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Table 1 Lifestyle factor questionnaire

From: Associations between the menstrual cycle, lifestyle factors and clinical assessment of the ocular surface: a prospective observational study

Nutrition
• How many times have you chosen a diet low in fat, saturated fat, and cholesterol?
• How many times have you limited the use of sugars and food containing sugar? (i.e., sweets)
• How many days have you eaten 2–4 servings of fruit each day?
• How many days have you eaten 3–5 servings of vegetables each day?
• How many days have you eaten 2–3 servings of food high in Omega? (i.e. fish, flaxseed, chia seeds, walnuts)
• How many days have you taken any Omega supplements? (i.e. fish oil capsules)
• How many days have you drunk more than 1–2 alcoholic drinks? (one drink = 375 ml beer, half glass of wine, one shot of hard liquor)
Caffeine
• How many days have you had caffeinated beverages? (i.e. coffee, tea, Coke, energy drinks)
• How many times in a day have you had caffeinated beverages?
• How many cups in a day have you had each time? (i.e. 1 cup = 1 shot of coffee)
Exercise
• Have you exercised vigorously for 20 or more minutes at least 3 times? (i.e. brisk walking, bicycling, aerobic dancing, using a stair climber)
• Have you taken part in light to moderate physical activity for 30 or more minutes at least 5 times? (i.e. sustained walking, pilates, hiking)
• Have you taken part in leisure-time (recreational) physical activities?
• Have you done stretching exercises at least 3 times?
Stress
• How many times have your emotions stopped you from carrying out day-to-day activities?
• How many times have you felt emotionally drained?
• How many times have you avoided your study/ work/ commitments and responsibilities?
• How many times were your hands sweaty (due to stress)?
• How many times you couldn’t breathe (due to stress)?
• How many times did you feel lazy when it came to your study/ work/ commitments and responsibilities?
• How many times have you had trouble concentrating?
• How many times have you had difficulty eating (due to stress)?
Sleep
• How many days have you taken medicine (prescribed or over the counter) to help you sleep?
• How many times have you had trouble staying awake while driving, eating meals or engaging in social activity?
• How many times have you woken up (without being physically interrupted) during your sleep?
• How would you rate your quality of sleep?
• How many days do you get 8 h of undisturbed sleep?
Environment
• How many hours have you spent outdoors each day?
Device used
• How many hours per day have you spent watching television?
• How many hours per day have you spent doing near work activities? (i.e. computer work, using iPad, reading a book, paperwork)