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. 2020 Dec 11;12(12):3802. doi: 10.3390/nu12123802

Table 1.

Questionnaire for the assessment of adherence to gluten-free diet (GFD) in paediatric patients.

0 1 2 3
Which is your average gluten intake? Less than 3 times/year Less than 6 times/year Monthly 1–2 times/week
When dining outside You go to coeliac only friendly restaurants or extensively enquire about food preparation You make useful questions on food preparation, but you don’t look for coeliac-friendly restaurants You make few useful questions on food preparation, but you don’t look for coeliac-friendly restaurants You do not enquire about food preparation
Do you consider accidental gluten exposures important to your health? Yes Unsure A little important Not at all important
Do you avoid all potential cross-contact in the kitchen? All of them Most of them Some of them None of them
Do you avoid gluten during all social, familiar and scholar activities? All of the time Most of the time Some of the time Never
Do you consider yourself ill? No Seldom Some of the time Yes
Do you check all medications, nasal products and vitamins are gluten free? All of the time Most of the time Some of the time Never
Other You carefully read food label You do not carefully read food labels/Mental retardation or behaviour problems You have been bothered by low energy levels during the past 4 weeks