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Instructions: 1. Do not sort, copy, or move any of the cells or rows in the Excel sheet. All validations will be lost if any cells are sorted, copied or move. Please begin entering data in a new Excel sheet if you loose any validations. 2. Do not move or touch any rows in yellow after 400. All validations will be lost if these cells are moved. 3. Click on cells in column I to see dropdown options 4. Click on cells in column J for dropdown values

QUESTION 1 study_id text Study ID

RESPONSE OPTIONS (Click on the cells for dropdown information) SG_1 1, GK1(Pajo, Manila) - INTERVENTION | 2, GK2 (Telus, Manila) - CONTROL | 3, San Felipe (Pampanga) INTERVENTION | 4, San Nicolas (Pampanga) - CONTROL 1, GK1(Pajo, Manila) - INTERVENTION | 2, GK2 (Telus, Manila) - CONTROL | 3, San Felipe (Pampanga) INTERVENTION | 4, San Nicolas (Pampanga) - CONTROL Shu-jen

Record

2 i1

dropdown

1. Cluster/Centre/Village ID

3 i2 4 i3 5 i4 6 i5 7 i5_b 8 i6 9 i7

dropdown text text dropdown dropdown dropdown text

2. Centre (Village name): 3. Interviewer ID (first name) 4. Date of completion of instrument 5. Interviewer: has the consent been communicated and obtained? 5a. No Consent, select for Survey End (If "No Consent" do not continue survey) 6. Interview language 7. Time of Interview

3 9/9/2011

1, Yes | 2, No 1, Survey ended 1, English | 2, Tagalog | 3, Ilonggo | 4, Kapampangan

2 9:00 AM

10 i8

text

8. What is your family surname (last name)?

Mallari

11 i9 12 13 14 15 i10 c1 c2 c3

text text dropdown text text

9. What is your first name? 10. Do you have a contact phone where we can reach you? (Input phone number) 11. Sex 12. What is your date of birth? 13. How old are you?

Eduardo N/A 1, Male | 2, Female 1 8/1/1952 59

16 c4

text

14. How many years did you spend in school or fulltime study (excluding pre-school)? 1, No formal schooling | 2, Less than primary school | 3, Primary school completed | 4, Secondary school completed | 5, High school completed | 6, College/University completed | 7, Post graduate degree | 88, Refused

17 c5 18 c6

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15. What is your highest level of education completed? 16. Which ethnic group do you associate the most with (which province do you come from)?

19 c7

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17. What is your current marital status?

1, Never married | 2, Currently married | 3, Separated | 4, Divorced | 5, Widowed | 6, Cohabiting | 88, Refused 1, Government employee | 2, Nongovernment employee | 3, Self-employed | 4, Non-paid | 5, Student | 6, Homemaker | 7, Retired | 8, Unemployed (able to work) | 9, Unemployed (unable to work) | 88, Refused

20 c8 22 c9

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23 c10a

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24 c10b

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25 c10c

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18. From the following list, what has been your main work over the past 12 months? 19. What is the number of people older than 18 years (including yourself) in your household? 20a. In the past year, what has been the average earning of household per WEEK? (If not known, go to question 20b). 20b. or In the past year, what has been the average earning of household per MONTH? (If not known, go to question 20c). 20c. or In the past year, what has been the average earning of household per YEAR? (If not known go to question 21).

8 4

88

28 t1

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22. Do you CURRENTLY smoke any tobacco products?

1, Yes | 2, No

29 t2

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30 t32_5c9 text

31 t4a

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32 t4b 33 t4c

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23. Do you CURRENTLY smoke any tobacco products DAILY? 24. How old were you when you first started smoking DAILY? 25a. Do you remember how long ago you started smoking in YEARS? (If not known in YEARS go to question 25b.) 25b. Do you remember how long ago you started smoking in MONTHS? (If not known in YEARS go to question 25c.) 25c. Do you remember how long ago you started smoking in WEEKS?

1, Yes | 2, No

1 20

34 t5a 35 t5b 36 t5c

text text text

37 t5d 38 t6 39 t7 40 t8a 41 t8b 42 t8c

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26a. On average, how many MANUFACTURED (e.g. Marlboro) cigarettes do you smoke each day? 26b. On average, how many HAND-ROLLED cigarettes do you smoke each day? 26c. On average, how many PIPES full of tobacco do you smoke each day? 26d. On average, how many CIGARS, CHEROOTS, CIGARILLOS do you smoke each day? 27. In PAST, did you ever smoke DAILY? 1, Yes | 2, No 28. If you have stopped smoking daily, at which age did you stop smoking daily? 29a. How long ago did you stop smoking in YEARS? (If not known, go to question 29b.) 29b. or How long ago did you stop smoking in MONTHS? (If not known, go to question 29c.) 29c. or How long ago did you stop smoking in WEEKS? 30. Do you CURRENTLY use any SMOKELESS tobacco (snuff, chewing tobacco, betel,or nganga)? 1, Yes | 2, No 31. Do you currently use any SMOKELESS tobacco (snuff, chewing tobacco, betel, or nganga) 1, Yes | 2, No DAILY? (If "No", skip to question 33) 32a. On average, how many times a day to you use SNUFF by MOUTH? 32b. On average, how many times a day do you use SNUFF by NOSE? 32c. On average, how many times a day do you use CHEWING TOBACCO (buyo)? 32d. On average, how many times a day do you use BETEL/QUID/NGANGA? 33. In the past did you ever use SMOKELESS TOBACCO (e.g. snuff, chewing tobacco, betel, or nganga) DAILY? 1, Yes | 2, No 34. In past 7 days, on how many days did someone in your home smoke when you were present? 35. During the past 7 days, on how many days did someone smoke in closed areas in your workplace when you were present? 36. Have you ever consumed an alcoholic drink (e.g. beer, wine, spirits, fermented cider, or tuba) 1, Yes | 2, No (If "No" skip to question 46). 37. Have you consumed an alcoholic drink within the past 12 months? (If "No" skip to question 1, Yes | 2, No 46). 1, Daily | 2, 5-6 days/week | 3, 1-4 38. During the past 12 months, how frequently days/week | 4, 1-3 days/month | 5, Less have you had at least one alcoholic drink? than once a month 39. Have you consumed an alcoholic drink within the past 30 days? (If "No", skip to question 46). 1, Yes | 2, No 40. During the past 30 days, on how many different occasions did you have at least one alcoholic drink? 41. During the past 30 days, when you drank alcohol, on average, how many standard alcoholic drinks did you have during one drinking occasion? 42. During the past 30 days, what was the LARGEST NUMBER of standard alcoholic drinks you had on a SINGLE occasion, counting all types of alcoholic drinks together? (Interviewer: show card of standard alcoholic drink).

43 t9

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44 t10 45 t11a 46 t11b 47 t11c 48 t11d

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49 t12

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50 t13

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51 t14

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52 a1a

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53 a1b

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54 a2

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55 a3

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56 a4

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57 a5

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58 a6

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10

59 a7

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60 a8

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61 a9a

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62 a9b

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63 a9c

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64 a9d

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65 a9e

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66 a9f

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67 a9g 68 d1

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69 d2 70 d3

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71 d4

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72 d5

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73 d6

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89 p1 90 p2 91 p3

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92 p4 93 p5 94 p6 95 p7 96 p8 97 p9

