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. 2020 Mar 24;17(6):2156. doi: 10.3390/ijerph17062156

Table 3.

Part of the PREVED© questionnaire that could be used in consultation or workshops.

Dimension/Questions Possible Spontaneous Answers Score
KNOWLEDGE [40,5 points] -> to multiplicate by 2.4691 to obtain a score on 100
1. How could you imagine that chemical products which could degrade your health enter in your body or in your baby’s body? Skin, Breathing, Eating, Drinking water, Through the placenta 0–5 points
2. According to you, what are the sources of exposure to ED that could degrade your health?
Outside wrapping Mineral water, Tap water, Fresh fruits and vegetables, Shower gel, deodorant, perfume, Day cream, makeup, Baby cream, Diaper-wipe, Drug, Household domestic, Home improvement products, Air ambient, Furniture, Toys, Candle, Incense, Interior perfume 0–22 points
In wrapping Plastic bottle, Card bottle, Cans for drinks, Cans for food, Vacuum pack, Shrink-wrapped tray, Glass bottle
3. If you have heard about EDs, could you name some? Bisphenol A, Parabens, Phthalates, Pesticides, PCB, Flame retardant, Alkyl phenol, Nitrate, Phytoestrogen, Heavy metal, Phenoxyethanol
(1 point for bisphenol A and parabens; 0.5 for another proposition)
0–6.5 points
4. How could you define an ED? Hormonal molecule, Chemical molecule, Molecule produced by body, Molecule which alters body functioning, bacteria, Drug, Natural molecule 0–7 points
RISK PERCEPTION [SEVERITY: 400 POINTS—VULNERABILITY: 1400 POINTS]
SEVERITY:
5. In general terms, the risk of endocrine disruptor exposure for pregnant women health is:
Nul (0 points)-Light (33 points)-High (100 points) 0–100 points
6. In general terms, how do you evaluate the risk of endocrine disruptor exposure during your pregnancy for… A baby, An adolescent, An adult
Nul……………………………….very high *
3 times
0–100 points
VULNERABILITY:
7. For each scale, make a mark for your vision of the risk about ED
For your health Nonexistent……………………………….very high * 0–100 points
For your baby to be born prematurely Nonexistent……………………………….very high * 0–100 points
For your baby to have a congenital malformation Nonexistent……………………………….very high * 0–100 points
For your baby to be small for gestational age Nonexistent……………………………….very high * 0–100 points
For your future adolescent to be obese Nonexistent……………………………….very high * 0–100 points
For your children to have asthma Nonexistent……………………………….very high * 0–100 points
For your children to develop an allergy Nonexistent……………………………….very high * 0–100 points
For your children to have immunity problems Nonexistent……………………………….very high * 0–100 points
For your children to have premature puberty Nonexistent……………………………….very high * 0–100 points
For your children to have problems making babies Nonexistent……………………………….very high * 0–100 points
For your children to have autism Nonexistent……………………………….very high * 0–100 points
For your children to have behavioral problems Nonexistent……………………………….very high * 0–100 points
For your children to have problems walking Nonexistent……………………………….very high * 0–100 points
For your children to have cancer when adult Nonexistent……………………………….very high * 0–100 points
BEHAVIOR [100 POINTS]
PERCEIVED ABILITY
8. Do you think you are able to avoid chemical products like ED which disturb your health?
No………………………….……….A lot * 0–100 points

* Scales of 10 cm.