Hiệu quả bổ sung sắt phối hợp với selen đến tình trạng dinh dưỡng và thiếu máu ở học sinh tiểu học 7 - 10 tuổi tại Phổ Yên, Thái Nguyên - 16

TÀI LIỆU TIẾNG ANH


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Hiệu quả bổ sung sắt phối hợp với selen đến tình trạng dinh dưỡng và thiếu máu ở học sinh tiểu học 7 - 10 tuổi tại Phổ Yên, Thái Nguyên - 16


I. CÂN ĐO NHÂN TRẮC CỦA TRẺ

1. Ngày điều tra:…/…./…

2. Điều tra viên: ……………………………………

3. Họ tên trẻ:………………………………Mã số: ……………

4. Trường/ lớp ……………………………………………………..............…

5. Ngày tháng năm sinh (dương lịch):……………………………..Giới: …………

6. Địa chỉ:………………………………………….Số điện thoại liên lạc: …….


Cân nặng: , kg





Chiều cao: , cm

II. THÔNG TIN CỦA TRẺ

7. Họ tên người được phỏng vấn: …………………………………… 8. Quan hệ với trẻ: ……………………………………

9. Họ tên mẹ: ……………………..............… Năm sinh: ……….

10. Trình độ văn hóa của mẹ:


11. Nghề nghiệp của mẹ:

Học chưa hết cấp I hoặc thấp hơn…..0

Hết cấp I…..1 Hết cấp II…..2 Hết cấp III…..3

Trung cấp/ cao đẳng…..4 Đại học/ sau đại học…..5


Nông nghiệp/lâm nghiệp …..1 Buôn bán, dịch vụ …..2

Nghề phụ, thủ công, thợ xây ….3


12. Họ tên bố: ……………………..............… Năm sinh: ……….

13. Trình độ văn hóa của bố:


14. Nghề nghiệp của bố:


15. Thu nhập của hộ gia đình trong 1 tháng qua:


16. Trẻ thường ăn sáng ở đâu trong 1 tuần qua:


17. Thói quen ăn quà vặt của trẻ trong 1 tuần qua:


18. Tuần qua, trong bữa ăn trẻ có ăn thịt bò không:


19. Tuần qua, trong bữa ăn trẻ có ăn gan không:

Học chưa hết cấp I hoặc thấp hơn…..0

Hết cấp I…..1 Hết cấp II…..2 Hết cấp III…..3

Trung cấp/ cao đẳng…..4 Đại học/ sau đại học…..5


Nông nghiệp/lâm nghiệp …..1 Buôn bán, dịch vụ …..2

Nghề phụ, thủ công, thợ xây ….3

<2 triệu 1

2-3 triệu 2

3-4 triệu 3

>5 triệu 4

Ở nhà 1

Ở trường 2

Ở ngoài 3

Không ăn vặt 1

Hàng ngày 2

Thỉnh thoảng 3

Không ăn 1

Thường xuyên… 2

Thỉnh thoảng 3

Không ăn 1

Thường xuyên… 2

Thỉnh thoảng 3

20. Tuần qua, trong bữa ăn trẻ có ăn cải bắp/ cải xanh/ cải xoong không:

Không ăn 1

Thường xuyên… 2

Thỉnh thoảng 3

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