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» TATU Pier SURVEY
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INDIVIDDAL, WEOICAL A PLET QUECHONNAIRE
PGE 2 oF &
DIETARY INT>FoUTON
Trestrectinns :
—_ ,
of nt webriuction based on actu by feriouia at Uf of
Abell, Fediclines of the
diet at Toatel after reset eneuet irl Ieee ex! wy
+ Sefiaute moult a0 aeeurstely ar possible, TH mals!
o fer all ostinases of quastites, tu2 the
12 oumee. Soff drink can an the stedarel
eit of measurement for al| toed aud beverage
substecced. eventhi
: bread nell
ceapwut wear, omc} juice ale. Rreerd aumorels as 1, or more yor iu thnDeak) 255 [55 as
+ De not Praqarrdle fey aug teason|
.
.
peat om domestic fe sften. We will te onfncte He
peeesatay
Fie of Hausition
NokwaAL te Famine pride fhe NORMAL. aud FAMINE
» Famine. cortitiqn. ae the se tins whee. becaute of [ack of fold tp Setvice. ,
dicho uration collected hy thas 4
o All free Columues ae &
iounarye .
be consplefed for each, tod aud beverage eux
Day | WEEK, ¢ MonTiL, we. fer cack. item which A Au “het consumed hy The
person
lepoog .
FAMING
NoRm AL
CONDITIONS
CONDITIONS
NAME OF
CoNSUMProe®s RATE
Cons UmPTon RIFTS
Mtrowbeot
bo LL
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DRMETIC_AGRICUCTIZALPROONCIS.
\s
Aaoef Met tek aaa t
Annet Auseed
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Feod TEM
Week | test
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f
ni
CheLOO_o te OT
LEnele
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Coconutteal
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