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43. During the past 30 days, how many times did you have (for men: five or more, for women: four or more) STANDARD ALCOHOLIC drinks in a single drinking occasion? (Interviewer: show card of standard alcoholic drink). 44. During the past 30 days, when you consumed 1, Usually with meals | 2, Sometimes with an alcoholic drink, how often was it with MEALS meals | 3, Rarely with meals | 4, Never (do not include snacks)? with meals 45a. During the past 7 days, how many standard alcoholic drinks did you have on MONDAY? (Interviewer: show card of standard alcoholic drink). 45b. During the past 7 days, how many standard alcoholic drinks did you have on TUESDAY? (Interviewer: show card of standard alcoholic drink). 45c. During the past 7 days, how many standard alcoholic drinks did you have on WEDNESDAY? (Interviewer: show card of standard alcoholic drink). 45d. During the past 7 days, how many standard alcoholic drinks did you have on THURSDAY? (Interviewer: show card of standard alcoholic drink). 45e. During the past 7 days, how many standard alcoholic drinks did you have on FRIDAY? (Interviewer: show card of standard alcoholic drink). 45f. During the past 7 days, how many standard alcoholic drinks did you have on SATURDAY? (Interviewer: show card of standard alcoholic drink). 45g. During the past 7 days, how many standard alcoholic drinks did you have on SUNDAY? (Interviewer: show card of standard alcoholic drink). 46. In a typical week, on how many days do you eat fruit? 47. How many servings of fruit do you eat on a typical day? (Interviewer: show card of fruit servings). 48. In a typical week, on how many days do you eat vegetables? 49. How many servings of vegetables do you eat on a typical day? (Interviewer: show card of vegetable servings). 1, Vegetable oil | 2, Lard or suet | 3, Butter or ghee | 4, Margarine | 5, Other animal fat drippings | 6, Olive oil | 7, Coconut oil| 8, None in particular | 9, None used | 77, 50. What type of oil or fat is most often used for Don't know meal preparation in your household? 51. On average, how many meals (meals = breakfast, lunch, and dinner) per week do you eat that were not prepared at home? 52. Does your work involve VIGOROUSINTENSITY activity that causes large increases in breathing or heart rate for at least 10 min continuously (e.g. fishing, farming, lifting, carrying)? (Interviewer: show vigorous-intensity 1, Yes | 2, No card). 53. Number of days in typical week spent doing VIGOROUS-INTENSITY activities at work? 54. Time spent doing VIGOROUS-INTENSITY activities at work on a typical day? 10mins 55. Does your work involve MODERATEINTENSITY activity that causes large increases in breathing or heart rate for at least 10 min continuously? (Interviewer: show moderate1, Yes | 2, No intensity card). 56. Number of days in typical week spent doing MODERATE-INTENSITY activities at work? 57. Time spent doing MODERATE-INTENSITY activities at work on a typical day? 58. Do you walk/bicycle for at least 10 min 1, Yes | 2, No continuously to get to and from places? 59. In a typical week, on how many DAYS do you walk/bicycle for at least 10 min? 60. How much TIME do you spend walking/bicycling for travel on a typical day? 20mins

0 7

3 2

1 2

1 1

98 p10

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99 p11

text

100 p12

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101 p13

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102 p14

text

103 p15 104 p16 105 h1

text text dropdown

61. Do you do any VIGOROUS-INTENSITY SPORTS, fitness or recreational activities that cause large increases in breathing or heart rate for at least 10 min continuously? (Interviewer: show 1, Yes | 2, No vigorous-intensity card). 62. In a typical week, on how many DAYS do you do VIGOROUS-INTENSITY SPORTS, fitness or recreational activities? 63. How much TIME do you spend doing VIGOROUS-INTENSITY SPORTS, fitness or recreational activities on a typical day? 64. Do you do any MODERATE-INTENSITY SPORTS, fitness or recreational activities that cause a small increase in breathing or heart rate (e.g. brisk walking)? 1, Yes | 2, No 65. In a typical week, on how many DAYS do you do MODERATE-INTENSITY SPORTS, fitness or recreational activities? 66. How much TIME do you spend doing MODERATE-INTENSITY SPORTS, fitness or recreational activities on a typical day? 67. How much TIME do you usually spend sitting/reclining on a typical day? 68. Have you ever had your blood pressure 1, Yes | 2, No measured by a doctor or other health worker? 69. Have you ever been told by a doctor or other health worker that you have raised blood pressure? 1, Yes | 2, No 70. In the past 12 months, have you ever been told by a doctor or other health worker that you have 1, Yes | 2, No raised blood pressure? 71a. Are you currently receiving blood pressure medicines that you have taken in the past two weeks? 1, Yes | 2, No 71b. Have you ever been advised to reduce your SALT intake to control your BLOOD PRESSURE? 1, Yes | 2, No 71c. Have you ever been advised to lose WEIGHT 1, Yes | 2, No to control your BLOOD PRESSURE? 71d. Have you ever been advised to STOP SMOKING to control your BLOOD PRESSURE? 1, Yes | 2, No 71e. Have you ever been advised to do more EXERCISE to control your BLOOD PRESSURE? 72. Have you ever seen a TRADITIONAL HEALER for RAISED BLOOD PRESSURE? 73. Are you currently taking any HERBAL/TRADITIONAL remedy for RAISED BLOOD PRESSURE? 74. Have you ever had your blood sugar measured by a doctor/health worker? 75. Have you EVER been told by doctor/health worker that you have raised blood sugar/diabetes? 76. Have you ever been told in the PAST 12 MONTHS that you have raised blood sugar/diabetes by a doctor/health worker? 77a. Are you currently receiving INSULIN to control diabetes? 77b. Are you currently receiving DIABETIC MEDICINES that you have taken in the past TWO WEEKS? 77c. Are you currently on a special DIABETIC PRESCRIBED DIET? 77d. Have you ever been advised to lose WEIGHT to control diabetes? 77e. Have you ever been advised to lose STOP SMOKING to control diabetes? 77f. Have you ever been advised to EXERCISE to control diabetes? 78. Have you seen a TRADITIONAL HEALER for diabetes or raised blood sugar? 79. Are you currently taking any HERBAL/TRADITIONAL REMEDY for your diabetes? 80. Interviewer ID 81a. Device ID for height 81b. Device ID for weight 82. Height (in cm) 83a. Enter Weight in pounds (lbs) 83b. Calculate weight in kilograms (kg) 83c. Enter Weight in kilogram (kg)

12hrs 1

106 h2a

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107 h2b

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108 h3a

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109 h3b 112 h3c

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115 h3d

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117 h3e 119 h4

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1, Yes | 2, No 1, Yes | 2, No

120 h5 121 h6

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1, Yes | 2, No 1, Yes | 2, No 1

122 h7a

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1, Yes | 2, No

123 h7b 124 h8a

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1, Yes | 2, No 1, Yes | 2, No

125 h8b 126 h8c 127 h8d 130 h8e 131 h8f 133 h9

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1, Yes | 2, No 1, Yes | 2, No 1, Yes | 2, No 1, Yes | 2, No 1, Yes | 2, No 1, Yes | 2, No

134 135 138 139 140 141 142 143

h10 m1 m2a m2b m3 m4_kg m4_kglb m4_lb

dropdown text text text text text calc text

1, Yes | 2, No Shu-jen Tape measure Bathroom scale 143cm 108lbs [m4_kg]* 0.4536 49kg

144 m4_lbkg m5 145 m6 146 m7 147 m8 148 m9 149 m10 150 m11a 151 m11b 152 m12a 153 m12b 154 m13a 155 m13b

calc dropdown text text text text radio text text text text text text

156 157 158 159

m14 m15 m16a m16b m16c

dropdown text text text text

160 b1 dropdown b2 text b3 text b4 text b5_mmol text 167 b5_mgdl text b6 dropdown 168 b7 text 169 b8_mmol text 170 b8_mgdl text b9 dropdown b10_mmol text b10_mgdltext b11_mmol text b11_mgdltext text

