foods that you eat?
8.17 Data Results 8.17	Are you currently on a structured low carbohydrate diet such as Atkins, South Beach or other programs?
8.18 Data Results 8.18	Next, I am going to ask you about the variety of foods that you eat on a regular basis. By variety, I mean the number of different foods within each food group that you usually eat over a period of time. Would you say that there is... Little variety in the foods taht you eat from day to day Some variety A lot of variety [If necessary, use "By variety, I meant the number of different foods within each food group that a person usually eats, for example, the number of different kinds of fruits and vegetables, cereals and breads, and meats that a person eats during a week.]

Section 9: Meal Settings
9.1 Data Results 9.1	Do you usually eat or drink something for breakfast? Would you say... Almost Always or Always Sometimes Almost Never or Never
Crosstabulation Table:		Percentage of Adults Who Reported They Do Not Regularly Eat Breakfast
9.2 Data Results 9.2	How often do you typically get meals in restaurants, cafeterias, or fast food places?
Crosstabulation Table:		Percentage of Adults Who Reported Getting Meals in Cafeteria, Restaurants, or Fast Food Places 3 or More Times Per Week
9.3 Data Results 9.3	How often do you sit down with other members of your family to eat dinner or supper? Would you say... Never Some days Most days Every day
Crosstabulation Table:		Percentage of Adults Who Do Not Regularly Sit Down With Other Family Members to Eat Dinner or Supper
9.4 Data Results 9.4	How often is there a TV on during meals? Would you say... Always Often Sometimes Rarely Never

Section 10: Weight Control
10.1 Data Results 10.1	Are you now trying to lose weight?
10.2 Data Result 10.2	Are you now trying to maintain your current weight, that is to keep from gaining weight?
10.3 Data Results 10.3	Are you eating fewer calories or less fat to... lose weight? [if 'yes' to Q10.1] keep from gaining weight? [if 'yes' to Q10.2]
10.4 Data Results 10.4	Are you using physical activity or exercist to... lose weight? [if 'yes' to Q10.1] keep from gaining weight? [if 'yes' to Q10.2]
10.5 Data Results 10.5	Do you have one person that you think of as your personal doctor or health care provider? [If "no", ask "Is there more than one or is there no person who you think of?"]
10.6 Data Results 10.6	Have you seen your doctor in the past 12 months?
10.7 Data Results 10.7	In the past 12 months, has a doctor, nurse, or other health professional given you advice about your weight?

Section 11: Diet and Health Knowledge & Beliefs
Now I would like to ask you some questions about your opinions on your diet, health, food shopping and related topics.
11.1 Data Results 11.1	How many servings of fruits and vegetables do you THINK experts recommend you should eat each day?
Crosstabulation Table:		Percentage of Adults Who Are Not Aware of the Minimum Recommendation of 5 Fruits and Vegetables A Day
Now I am going to read you some statements about what people eat. Please tell me if you strongly agree, somewhat agree, somewhat disagree, or strongly disagree.
11.2 Data Results 11.2	Choosing a healthy diet is just a matter of knowing what foods are good and what foods are bad.
11.3 Data Results 11.3	Some people are born to be fat and some thin; there is not much you can do to change this.
11.4 Data Results 11.4	There are so many recommendations about healthy ways to eat, it's hard to know what to believe.
11.5 Data Results 11.5	What you eat can make a big difference in your chance of getting a disease, like heart disease or cancer.
11.6 Data Results 11.6	The things I eat and drink now are healthy so there is no reason for me to make changes.

Section 12: Food Purchasing Decisions
Now thinking about buying food. When you buy food, how important is each of the following factors?
12.1 Data Results 12.1	How safe the food is to eat? Very important Somewhat important Not too important Not important at all
12.2 Data Results 12.2	Nutrition? Very important Somewhat important Not too important Not important at all
12.3 Data Results 12.3	Price? Very important Somewhat important Not too important Not important at all
12.4 Data Results 12.4	How well the food keeps? Very important Somewhat important Not too important Not important at all
12.5 Data Results 12.5	How easy the food is to prepare? Very important Somewhat important Not too important Not important at all
12.6 Data Results 12.6	Taste? Very important Somewhat important Not too important Not important at all
12.7 Data Results 12.7	How often do you read nutrition labels on food packages to decide whether or not to buy a food? Almost Always or Always Sometimes Almost Never or Never
12.8 Data Results 12.8	How often do you read nutrition labels on food packages to decide whether or not to eat a food? Almost Always or Always Sometimes Almost Never or Never

Section 13: Availaility of Food Choices
13.1 Data Results 13.1	Which of the following would best describe the place where your family usually purchases groceries? Warehouse/discount center Supermarket/large grocery store Small grocery store Convenience store, such as a Quick Shop, Gas N' Shop, etc.
The next few questions are about the fresh fruits and vegetables sold at your grocery store. Do not include canned or frozen.
13.2 Data Results 13.2	Thinking of the store where you do most of your grocery shopping, how would you rate the quality of their fresh fruits and vegetables? Would you say... Excellent Good Fair Poor
13.3 Data Results 13.3	How would you rate the variety of their fresh fruits and vegetables? Would you say... Excellent Good Fair Poor
13.4 Data Results 13.4	How would you rate the affordability of their fresh fruits and vegetables? Would you say... Very affordable Somewhat affordable Not affordable
13.5 Data Results 13.5	How often do you usually purchase food items, not including beverages, from a vending machine?

