DietSys Sample Questionnaire

The 1992 Block-NCI Questionnaire is provided as a template. If you use this questionnaire, it is strongly recommended that you make modifications to reflect recent changes in dietary habits. This PDF file can be used to print the equivalent of a photocopy of the scannable form but not a machine readable copy.

Get 1992 Block-NCI Scannable Questionnaire (PDF file)

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