171 172 173 174

190 salt_1

191 salt_2 192 salt_3 193 salt_4 194 salt_5 195 carb_1 196 carb_2 197 carb_3 198 carb_4 199 carb_5 200 carb_7

text text dropdown text text text text text text text

83d. Calculate weight in pounds (lbs) 84. For women: Are you pregnant? 85. Device ID for waist 86. Waist circumference (in cm) 87. Interviewer ID 88. Device ID for blood pressure 89. Cuff size 90a. BP 1st Juncture: Systolic (mmHg) 90b. BP 1st Juncture: Diastolic (mmHg) 91a. BP 2nd Juncture: Systolic (mmHg) 91b. BP 2nd Juncture: Diastolic (mmHg) 92a. BP 3rd Juncture: Systolic (mmHg) 92b. BP 3rd Juncture: Diastolic (mmHg) 93. During the past 2 weeks, have you been treated for raised blood pressure with medicines? 94. Hip circumference (in cm) 95a. Reading 1 Heart Rate (bpm) 95b. Reading 2 Heart Rate (bpm) 95c. Reading 3 Heart Rate (bpm) 96. During the past 12 hours have you had anything to eat or drink other than water? 97. Technician ID 98. Device ID 99. Time of day blood specimen 100a. Fasting blood glucose-mmol/l 100b. Fasting blood glucose-(mg/dl) 101. Today, have you taken insulin or other medicines for raised blood pressure? 102. Device ID 103a. Total cholesterol-(mmol/liter) 103b. Total cholesterol (mg/dl) 104. During the past 2 weeks, have you been treated for raised cholesterol with medicines? 105a. Triglycerides (mmol/liter) 105b. Triglycerides (mg/dl) 106a. HDL Cholesterol (mmol/liter) 106b. HDL Cholesterol (mg/dl) 1. On average, how many teaspoons of COOKING SALT do you eat/day? 2. On average, how many teaspoons of TABLE SALT (e.g. patis, soy sauce, shrimp paste bagoong) do you eat/day? 3. On average, how many teaspoons of MSG do you eat/day? 4. Are you currently reducing your salt intake? 5. If you are not reducing your salt intake, why not? 6. On average, how many cups of WHITE RICE do you eat/day? 7. On average, how many cups of BROWN RICE do you eat/day? 8. On average, how many cups of NOODLES do you eat/day? 9. On average, how many cups of CEREAL do you eat/day? 10. On average, how many pieces of WHITE BREAD (pandesal) do you eat/day? 11. On average, how many pieces of WHEAT BREAD do you eat/day?

[m4_lb]/0.45359 1, Yes | 2, No Tape measure 82cm Shu-jen Omron BP Monitor 1, Small | 2, Medium | 3, Large 2 141.5 83 157 91 154 88

1, Yes | 2, No 83cm

2 65.5

1, Yes | 2, No

1, Yes | 2, No

1, Yes | 2, No

1/2tsp

2tsp 1/2tsp 1, Yes | 2, No 1

5 0 2 0 1 0 1, Low fat milk | 2, Whole milk | 3, Skim milk | 4, Soy milk | 5, Other | 6, I don't drink milk

201 milk_1

dropdown

202 milk_2 text 203 soda_1 dropdown 204 soda_2 text 205 juice_1 206 tea_1 text text

12. What type of milk do you drink? 13. On average, how many glasses of milk do you drink/week? 14. What kind of soda do you drink? 1, Regular | 2, Diet | 3, I don't drink soda 15. On average, how many cans or bottles of soda do you drink/day? 16. How many glasses of juice do you drink/day? 17. On average, how many cups of tea do you drink/day? 18. On average, how many glasses of water do you drink/day? 19. On average, how many servings of FISH do you eat per week? 20. On average, how many servings of PORK do you eat per week? 21. On average, how many servings of POULTRY do you eat per week? 22. On average, how many servings of BEEF do you eat per week?

3 0 10 3 2 1 0

207 water_1 text 208 meat_1 text 209 meat_2 text 210 meat_3 text 211 meat_4 text

212 weight_1 dropdown 213 weight_2 dropdown 214 smoke_1 dropdown 215 smoke_2 dropdown 216 smoke_3 text 217 exercise_1ropdown d 218 exercise_2ropdown d 219 exercise_3ropdown d 220 exercise_4ropdown d 221 exercise_7 text 222 exercise_8 text 223 exercise_9 text

224 225 226 227

q_commitdropdown q1 dropdown q2 dropdown q3 dropdown dropdown dropdown dropdown dropdown dropdown dropdown dropdown dropdown dropdown dropdown

228 q4 229 q4_i 230 q5 231 q6 232 q7 233 q8 234 q9 235 q10 236 q11 237 q12

238 q_confirmdropdown 239 v1_25 240 v1_33 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 v1_37 v1_2 v1_3 v1_4 v1_5 v1_6 v1_7 v1_8 v1_9 v1_10 v1_11 v_hip v_ratio v1_12 v1_13 v1_14 v1_15 v1_16 v1_17 v1_18 v1_19 v1_20 v1_22 v1_23 v1_24 v1_26 v1_27 v1_28 v1_29 dropdown dropdown dropdown text text text text calc text calc text text text text text text text radio text text text text text text text text text text text text text

23. Are you currently taking steps to lose weight? 24. If you're taking steps to lose weight, which steps are you taking? 25. Do you smoke? 26. If you smoke, are you currently taking steps to stop smoking? 27. If you're taking steps to stop smoking, which steps are you taking? 28. Have you ever been advised to exercise to control you blood pressure? 29. Have you ever been advised to exercise to control your diabetes? 30. Are you currently taking steps to control your blood pressure by exercising? 31. Are you currently taking steps to control your diabetes by exercising? 32. If you are not taking steps to control your blood pressure by exercising, why not? 33. If you are not taking steps to control your blood pressure by exercising, why not? 34. If you are not taking steps to control your diabetes by exercising, why not? 1. Duration of the study is 6 months. Are you willing to commit to monthly visits for the duration of the 6 months? 2. Are you pregnant? 3. Are you below age 18? 4. Are you above age 65? 5. Are you UNABLE to understand and sign informed consent? 6. Are you currently taking any blood pressure medication? 7. Do you have any pyschiatric illnesses (e.g. schizophrenia)? 8. Do you have a history of liver failure? 9. Do you have a history of kidney failure? 10. Do you have a history of stroke or heart attack (last 6 months)? 11. Interviewer: does the subject have a SYSTOLIC BP lower than 130? 12. Interviewer: does this subject have a SYSTOLIC BP above 159? 13. Interviewer: does this subject have a DIASTOLIC BP below 80? 14. Interviewer: does this subject have a DIASTOLIC BP above 99? 15. Interviewer: Confirm that this subject in ineligible for study and end the survey During the past 12 hours have you had anything to eat or drink other than water? Today, have you taken insulin or other medication for raised blood glucose? During the past two weeks have you been treated for raised cholesterol with medications? Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Calculate weight in kilograms (kg) Enter Weight in kilograms (kg) Calculate weight in pounds (lbs) Calc BMI Device ID for waist and hip Waist circumference Hip circumference Waist : Hip ratio Interviewer ID Device ID for blood pressure Cuff size Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Technician ID Device ID Time of day blood specimen Fasting blood glucose-mmol/l

1, Yes | 2, No 1, Diet | 2, Exercise | 3, Medicines | 4, Other 1, Yes | 2, No 1, Yes | 2, No Diverting attention 1, Yes | 2, No 1, Yes | 2, No 1, Yes | 2, No 1, Yes | 2, No

1 1 1 1

1 2 1

1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, Ineligible | 2, Eligible 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes

[v2_5]* 0.4536 [v2_7]/0.45359

1, Small | 2, Medium | 3, Large

270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308

v1_30 text v1_32 text v1_34 text v1_35 text v1_36 text v1_38 text v1_39 text v1_40 text v1_41 text v1_ldl text v1_ldl_mg text v1_42 text v1_43 text v1_44 text c_hem text p_1 dropdown p_2 dropdown p_22_a41 dropdown p_22_a412 dropdown v2_1 text v2_2 text v2_3 text v2_4 text v2_5 text v2_6 calc v2_7 text v2_8 calc v2_9 text v2_10 text v2_11 text v2_12 text v2_13 text v2_14 radio v2_15 text v2_16 text v2_17 text v2_18 text v2_19 text v2_20 text

