Basic Information
1) Noodles
① Noodles in Broth
① Noodles in Broth
Ramen, udon, soba, pho, etc.
How often do you eat this?
How much broth do you drink?
② Other Noodle Dishes
Dipping noodles, pasta, stir-fried noodles, etc.
How often do you eat this?
2) Rice Bowls & Rice Dishes
Donburi (rice bowls), fried rice, curry rice, sushi, etc.
How often do you eat this?
3) Hot Pot Dishes
① Simmered Hot Pots
Kimchi hot pot, curry pot, stews, sukiyaki, etc.
Kimchi hot pot, curry pot, stews, sukiyaki, etc.
How often do you eat this?
② Hot Pots with Dipping Sauce
Shabu-shabu, plain hot pot, etc.
Shabu-shabu, plain hot pot, etc.
How often do you eat this?
4) Eating Out & Takeout
Restaurant meals, convenience store meals, bento boxes, etc.
How often do you eat this?
5) Processed Foods
Fish cakes, fish roe, salted seafood, ham, sausage, bacon, etc.
How often do you eat this?
6) Pickles & Dried/Salted Foods
Pickled vegetables, dried fish, salted fish, etc.
How often do you eat this?
7) Soups
Miso soup, clear soup, other soups, etc.
How often do you have this?
Name:
Height: cm
Weight: kg
Date:
Questionnaire Responses
💡 Results
0.0
g/day
📊 Salt Intake Evaluation Scale
Your Result
🌟 Excellent (Under 6g/day)
Meets CKD guideline target
👍 Good (6-8g/day)
Close to the target
📝 Fair (8-10g/day)
Consider reducing salt intake
⚠️ High (10-12g/day)
Further reduction needed
⚡ Caution (12g/day or more)
Consult your doctor
📈 Past Records
No records yet