Section 14: Food Secruity Scale
These next questions are about the food eaten in your family. People do different things when they are running out of money for food to make thier food or money go further.
14.1 Data Results 14.1	In the last 12 months, did you or other adults in your household ever cut the size of your meals or skip meals because there wasn't enough money for food?
14.2 Data Results 14.2	How often did this happen? Almost every month Some months but not every month Only in 1 or 2 months
14.3 Data Results 14.3	In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money to buy food?
14.4 Data Results 14.4	In the last 12 months, were you ever hungry but didn't eat beacuse you couldn't afford enough food?
Now I'm going to read you 2 statements that people have made about their food situation. For these statements, please tell me whether the statements are often, sometimes, or never true for you or other memebers of your household in the last 12 months.
14.5 Data Results 14.5	The first statement is, "The food that I or we bought just didn't last, and I or we didn't have money to get more." Was that often, sometimes or never true for you in the last 12 months?
14.6 Data Results 14.6	"I or we couldn't afford to eat balanced meals." Was that often, sometimes or never true for you in the last 12 months?

Section 15: Demographics
15.1 Data Results 15.1	Are you the person that is mainly responsible for food purchasing in your household?
15.2 Data Results 15.2	Are you the person that is mainly responsible for food preparation in your household?
15.3 Data Results 15.3	What is your age?
15.4 Data Results 15.4	Are you: Married Divorced Widowed Separated Never been married A member of an unmarried couple
15.5 Data Results 15.5	How many children less than 18 years of age live in your household ?
15.6 Data Results 15.6	What is the highest grade or year of school you completed?
15.7 Data Results 15.7	Is your annual household income from all sources: Less than $25,000 ($20,000 to less than $25,000) Less than $20,000 ($15,000 to less than $20,000) Less than $15,000 ($10,000 to less than $15,000) Less than $10,000 or Less than $35,000 ($25,000 to less than $35,000) Less than $50,000 ($35,000 to less than $50,000) Less than $75,000 ($50,000 to less than $75,000) $75,000 or more
15.8	About how much do you weigh without shoes?
15.9	About how tall are you without shoes?
Crosstabulation Table:		Percentage of Adults who are Overweight or Obese
		Percentage of Adults who are Obese
15.10	What county do you live in?
15.11 Data Results 15.11	Do you have more than one telephone number in your household? Do not include cell phones or numbers that are only used by a computer or fax machine.
15.12 Data Results 15.12	How many of these are residential numbers?
15.13 Data Results 15.13	During the past 12 months, has your household been without telephone service for 1 week or more? Do not include when service is interrupted by weather or natural disasters.
15.14 Data Results 15.14	Indicate sex of respondent. Ask Only if Necessary

Section 16: Child Health, Acitivty and Nutrition
16.1 Data Results 16.1	Previously, ou indicated there were [reported number of children from Q15.4] children under age 18 in your household. What is the age of the [randomly selected child --oldest, second oldest, etc.] child?
16.2 Data Results 16.2	What is the gender of this child?
16.3 Data Results 16.3	Is this [randomly selected child] child Hispanic or Latino?
16.4 Data Results 16.4	Which one or more of the following would you say is the race of the [randomly selected child]? (Check all that apply.) White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian, Alaska Native Other (specify)
16.5 Data Results 16.5	Which one of the following would you say best represents the race of the [randomly selected child]? White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian, Alaska Native Other (specify)
16.6 Data Results 16.6	How are you related to the [randomly selected child]?
16.7 Data Results 16.7	Would you say that in general the child's health is: Excellent Very good Good Fair Poor
16.8 Data Results 16.8	When weather permits, on how many days per week does the [randomly selected child] usually walk to school?
16.9 Data Results 16.9	When weather permits, on how many days per week does the [randomly selected child] usually bike to school?
16.10 Data Results 16.10	In your household, are there household rules about the amount of time the [randomly selected child] is allowed to watch television or play computer or video games?
16.11 Data Results 16.11	How many hours per day is the [randomly selected child] child allowed to watch television or play computer or video games?
16.12 Data Results 16.12	Is there a working television in the room where the [randomly selected child] sleeps?
16.13 Data Results 16.13	In your household, are there limits on the amount of sweetened beverages, such as sodas, Kool-aid, sports drinks or sweented fruit juices that the [randomly selected child] is allowed to drink?
16.14 Data Results 16.14	About how many 6-8 ounces servings per day of sweentened beverages is your child allowed?
16.15 Data Results 16.15	In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert? ......Chips such as potatoe chips, corn chips, cheese puffs
16.16 Data Results 16.16	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Crackers
16.17 Data Results 16.17	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Cookies, cakes, brownies or granola bars
16.18 Data Results 16.18	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Candy of any kind
16.19 Data Results 16.19	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Snacks like pizza, pizza rolls, etc
16.20 Data Results 16.20	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Fresh fruits
16.21 Data Results 16.21	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Fresh vegetables
16.22 Data Results 16.22	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Yogurt
16.23 Data Results 16.23	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Cheese
16.24 Data Results 16.24	[In your household, how many times per day or per week does the [randomly selected child] eat each of the following kinds of foods as a snack or desert?] ......Ice cream
16.25 Data Results 16.25	How would you rate this child's current weight? Very underweight Slightly underweight About the right weight Slightly overweight Very overweight