Fasting blood glucose-mg/dl Glucose strip Device ID Total cholesterol-mmol/l Total cholesterol-mg/dl Triglycerides-mmol/l Triglycerides-mg/dl HDL Cholesterol-mmol/l HDL Cholesterol-mg/dl LDL Cholesterol-mmol/l LDL Cholesterol-mg/dl SGOT(ALT) Creatinine-mg/dl Uric acid Hemoglobin Explained purpose of study? Explained how to use diet diary? Explained how to use physical activity diary? Scheduled visit 2? Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Calculate weight in kilograms (kg) Enter Weight in kilograms (kg) Calculate weight in pounds (lbs) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Cuff size Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic During the past two weeks, have you been treated for raised blood pressure with medication? Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Glucose strip Diet Diary Checked? Activity Diary Checked? Scheduled visit 3? Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Calculate weight in kilograms (kg) Enter Weight in kilograms (kg) Calculate weight in pounds (lbs) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Cuff size Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic During the past two weeks, have you been treated for raised blood pressure with medication? Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Diet Diary Checked? Activity Diary Checked? Scheduled visit 4? Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs)

1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes

[v2_5]* 0.4536 [v2_7]/0.45359

1, Small | 2, Medium | 3, Large

309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336

v2_21 v2_22 v2_23 v2_24 v2_25 dd_1 dd_2 dd_3 v3_1 v3_2 v3_3 v3_4 v3_5 v3_6 v3_7 v3_8 v3_9 v3_10 v3_11 v3_12 v3_13 v3_14 v3_15 v3_16 v3_17 v3_18 v3_19 v3_20

dropdown text text text text dropdown dropdown dropdown text text text text text calc text calc text text text text text radio text text text text text text

1, No | 2, Yes

1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes

[v3_5]* 0.4536 [v3_7]/0.45359

1, Small | 2, Medium | 3, Large

337 338 339 340 341 342 343 344 345 346 347 348

v3_21 v3_22 v3_23 v3_24 v3_25 v3_26 v3_27 v4_1 v4_2 v4_3 v4_4 v4_5

dropdown text text text dropdown dropdown dropdown text text text text text

1, No | 2, Yes

1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes

349 350 351 352 353 354 355 356 357 358 359 360 361 362 363

v4_6 v4_7 v4_8 v4_9 v4_10 v4_11 v4_12 v4_13 v4_14 v4_15 v4_16 v4_17 v4_18 v4_19 v4_20

calc text calc text text text text text radio text text text text text text

Calculate weight in kilograms (kg) Enter Weight in kilograms (kg) Calculate weight in pounds (lbs) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Cuff size Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic During the past two weeks, have you been treated for raised blood pressure with medication? Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Glucose strip Diet Diary Checked? Activity Diary Checked? Scheduled visit 5? Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Calculate weight in kilograms (kg) Enter Weight in kilograms (kg) Calculate weight in pounds (lbs) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Cuff size Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic During the past two weeks, have you been treated for raised blood pressure with medication? Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Glucose strip Diet Diary Checked? Activity Diary Checked? Scheduled visit 6? Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Calculate weight in kilograms (kg) Enter Weight in kilograms (kg) Calculate weight in pounds (lbs) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Cuff size Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic

[v4_5]* 0.4536 [v4_7]/0.45359

1, Small | 2, Medium | 3, Large

364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391

v4_21 v4_22 v4_23 v4_24 v4_25 v4_26 v4_27 v4_28 v5_1 v5_2 v5_3 v5_4 v5_5 v5_6 v5_7 v5_8 v5_9 v5_10 v5_11 v5_12 v5_13 v5_14 v5_15 v5_16 v5_17 v5_18 v5_19 v5_20

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1, No | 2, Yes

1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes

[v5_5]* 0.4536 [v5_7]/0.45359

1, Small | 2, Medium | 3, Large

392 393 394 395 396

v5_21 v5_22 v5_23 v5_24 v5_25 v5_26 v5_27 v5_28 v6_1 v6_2 v6_3 v6_4 v6_5 v6_6 v6_7 v6_8 v6_9 v6_10 v6_11 v6_12 v6_13 v6_14 v6_15 v6_16 v6_17 v6_18 v6_19 v6_20

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1, No | 2, Yes

1, No | 2, Yes 1, No | 2, Yes 1, No | 2, Yes

[v6_5]* 0.4536 [v6_7]/0.45359

1, Small | 2, Medium | 3, Large

v6_21 v6_22 v6_23 v6_24 v6_25

dropdown text text text dropdown

During the past two weeks, have you been treated for raised blood pressure with medication? 1, No | 2, Yes Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate During the past 12 hours have you had anything to eat or drink other than water? 1, No | 2, Yes

v6_26 v6_27 v6_28 v6_29 v6_30 v6_31 v6_32 v6_33 v6_34 v6_35 v6_36 v6_37 v6_38 v6_39 v6_40 v6_41 v6_42 v6_43 v6_44 v6_45 v6_46

text text text text text text text dropdown text text text dropdown text text text text text text text dropdown dropdown

Technician ID Device ID Time of day blood specimen Fasting blood glucose-mmol/l Fasting blood glucose-mg/dl Hemoglobin A1C Glucose strip Today, have you taken insulin or other medication for raised blood glucose? Device ID Total cholesterol-mmol/l Total cholesterol-mg/dl During the past two weeks have you been treated for raised cholesterol with medications? Triglycerides-mmol/l Triglycerides-mg/dl HDL Cholesterol-mmol/l HDL Cholesterol-mg/dl SGOT(ALT)-?? Creatinine-mg/dl Uric acidChecked diet diary? Checked physical activity diary? 1, No | 2, Yes

1, No | 2, Yes

1, No | 2, Yes 1, No | 2, Yes

1 2 3 4 5 6 7 8 9 10 11 12 13

1 2 3 4 5 6 7 8 9 88

1 2 3 4 5 77 88

1 2 3 4 5 6 7 8 9 77

Record SG_2 SG_3

Record SG_4

Record SG_5

Record SG_6

Record SG_7

Record SG_8

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3 Shu-Jen 9/16/2011 1 Shu-jen

3 Shu-jen 9/22/2011 1

3 Shu-jen 9/23/2011 1

3 Shu-jen 10/24/2011 1

3 Shu-jen 10/24/2011 1

3 Shu-jen 10/24/2011 1

3 10/24/2011 1

2 10:15 AM

2 10:27 AM

2 10:05 AM

2 8:00 AM

2 8:25 AM

2 9:00 AM

2 10:10 AM

Hernandez

Dales

Bautista

Coronel

Espina

Vital

Derako

Cirila 09484524250 2 3/8/1984 26

Rona 09076154154 2 1/16/1980 31

Angelita N/A 2 4/3/1951 60

Fernando N/A 1 10/13/1953 58

Narnie N/A 2 10/17/1962 49

Belen N/A 2 10/27/1945 66

Eliza 09174623690 2 7/3/1952 59

10

10

10

9 1

3 5

9 5

3 4

3 0

3 1

7 7

1,700

88

88

88

150

88

88

1 31

1 46

1 32 26

0 1 2 3 1

0 1 0 2

1 2

1 5

2 2

1 3

1 3 0

1 3

1 7 4hrs

1 2 10mins

1 2 15mins

1 7 10mins 10mins 1 7 8mins 15mins

1 1

1 7 1hr

1 2 30mins

1 5 1hr

1 7 30mins

1 7

1hr 1

30mins 1

5hrs 1

2hrs 1

2hrs 1

7hrs 1

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1 2

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2 Shu-Jen Tape measure Bathroom scale 145cm 88lbs 40kg Shu-jen Tape measure Bathroom scale 149cm 149lbs 68kg Shu-jen Tape measure Bathroom scale 150cm 103lbs 47kg Shu-jen Tape measure Bathroom scale 167cm 154lbs 70kg Shu-jen Tape measure Bathroom scale 152cm 110lbs 50kg Shu-jen Tape measure Bathroom scale 148cm 176lbs 86kg Shu-jen Tape measure Bathroom scale 152cm 134lbs 61kg

