Vegetable consumption # days /week WHO STEPS core diet [1] 4 Vegetable servings # servings (std serving) WHO STEPS core diet [1] 4 Meals /week Fried vegetables # meals/week 4Leaf survey [3] 4 Meals /week meat/poultry # meals/week 4Leaf survey [3] 4 Meals /week fish # meals/week 4Leaf survey [3] 4 Meals /week other protein (legumes, nuts etc) # meals/week 4Leaf survey [3] 4 Times /week dairy # times/week 4Leaf survey [3] 3 Times /week deep fried foods # times/week 4Leaf survey [3] 4 Oil/fat usually used for cooking(meal prep) WHO STEPS- expanded diet [1] 4 Arm circumference cuff size Cuff size (S, M, L, XL) 5 Systolic BP Mean of 2nd/3rd reading WHO STEPS Protocol recommended [1] 10 Diastolic BP Mean of 2nd/3rd reading WHO STEPS Protocol recommended [1] 10 Heart Rate (pulse) Mean of 2nd/3rd reading WHO STEPS Protocol recommended [1] 9 Height cm (stadiometer if possible) WHO STEPS Protocol recommended [1] 9 Weight Kg (digital scale if possible) WHO STEPS Protocol recommended [1] 9 Waist circumference cm (constant tension tape if possible) WHO STEPS Protocol recommended [1] 6
Hip Circumference cm (constant tension tape if possible) WHO STEPS Protocol recommended [1] 5 Personal Medical History History/ knowledge of hypertension Ever been told by doctor or HCW of raised BP WHO STEPS core HT [1] 8 Hypertension Medication in past 2 weeks WHO STEPS core HT [1] 8 History/ knowledge of Diabetes Ever been told by doctor or HCW of diabetes WHO STEPS core HT [1] 8 History/knowledge of CVD Ever been told by doctor or HCW of heart problems WHO STEPS core HT [1] 7 History of CVD (coronary artery bypass surgery Ever had 5 History of CVD (coronary angioplasty) Ever had 5 History of stroke Ever been told by doctor or HCW of symptoms of stroke WHO STEPS core HT [1] 8 History/knowledge of CKD Ever been told by doctor or HCW of CKD WHO STEPS core HT [1] 7 Knowledge of HTN Knowledge of HTN What does the term Hypertension mean? [4] 1 Knowledge of HTN How dangerous is hypertension to your health? [4] 1 Knowledge of HTN Would lowering high blood pressure improve a person’s health? [4] 0
Awareness of HTN Have you ever been told by a doctor or health care provider what your own blood pressure reading should be? [4] 0 Knowledge of HTN If told, what should your top number (systolic) be [4] 0 Knowledge of HTN If told, what should your bottom number (diastolic) be [4] 0 Physical Activity Physically active for>30 min 5 times/week WHO STEPS core Phy Act.[1] 8 Time spent walking/ bicycle riding on typical day WHO STEPS core Phy Act. [1] 9 Time spent sitting reclining on typical day WHO STEPS expanded Phy Act [1] 6 Smoking Smoking/chewing tobacco use Current use smoking [5] 10 Smoking/chewing tobacco use Current use smokeless [5] 7 Smoking/chewing tobacco use On average how often use (smoke or smokeless) [5] 5 Smoking/chewing tobacco use Ever consumed >100 [5] 4
Anyone smoking at home [5] 4 Alcohol Alcohol use Ever consumed WHO STEPS Alcohol core [1] 6 Alcohol use Consumed (previous 12 months) WHO STEPS Alcohol core [1] 5 Alcohol use Past 12 months frequency of std drink WHO STEPS Alcohol core [1] 4 Alcohol cessation Stopped due to health advice WHO STEPS Alcohol core [1] 3 Biochemical Fasting blood glucose measure Check fasting WHO STEPS biochemical core [1] 4 Fasting blood glucose measure Time of day WHO STEPS biochemical core [1] 4 Fasting blood glucose measure FBGL (mmol/L or mg/dL) WHO STEPS biochemical core [1] 4 Fasting blood glucose measure Check medication (insulin etc) WHO STEPS biochemical core [1] 4 24 hr Urine 24 hr volume (ml) WHO STEPS biochemical core [1] 2 24 hr urine assessment of complete sample WHO STEPS biochemical core [1] 2 Na+ conc Na+ estimate mEq/L/day WHO STEPS biochemical core [1] 2