Skip to main content

Table 2 Questionnaires about dietary phosphorus for dialysis patients

From: The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

No.

Questions

1

Do you pay attention to your intake of phosphorus?

2

Approximately how many times do you eat fish or meat in a week?

3

What kind of dairy products do you eat? (e.g., yogurt, cheese, milk, etc.?) How many times in a week?

4

Approximately how many times a week do you eat processed foods? (e.g., ham, sausages, chikuwa etc.)

5

Do you go to restaurants, eat bento boxes, or instant meals? If you answered yes, how many times? (everyday/once a every few days/once a week/once a month/twice a month)

6

Who cooks at home? (you/partner/your child/your parents/others)

7

Do you pay attention to what’s in your food? (e.g., Intake salt, use scale, restrict water, no attention, other)

8

Are you prescribed phosphate binders? If you answer yes, tell me their names.

9

If you take Fosrenol, tell me how do you take it? (crushed/ uncrushed)

10

Do you sometimes forget to take phosphate binders?

11

If you do forget to to take it, what do you then do? (e.g., nothing/take next meal time/when you remember/or other)

12

Do you take phosphate binders on an empty stomach?

13

Do you take laxatives? If you answer yes, how many, what kind? When do you take them? (the morning before HD/ Before sleeping/a non-dialysis morning) How many times do you defecate?

14

Do you know your blood level of phosphate?

15

Do you check your blood data? (Regularly/Sometimes/Never) If you do check, what do you see? (Phosphorus/potassium/neutral fat/bloodless data/blood sugar/others)

16

If you are told that your phosphorus levels are high, do you do something to combat it?(meals/take phosphate binders regularly/Do nothing/ Have never been told its high)

17

After paying attention to high phosphorus levels and trying to combat it, have your phosphorus levels declined?