2 Tape measure 73cm Shu-Jen Omron BP Monitor 2 158 93 156 88 151 89 Tape measure 97cm Shu-jen Omrom BP Monitor

2 Tape measure 90cm Shu-jen Omron BP Monitor

2 Tape measure 95cm Shu-jen Omron BP Monitor 2 157 83 134 64 141 76 Tape measure 82cm Shu-jen Omron BP Monitor

2 Tape measure 133cm Shu-jen Omron BP Monitor

2 Tape measure 97cm Shu-jen Omron BP Monitor

2 205.5 147 184 116.5 188.5 124.5

2 146 57 141.5 70.5 149 67

2 139 85 144 87 142 89

2 141 73 144 75 145 79

2 145 87 148 90 141 88

2 79cm 84 98cm

1 88cm 100.5 67.5 68.5

2 95cm 60 63.5

2 93cm 78 79 69

2 122cm 73 77 72

1 102cm 77 73 75

1 79 74 68

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1 3 0 0 7 10 3 0 0

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1 3 3 0 20 2 6 1 0

1 1 3 2 5 2 1 1 0

1 1 8 6 1 3 0

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Variable Form Na ield Un F SectionField Typ H Field Label Choices OR Calc ield No F Text Vali Text Vali Text Vali Identifier Branchin Required Field? m4_kglb physical_ lbs calc 83b. Calculate we [m4_kg]* 0.4536 kg m4_lbkg physical_ lbs calc 83d. Calculate we [m4_lb]/0.45359 lbs lbs calc Calculate weight [v1_5]* 0.4536 kg in v1_6 visit_one v1_8 visit_one lbs calc Calculate weight [v1_7]/0.45359 lbs in lbs calc Calculate weight [v2_5]* 0.4536 kg in v2_6 visit_two lbs calc Calculate weight [v2_7]/0.45359 lbs in v2_8 visit_two lbs calc Calculate weight [v3_5]* 0.4536 kg in v3_6 visit_thre lbs calc Calculate weight [v3_7]/0.45359 lbs in v3_8 visit_thre v4_6 visit_four lbs calc Calculate weight [v4_5]* 0.4536 kg in lbs calc Calculate weight [v4_7]/0.45359 lbs in v4_8 visit_four lbs calc Calculate weight [v5_5]* 0.4536 kg in v5_6 visit_five lbs calc Calculate weight [v5_7]/0.45359 lbs in v5_8 visit_five calc Calculate weight [v6_5]* 0.4536 kg in v6_6 visit_sixlbs v6_8 visit_sixlbs calc Calculate weight [v6_7]/0.45359 lbs in h_weight behavioral_measuremen dropdown 71ddd. If you are1, Diet | 2, Exercise | 3, Medicines c dropdown 77ee. If you are cu Diet | 2, Exercise | 3, Medicines 1, h_dw behavioral_measuremen dropdown Interview langua English | 2, Tagalog | 3, Ilonggo | 4, Kapampangan 6. 1, i6 survey_information dropdown Centre (Village GK1 (Manila) - INTERVENTION | 2, GK2 (Manila) - CONTROL | 3, Iloilo1 (Western Visayas) 2. 1, i2 survey_information i1 survey_informatio Location dropdown Cluster/Centre/V GK1(Manila) - INTERVENTION | 2, GK2 (Manila) - CONTROL | 3, Iloilo1 (Western Visayas) - I 1. 1, demographic_information dropdown From the follow Government employee | 2, Non-government employee | 3, Self-employed | 4, Non-paid | 5, Stu 18. 1, c8 q_confirm study_screen dropdown Interviewer: Co Ineligible | 2, Eligible 15. 1, dropdown Interviewer ID 1, jr | 2, jg 3. i3 survey_information behavioral_measuremen dropdown 51_e. What type 1, Low fat | 2, Whole milk | 3, Skim milk o d9 c1 demographic_info CORE: Dropdown Sex d 11. 1, Male | 2, Female demographic_information dropdown What is your 1, Never married | 2, Currently married | 3, Separated | 4, Divorced | 5, Widowed | 6, Cohabiting | 17. c c7 survey_informatio Consent ropdown Interviewer: has No | 2, Yes d 5. 1, i5 behavioral_meas ORE: Tropdown Have you eve No | 2, Yes C d 22a. 1, If No, skip to question 36. t1a behavioral_measuremen dropdown Do you CURR No | 2, Yes 22b. 1, If No, go to question 24a. If Yes, go to question 23. t1 t2 behavioral_measuremen dropdown Do you CURR No | 2, Yes 23. 1, behavioral_measuremen dropdown In PAST, did 1, No | 2, Yes 27. y t6 behavioral_measuremen dropdown Do you CURR No | 2, Yes 30. 1, If No, skip to question 33 t9 behavioral_measuremen dropdown Do you curren No | 2, Yes 31. 1, t10 behavioral_measuremen dropdown In the past did No | 2, Yes 33. 1, t12 a1a behavioral_meas ORE: Aropdown Have you ever No | 2, Yes C d 36. 1, If No, skip to question 46. behavioral_measuremen dropdown Have you cons No | 2, Yes 37. 1, a1b behavioral_measuremen dropdown Have you cons No | 2, Yes 39. 1, a3 behavioral_meas ORE: Propdown Does your wor No | 2, Yes C d 52. 1, p1 behavioral_measuremen dropdown Does your wor No | 2, Yes 55. 1, p4 p7 behavioral_meas ravel to T dropdown Do you walk/b No | 2, Yes 58. 1, behavioral_meas ecreatio R dropdown Do you do any No | 2, Yes 61. 1, p10 behavioral_measuremen dropdown Do you do any No | 2, Yes 64. 1, p13 behavioral_meas ORE: Hropdown Have you ever No | 2, Yes C d 68. 1, h1 behavioral_measuremen dropdown Have you ever No | 2, Yes 69. 1, h2a h2b behavioral_measuremen dropdown In the past 12 No | 2, Yes 70. 1, behavioral_meas XPAND E dropdown Are you curre No | 2, Yes 71a. 1, h3a behavioral_measuremen dropdown Have you eve No | 2, Yes 71b. 1, If No, skip to question 71d. h3b dropdown Are you reduc No | 2, Yes 71c. 1, h3b_1 behavioral_measuremen behavioral_measuremen dropdown Have you eve No | 2, Yes 71d. 1, If No, skip to question 71e. h3c h_stepsbehavioral_measuremen dropdown 71dd. Are you curr No | 2, Yes 1, behavioral_measuremen dropdown Have you eve No | 2, Yes 71e. 1, If No, skip to question 71g. h3d h_smokeehavioral_measuremen b dropdown Are you curre No | 2, Yes 71f. 1, behavioral_measuremen dropdown Have you eve No | 2, Yes 71g. 1, If No, skip to question 72. h3e h_exercbehavioral_measuremen dropdown 71gg. Are you curr No | 2, Yes 1, h4 behavioral_measuremen dropdown Have you ever No | 2, Yes 72. 1, behavioral_measuremen dropdown Are you curren No | 2, Yes 73. 1, h5 behavioral_meas ORE: Hropdown Have you ever No | 2, Yes C d 74. 1, h6 behavioral_measuremen dropdown Have you EVE, No | 2, Yes 75. 1 h7a behavioral_measuremen dropdown Have you ever No | 2, Yes 76. 1, h7b h8a behavioral_meas XPAND E dropdown Are you curre No | 2, Yes 77a. 1, behavioral_measuremen dropdown Are you curre No | 2, Yes 77b. 1, h8b behavioral_measuremen dropdown Are you curre No | 2, Yes 77c. 1, h8c behavioral_measuremen dropdown Have you eve No | 2, Yes 77d. 1, If No, skip to question 77f. h8d h_wd behavioral_measuremen dropdown Are you curre No | 2, Yes 77e. 1, behavioral_measuremen dropdown Have you eve, No | 2, Yes 77f. 1 h8e behavioral_measuremen dropdown Have you eve No | 2, Yes 77g. 1, If No, skip to question 78. h8f dropdown 77gg. Are you curr No | 2, Yes 1, h_de behavioral_measuremen behavioral_measuremen dropdown Have you seen No | 2, Yes 78. 1, h9 h10 behavioral_measuremen dropdown Are you curren No | 2, Yes 79. 1, physical_measurements dropdown For women: Ar No | 2, Yes 84. 1, m5 physical_measurements dropdown During the pas No | 2, Yes 93. 1, m14 biochemical_mea Bioch Pre dropdown During the pas No | 2, Yes 96. 1, b1 biochemical_measuremeropdown Today, have No | 2, Yes d 101. 1, b6 b9 biochemical_measuremeropdown During the pa No | 2, Yes d 104. 1, q_commi study_screen Study Sc ropdown Duration of the1, No | 2, Yes d 1. If No, you are inelegible for the study. SKIP TO QUESTION 15. dropdown Are you pregna No | 2, Yes 2. 1, If yes, you are ineligible for the study. SKIP TO QUESTION 15. q1 study_screen dropdown Are you below 1, No | 2, Yes 3. a If yes, you are ineligible for the study. SKIP TO QUESTION 15. q2 study_screen dropdown Are you above1, No | 2, Yes 4. a If yes, you are ineligible for the study. SKIP TO QUESTION 15. q3 study_screen q4 study_screen dropdown Are you UNABL No | 2, Yes 5. 1, If yes, you are ineligible for the study. SKIP TO QUESTION 15. dropdown Do you have an, No | 2, Yes 6. 1 If yes, you are ineligible for the study. SKIP TO QUESTION 15. q5 study_screen dropdown Do you have a1, No | 2, Yes 7. h If yes, you are ineligible for the study. SKIP TO QUESTION 15. q6 study_screen q7 study_screen dropdown Do you have a1, No | 2, Yes 8. h If yes, you are ineligible for the study. SKIP TO QUESTION 15. q8 study_screen dropdown Do you have a1, No | 2, Yes 9. h If yes, you are ineligible for the study. SKIP TO QUESTION 15.

