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Environmental Health Food Safety Survey
Food Safety Survey
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1.
How common do you think it is for people in the United States to get food poisoning because of the way food is prepared in their home?
(Required.)
Very common
Somewhat common
Not very common
Don't know
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2.
How common do you think it is for people in the United States to get food poisoning from restaurant food compared to food prepared at home?
(Required.)
More common than from food prepared at home
Less common than food prepared at home
About the same as food prepared at home
Don't know
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3.
Do you think contamination of food by microorganisms, such as germs, is a serious food safety problem, somewhat of a problem, or not a food safety problem at all?
(Required.)
Serious food safety problem
Somewhat of a food safety problem
Not a food safety problem at all
Don't know
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4.
How likely do you think it is that the following foods contain germs or other microorganisms that could make you sick? Please use a 1 to 5 scale where 1 is “not at all likely” and 5 is “very likely.”
(Required.)
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw Chicken?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw Pork?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw Beef?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw Fruits?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw Eggs?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw Vegetables?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw Shellfish?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
Raw fish, like ceviche or sushi?
Not at all likely
1
Unlikely
2
Somewhat likely
3
Likely
4
Very likely
5
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5.
How often do you prepare meals (breakfast, lunch, or dinner) in your household?
(Required.)
All or nearly all of the time
Only some of the time
Never
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6.
Before you begin preparing food, how often do you wash your hands with soap?
(Required.)
All of the time
Most of the time
Some of the time
Rarely
Never
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7.
Do you ever prepare meals where you begin with raw fish or shellfish?
(Required.)
Yes
No
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8.
Do you ever prepare meals where you begin with raw meat (beef, pork, poultry, etc.)?
(Required.)
Yes
No
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9.
In your home, how are hamburgers usually prepared?
(Required.)
Rare
Medium Rare
Medium
Medium Well
Well Done
Hamburgers are never served
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10.
If you eat meat (beef, pork, poultry, etc.) that is not thoroughly cooked, how likely are you to get sick?
(Required.)
1 Not at all likely
2 Unlikely
3 Somewhat likely
4 Likely
5 Very likely
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11.
After you have cracked open raw eggs, do you usually continue cooking, or do you first rinse your hands with water, or wipe them, or wash them with soap?
(Required.)
Continue cooking
Rinse or wipe hands
Wash with soap
Never handle raw eggs
*
12.
After handling raw meat (beef, pork, poultry, etc.), do you usually continue cooking, or do you first rinse your hands with water, or wipe them, or wash them with soap?
(Required.)
Continue cooking
Rinse or wipe hands
Wash with soap
Never handle raw eggs
*
13.
After handling raw fish, do you usually continue cooking, or do you first rinse your hands with water, or wipe them, or wash them with soap?
(Required.)
Continue cooking
Rinse or wipe hands
Wash with soap
Never handle raw fish
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14.
If you cook a large pot of soup, stew, or other food with meat (beef, pork, poultry, etc.), and want to save it for the next day, when do you put the food in the refrigerator?
(Required.)
Immediately
After first cooling it at room temperature
After first cooling it in cold water
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15.
Have you ever heard of any of the following as a problem in food?
(Required.)
Not at all likely
1
Unlikely
2
Somewhat likley
3
Likely
4
Very Likely
5
Salmonella
Not at all likely
1
Unlikely
2
Somewhat likley
3
Likely
4
Very Likely
5
Listeria
Not at all likely
1
Unlikely
2
Somewhat likley
3
Likely
4
Very Likely
5
Campylobacter
Not at all likely
1
Unlikely
2
Somewhat likley
3
Likely
4
Very Likely
5
E. coli
Not at all likely
1
Unlikely
2
Somewhat likley
3
Likely
4
Very Likely
5
Toxoplasma
Not at all likely
1
Unlikely
2
Somewhat likley
3
Likely
4
Very Likely
5
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16.
If you forget to wash your hands before you begin cooking, how likely are you to get sick?
(Required.)
1 Not at all likely
2 Unlikely
3 Somewhat likely
4 Likely
5 Very likley
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17.
If vegetables you will eat raw happen to touch raw meat (beef, pork, poultry, etc.), how likely are you to get sick?
(Required.)
1 Not at all likely
2 Unlikley
3 Somewhat likely
4 Likely
5 Very likely
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18.
If you happen to leave cooked food out of the refrigerator at room temperature for 2 to 5 hours after it has finished cooking, and eat it, how likely are you to get sick?
(Required.)
1 Not at all likely
2 Unlikely
3 Somewhat likley
4 Likely
5 Very likley
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19.
Do you have a food thermometer, such as a meat thermometer?
(Required.)
Yes
No
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20.
Thinking of your usual habits over the past year, when you prepare raw chicken, such as breasts or legs - how often do you use a thermometer?
(Required.)
Always
Often
Sometimes
Never
*
21.
Thinking of your usual habits over the past year, when you prepare baked egg dishes such as quiche, custard, or bread pudding - how often do you use a thermometer when you cook baked egg dishes?
(Required.)
Always
Often
Sometimes Raw
Never
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22.
Thinking of your usual habits over the past year, when you prepare hamburgers - how often do you use a thermometer when you cook or grill hamburgers?
(Required.)
Always
Often
Sometimes
Never
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23.
Of the following two statements, which one is closer to your view - Do you think that certain types of people have a higher risk of getting food poisoning, or do you think that all types of people have about the same risk?
(Required.)
Certain types of people have a higher risk of getting food poisoning.
All types of people have about the same risk of getting food poisoning.
24.
Please provide any comments or feedback.