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. 2020 Aug 17;9(8):e15523. doi: 10.2196/15523

Table 1.

Questionnaire for the evaluation of behavioral changes.

Evaluation questions 5a 4b 3c 2d 1e
1. How many days do you eat fruits in a week? Everyday 5-6 days/week 3-4 days/week 1-2 days/week 0 day/week
2. How many days do you eat vegetables in a week? Everyday 5-6 days/week 3-4 days/week 1-2 days/week 0 day/week
3. How much salt do you take per day in a week? 42 g (<6 g/day) 5-6 days/week (7-8 g/day) 3-4 days/week (9-10 g/day) 1-2 days/week (11-12 g/day) 0 day/week (13-14 g/day)
4. How many days do you do 30-minutes physical activity/exercise in a week? Everyday 5-6 days/week 3-4 days/week 1-2 days/week 0 day/week
5. How frequently do you check your blood pressure in a month? 8 times/month 6 times/month 4 times/month 2 times/month Never/month
6. How frequently do you monitor your body weight in a month? 8 times/month 6 times/month 4 times/month 2 times/month Never/month

a5: Excellent.

b4: Good.

c3: Fair.

d2: Poor.

e1: Very Poor.