184 185 186 187 236 237 238 239 265 266 267 292 293 294 320 321 322 348 349 350 395 396 190 191 192 260 288 315 343 371 375 383 387 17 188 80 7 54 26 149 207 253 281 308 336 364 60 72 11 35 1 5 9 10 12 14 15 16 18 21 22 23 24 25 30 31 32 33 34 36 37 39 40 41 42 45 46 47 48 50 51 56 57

q9 study_screen dropdown Interviewer: do No | 2, Yes 10. 1, If yes, you are ineligible for the study. SKIP TO QUESTION 15. dropdown Interviewer: do No | 2, Yes 11. 1, If yes, you are ineligible for the study. SKIP TO QUESTION 15. q10 study_screen dropdown Interviewer: do No | 2, Yes 12. 1, If yes, you are ineligible for the study. SKIP TO QUESTION 15. q11 study_screen dropdown Interviewer: do No | 2, Yes 13. 1, If yes, you are ineligible for the study. SKIP TO QUESTION 15. q12 study_screen p_1 visit_one Behaviora dropdown Explained purpose No | 2, Yes 1, dropdown Explained how to1, No | 2, Yes u p_2 visit_one p_22_a41 visit_one dropdown Explained how to1, No | 2, Yes u p_22_a41 visit_one dropdown Scheduled visit 2?, No | 2, Yes 1 Behaviora dropdown Diary Checke, No | 2, Yes Diet 1 dd_1 visit_two dd_2 visit_two dropdown Activity Diary Chec No | 2, Yes 1, dropdown Scheduled visit 3?, No | 2, Yes 1 dd_3 visit_two Behaviora dropdown Diary Checke, No | 2, Yes Diet 1 v3_25 visit_three dropdown Activity Diary Chec No | 2, Yes 1, v3_26 visit_three dropdown Scheduled visit 4?, No | 2, Yes 1 v3_27 visit_three v4_26 visit_four Behaviora dropdown Diary Checke, No | 2, Yes Diet 1 dropdown Activity Diary Chec No | 2, Yes 1, v4_27 visit_four dropdown Scheduled visit 5?, No | 2, Yes 1 v4_28 visit_four Behaviora dropdown Diary Checke, No | 2, Yes Diet 1 v5_26 visit_five dropdown Activity Diary Chec No | 2, Yes 1, v5_27 visit_five v5_28 visit_five dropdown Scheduled visit 6?, No | 2, Yes 1 Behaviora dropdown Checked diet diary No | 2, Yes 1, v6_45 visit_six dropdown Checked physical No | 2, Yes 1, v6_46 visit_six QUESTIO dropdown During the past 12 No | 2, Yes 1, v1_25 visit_one dropdown Today, have you 1, No | 2, Yes t v1_33 visit_one v1_37 visit_one dropdown During the past tw No | 2, Yes 1, dropdown During the past tw No | 2, Yes 1, v2_21 visit_two dropdown During the past tw No | 2, Yes 1, v3_21 visit_three dropdown During the past tw No | 2, Yes 1, v4_21 visit_four dropdown During the past tw No | 2, Yes 1, v5_21 visit_five v6_21 visit_six dropdown During the past tw No | 2, Yes 1, Blood Glu dropdown During the past 12 No | 2, Yes 1, v6_25 visit_six dropdown Today, have you 1, No | 2, Yes t v6_33 visit_six dropdown During the past tw No | 2, Yes 1, v6_37 visit_six demographic_info EXPAND dropdown What is your 1, No formal schooling | 2, Less than primary school | 3, Primary school completed | 4, Secondary 15. h c5 q13 study_screen dropdown Interviewer: wh Pre-hypertensio no hypertension, you are ineligible for the study. SKIP TO QUESTION 15. 14. 1, If dropdown 51_g. What kind 1, Regular | 2, Light or diet o d_soda behavioral_measuremen dropdown No Consent, 1, Survey ended DO NOT PROCEED FURTHER-END [i5]="1" 5a. s i5_b survey_information behavioral_measuremen radio 38. During the pas Daily | 2, 5-6 days/week | 3, 1-4 days/week | 4, 1-3 days/month | 5, Less than once a month 1, a2 demographic_information radio 21. If you don't kno Less than Q1 | 2, More than Q1 but less than or equal to Q2 | 3, More than Q2 but less than or 1, c11 m10 physical_measurements radio 89. Cuff size 1, Small | 2, Medium | 3, Large v1_14 visit_one radio Cuff size 1, Small | 2, Medium | 3, Large v2_14 visit_two radio Cuff size 1, Small | 2, Medium | 3, Large v3_14 visit_three radio Cuff size 1, Small | 2, Medium | 3, Large v4_14 visit_four radio Cuff size 1, Small | 2, Medium | 3, Large v5_14 visit_five radio Cuff size 1, Small | 2, Medium | 3, Large v6_14 visit_six radio Cuff size 1, Small | 2, Medium | 3, Large behavioral_meas XPAND E radio 44. During the pas Usually with meals | 2, Sometimes with meals | 3, Rarely with meals | 4, Never with meals 1, a8 behavioral_meas XPAND E radio 50. What type of 1, Vegetable oil | 2, Lard or suet | 3, Butter or ghee | 4, Margarine | 5, Other animal fat drippings | o d5 9. What is your firs i9 survey_information text t5b behavioral_measuremen text 26b. On average, No 2, Yes 1, study_id survey_information text Study ID enter _id i4 survey_information text 4. Date of completion of instrument date i7 survey_information text 7. Time of Interview time i8 survey_information text 8. What is your family surname (last name)? survey_informatio Additiona text 10. Do you have a contact phone where wehone p i10 demographic_information text 12. What is your date of birth? date c2 demographic_information text 13. How old are you? c3 demographic_information text 14. How many years did you spend in school or full-time study (excluding pre-school)? c4 demographic_information text 16. Which ethnic group do you associate the most with? c6 c8_workdemographic_information text 18a. Can you specify your type of work over the last 12 months? demographic_information text 19. What is the number of people older than 18 years (including yourself) in your household? c9 text 20a. In the past year, what has bee not known, go to question 20b. If c10a demographic_information text 20b. or In the past year, what has If not known, go to question 20c. b c10b demographic_information c10c demographic_information text 20c. or In the past year, what has b not known go to question 21. If t32_5c9behavioral_measuremen text 24. How old were you when you first started smoking DAILY? behavioral_measuremen text 25a. Do you remember how long ag not known in YEARS go to question 25b. If t4a behavioral_measuremen text 25b. Do you remember how long ag not known in YEARS go to question 25c. If t4b behavioral_measuremen text 25c. Do you remember how long ago you started smoking in WEEKS? t4c t5a behavioral_measuremen text 26a. On average, how many MANUFACTURED cigarettes do you smoke each day? behavioral_measuremen text 26c. On average, how many PIPES full of tobacco do you smoke each day? t5c behavioral_measuremen text 26d. On average, how many CIGARS, CHEROOTS, CIGARILLOS do you smoke each day? t5d behavioral_measuremen text 28. If you have stopped smoking daily, at which age did you stop smoking daily? t7 behavioral_measuremen text 29a. How long ago did you stop sm not known, go to question 29b. If t8a t8b behavioral_measuremen text 29b. or How long ago did you stopIfsnot known, go to question 29c. behavioral_measuremen text 29c. or How long ago did you stop smoking in WEEKS? t8c behavioral_measuremen text 32a. On average, how many times a day to you use SNUFF by MOUTH? t11a behavioral_measuremen text 32b. On average, how many times a day do you use SNUFF by NOSE? t11b behavioral_measuremen text 32c. On average, how many times a day do you use CHEWING TOBACCO? t11c t11d behavioral_measuremen text 32d. On average, how many times a day do you use BETEL/QUID/NGANGA? behavioral_measuremen text 34. In past 7 days, on how many days did someone in your home smoke when you were present? t13 t14 behavioral_measuremen text 35. During the past 7 days, on how many days did someone smoke in closed areas in your workplace when you w a4 behavioral_measuremen text 40. During the past 30 days, on how many different occasions did you have at least one alcoholic drink? a5 behavioral_measuremen text 41. During the past 30 days, when you drank alcohol, on average, how many standard alcoholic drinks did you hav

