This is a fieldwork assignment on the foods you eat on a given day. The goal of this
assignment is to find out what you eat in your respective cultures and subcultures (your
own) and to determine approximately how many calories and what kinds of nutrients you
digest. This should help us understand valley food cultures better. You will be your own
informant for this assignment. If you need extra pages for the answers add as many as you
need to this questionnaire.
I. The Survey:
PRE BREAKFAST SNACKS:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
BREAKFAST:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
MORNINGS NACKS:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
LUNCH:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
AFTERNOON SNACKS:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
DINNER:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
AFTER DINNER SNACKS:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
LATE NIGHT SNACKS:
WHERE DID YOU HAVE THE FOOD:
A. FOODS:
B. BEVERAGES:
II. Give the following information on your informant:
Name:
Age:
Sex:
Place of Birth:
Ethnic Group:
Languages Spoken:
Marital Status:
Education:
Religion:
Occupation 1:
Occupation 2:
Address:
Phone No.
In which town did you interview your informant?
In what kind of location did the interview take place?