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a6 behavioral_measuremen text behavioral_measuremen text a7 behavioral_measuremen text a9a behavioral_measuremen text a9b a9c behavioral_measuremen text behavioral_measuremen text a9d behavioral_measuremen text a9e behavioral_measuremen text a9f behavioral_measuremen text a9g d1 behavioral_meas ORE: D C text d2 behavioral_measuremen text behavioral_measuremen text d3 behavioral_measuremen text d4 behavioral_measuremen text d6 d6_wr behavioral_measuremen text text d6_b behavioral_measuremen behavioral_measuremen text d7 behavioral_measuremen text d8 behavioral_measuremen text d10 d12 behavioral_measuremen text behavioral_measuremen text d13 behavioral_measuremen text d15 d_meatse behavioral_measuremen text d_chick behavioral_measuremen text d_beef behavioral_measuremen text text d_salt behavioral_measuremen behavioral_measuremen text d_ts behavioral_measuremen text p2 behavioral_measuremen text p3 p5 behavioral_measuremen text behavioral_measuremen text p6 behavioral_measuremen text p8 behavioral_measuremen text p9 behavioral_measuremen text p11 p12 behavioral_measuremen text behavioral_measuremen text p14 behavioral_measuremen text p15 behavioral_meas XPAND E text p16 text h3b_2 behavioral_measuremen m1 physical_measur Phys Pre text physical_measur CORE: H text m2a physical_measurements text m2b physical_m c text m3 k text m4_kg physical_g m4_lb physical_g k text physical_measur CORE: W text m6 physical_m c text m7 physical_measur CORE: B text m8 physical_measurements text m9 m11a physical_ mHg m text m text m11b physical_ mHg m text m12a physical_ mHg m text m12b physical_ mHg m text m13a physical_ mHg m13b physical_ mHg m text physical_m c EXPAND text m15 b text m16a physical_pm b text m16b physical_pm b text m16c physical_pm b2 biochemical_mea CORE: B text biochemical_measureme text b3 biochemical_measureme text b4 b5_mmol biochemi mmol/l text b5_mgdl iochemi b mg/dl text biochemical_mea CORE: B text b7 b8_mmol biochemi mmol/l text b8_mgdl iochemi b mg/dl text b10_mmo biochemi mmol/l EXPAND text b10_mgdiochemi b mg/dl text b11_mmo biochemi mmol/l text b11_mgdiochemi b mg/dl text Height an text v1_2 visit_one v1_3 visit_one text v1_4 visit_one cm text kg text v1_5 visit_one kg text v1_7 visit_one v1_9 visit_one text v1_10 visit_one Waist text cm text v1_11 visit_one v_hip visit_one text v_ratio visit_one text Blood Pre text v1_12 visit_one v1_13 visit_one text

42. During the past 30 days, what was the LARGEST NUMBER of standard alcoholic drinks you had on a SINGLE 43. During the past 30 days, how many times did you have (for men: five or more, for women: four or more) STAN 45a. During the past 7 days, how many standard alcoholic drinks did you have on MONDAY? 45b. During the past 7 days, how many standard alcoholic drinks did you have on TUESDAY? 45c. During the past 7 days, how many standard alcoholic drinks did you have on WEDNESDAY? 45d. During the past 7 days, how many standard alcoholic drinks did you have on THURSDAY? 45e. During the past 7 days, how many standard alcoholic drinks did you have on FRIDAY? 45f. During the past 7 days, how many standard alcoholic drinks did you have on SATURDAY? 45g. During the past 7 days, how many standard alcoholic drinks did you have on SUNDAY? 46. In a typical week, on how many days do you eat fruit? 47. How many servings of fruit do you eat on a typical day? 48. In a typical week, on how many days do you eat vegetables? 49. How many servings of vegetables do you eat on a typical day? 51. On average, how many meals per week do you eat that were not prepared at home? 51_a. How many cups or bowls of WHITE rice do you eat per day? 51_b. How many cups or bowls of BROWN rice do you eat per day? 51_c. How many slices of BREAD (e.g. pandesal) do you eat per day? 51_d. How many bowls of CEREAL do you eat per day? 51_f. How many GLASSES of MILK do you drink per day? 51_h. How many GLASSES of SODA do you drink per day? 51_i. How many glasses of JUICE do you drink per day? 51_j. How many servings of FISH do you consume per day? 51_k. How many servings of PORK do you eat per day? 51_l. How many servings of POULTRY do you eat per day? 51_m. How many servings of BEEF do you eat per day? 51_n. Approximately how many teaspoons of COOKING salt do you consume per day? 51_o. Approximately how many teaspoons of TABLE salt do you consume per day (patis, soy sauce, shrimp paste 53. Number of days in typical week spent doing VIGOROUS-INTENSITY activities at work? 54. Time spent doing VIGOROUS-INTENSITY activities at work on a typical day? 56. Number of days in typical week spent doing MODERATE-INTENSITY activities at work? 57. Time spent doing MODERATE-INTENSITY activities at work on a typical day? 59. In a typical week, on how many DAYS do you walk/bicycle for at least 10 min? 60. How much TIME do you spend walking/bicycling for travel on a typical day? 62. In a typical week, on how many DAYS do you do VIGOROUS-INTENSITY SPORTS, fitness or recreational ac 63. How much TIME do you spend doing VIGOROUS-INTENSITY SPORTS, fitness or recreational activities on a 65. In a typical week, on how many DAYS do you do MODERATE-INTENSITY SPORTS, fitness or recreational ac 66. How much TIME do you spend doing MODERATE-INTENSITY SPORTS, fitness or recreational activities on a 67. How much TIME do you usually spend sitting/reclining on a typical day? 71cc. For subjects who are not reducing salt intake: why not? 80. Interviewer ID 81a. Device ID for height 81b. Device ID for weight 82. Height cm 83a. Enter Weight in pounds (lbs) lbs 83c. Enter Weight in kilogram (kg)kg 85. Device ID for waist 86. Waist circumference cm 87. Interviewer ID 88. Device ID for blood pressure 90a. Reading 1: Systolic mmHg 90b. Reading 1: Diastolic mmHg 91a. Reading 2: Systolic mmHg 91b. Reading 2: Diastolic mmHg 92a. Reading 3: Systolic mmHg 92b. Reading 3: Diastolic mmHg 94. Hip circumference cm 95a. Reading 1 Heart Rate bpm 95b. Reading 2 Heart Rate bpm 95c. Reading 3 Heart Rate bpm 97. Technician ID 98. Device ID 99. Time of day blood specimen time 100a. Fasting blood glucose-mmol/ mmol/liter 100b. Fasting blood glucose-mg/dlmg/dl 102. Device ID 103a. Total cholesterol-mmol/l mmol/liter 103b. Total cholesterol-mg/dl mg/dl 105a. Triglycerides-mmol/l mmol/liter 105b. Triglycerides-mg/dl mg/dl 106a. HDL Cholesterol-mmol/l mmol/liter 106b. HDL Cholesterol-mg/dl mg/dl Device ID for height Device ID for weight Height cm Enter Weight in pounds (lbs) lbs Enter Weight in kilograms (kg) kg Calc BMI Device ID for waist and hip Waist circumference cm Hip circumference Waist : Hip ratio Interviewer ID Device ID for blood pressure

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v1_15 visit_one mmHg mmHg v1_16 visit_one mmHg v1_17 visit_one mmHg v1_18 visit_one v1_19 visit_one mmHg mmHg v1_20 visit_one bpm v1_22 visit_one bpm v1_23 visit_one bpm v1_24 visit_one v1_26 visit_one v1_27 visit_one v1_28 visit_one mmol/l v1_29 visit_one mg/dl v1_30 visit_one v1_32 visit_one v1_34 visit_one mmol/l v1_35 visit_one mg/dl v1_36 visit_one mmol/l v1_38 visit_one v1_39 visit_one mg/dl mmol/l v1_40 visit_one mg/dl v1_41 visit_one v1_ldl visit_one v1_ldl_m visit_one v1_42 visit_one mg/dl mg/dl v1_43 visit_one mg/dl v1_44 visit_one c_hem visit_one v2_1 visit_two v2_2 visit_two v2_3 visit_two v2_4 visit_two cm kg v2_5 visit_two kg v2_7 visit_two v2_9 visit_two v2_10 visit_two v2_11 visit_two cm v2_12 visit_two v2_13 visit_two v2_15 visit_two mmHg mmHg v2_16 visit_two mmHg v2_17 visit_two mmHg v2_18 visit_two mmHg v2_19 visit_two v2_20 visit_two mmHg bpm v2_22 visit_two bpm v2_23 visit_two bpm v2_24 visit_two v2_25 visit_two v3_1 visit_three v3_2 visit_three v3_3 visit_three c v3_4 visit_threm k v3_5 visit_threg v3_7 visit_threg k v3_9 visit_three v3_10 visit_three c v3_11 visit_threm v3_12 visit_three v3_13 visit_three v3_15 visit_thre mHg m m v3_16 visit_thre mHg m v3_17 visit_thre mHg v3_18 visit_thre mHg m m v3_19 visit_thre mHg m v3_20 visit_thre mHg b v3_22 visit_thre pm b v3_23 visit_thre pm v3_24 visit_thre pm b v4_1 visit_four v4_2 visit_four v4_3 visit_four cm v4_4 visit_four v4_5 visit_four kg kg v4_7 visit_four v4_9 visit_four v4_10 visit_four cm v4_11 visit_four v4_12 visit_four v4_13 visit_four mmHg v4_15 visit_four v4_16 visit_four mmHg v4_17 visit_four mmHg

text text text text text text text text text Blood Glu text text text text text text Blood Lip text text text text text text text text text Liver text Kidney text Gout text Blood Co text Height an text text text text text text text Waist text text Blood Pre text text text text text text text text text text text text Height an text text text text text text text Waist text text Blood Pre text text text text text text text text text text text Height an text text text text text text text Waist text text Blood Pre text text text text text

Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Technician ID Device ID Time of day blood specimen Fasting blood glucose-mmol/l Fasting blood glucose-mg/dl Glucose strip Device ID Total cholesterol-mmol/l Total cholesterol-mg/dl Triglycerides-mmol/l Triglycerides-mg/dl HDL Cholesterol-mmol/l HDL Cholesterol-mg/dl LDL Cholesterol-mmol/l LDL Cholesterol-mg/dl SGOT(ALT) Creatinine-mg/dl Uric acid Hemoglobin Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Enter Weight in kilograms (kg) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Glucose strip Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Enter Weight in kilograms (kg) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Enter Weight in kilograms (kg) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic

mmHg mmHg mmHg mmHg mmHg mmHg bpm bpm bpm

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v4_18 v4_19 v4_20 v4_22 v4_23 v4_24 v4_25 v5_1 v5_2 v5_3 v5_4 v5_5 v5_7 v5_9 v5_10 v5_11 v5_12 v5_13 v5_15 v5_16 v5_17 v5_18 v5_19 v5_20 v5_22 v5_23 v5_24 v5_25 v6_1 v6_2 v6_3 v6_4 v6_5 v6_7 v6_9 v6_10 v6_11 v6_12 v6_13 v6_15 v6_16 v6_17 v6_18 v6_19 v6_20 v6_22 v6_23 v6_24 v6_26 v6_27 v6_28 v6_29 v6_30 v6_31 v6_32 v6_34 v6_35 v6_36 v6_38 v6_39 v6_40 v6_41 v6_42 v6_43 v6_44

visit_four mmHg visit_four mmHg visit_four mmHg visit_four bpm visit_four bpm visit_four bpm visit_four visit_five visit_five visit_five visit_five cm visit_five kg visit_five kg visit_five visit_five visit_five cm visit_five visit_five visit_five mmHg visit_five mmHg visit_five mmHg visit_five mmHg visit_five mmHg visit_five mmHg visit_five bpm visit_five bpm visit_five bpm visit_five visit_six visit_six visit_six visit_sixcm visit_sixkg visit_sixkg visit_six visit_six visit_sixcm visit_six visit_six visit_sixmmHg visit_sixmmHg visit_sixmmHg visit_sixmmHg visit_sixmmHg visit_sixmmHg visit_sixbpm visit_sixbpm visit_sixbpm visit_six visit_six visit_six visit_sixmmol/l visit_sixmg/dl visit_sixmg/dl visit_six visit_six visit_sixmmol/l visit_sixmg/dl visit_sixmmol/l visit_sixmg/dl visit_sixmmol/l visit_sixmg/dl visit_sixmg/dl visit_sixmg/dl visit_sixmg/dl

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Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Glucose strip Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Enter Weight in kilograms (kg) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Glucose strip Interviewer ID Device ID for height Device ID for weight Height Enter Weight in pounds (lbs) Enter Weight in kilograms (kg) Calc BMI Device ID for waist Waist circumference Interviewer ID Device ID for blood pressure Reading 1: Systolic Reading 1: Diastolic Reading 2: Systolic Reading 2: Diastolic Reading 3: Systolic Reading 3: Diastolic Reading 1 Heart Rate Reading 2 Heart Rate Reading 3 Heart Rate Technician ID Device ID Time of day blood specimen Fasting blood glucose-mmol/l Fasting blood glucose-mg/dl Hemoglobin A1C Glucose strip Device ID Total cholesterol-mmol/l Total cholesterol-mg/dl Triglycerides-mmol/l Triglycerides-mg/dl HDL Cholesterol-mmol/l HDL Cholesterol-mg/dl SGOT(ALT)-?? Creatinine-mg/dl Uric acid-

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Compatibility Report for DATA ENTRY_Blank.xls Run on 9/10/2011 11:24 The following features in this workbook are not supported by earlier versions of Excel. These features may be lost or degraded when you save this workbook in an earlier file format. Minor loss of fidelity Some cells or styles in this workbook contain formatting that is not supported by the selected file format. These formats will be converted to the closest format available. # of occurrences 13