The AFQPHALS Survey (Adult Food Quality and Physical Activity Level Survey), is a semi-structured instrument consisting of 35 questions that evaluate food quality, level of physical activity and provision of health education in adults.

The AFQPHALS instrument (consisting of 35 questions), originates from the ECAAM instrument (Encuesta de Calidad de Alimentación del Adulto Mayor) , which means Food Quality Survey of Elderly (FQSE), an valid structured instrument and applied to the elderly, consisting of 23 questions.

The FQSE survey was translated, adapted into Albanian and question 14 and the response alternatives of questions 8, 13, 14, and 19 were adapted and the score was eliminated.

On May 17, 2020, after consulting with the author of the FQSE survey, Samuel Durán Agüero about the use of this instrument in adults and the approval of his permission for the use of this instrument in Albania, I added to the FQSE instrument some other questions, such as: the level of physical activity and some socio-demographic data, and 3 optional questions, which would be necessary to fulfill the purpose of this study, creating the new semi-structured instrument, the AFQPHALS Survey (Adult Food Quality and Physical Activity Level Survey).

AFQPHALS was incorporated into the e-encuesta.com platform in the form of an online questionnaire.

Subsequently, the AFQPHALS survey was subject to evaluation of the content and logical validity by a group of experts, the AFQPHALS pilot test and the evaluation to detect if it presented difficulties during the completion of the survey by the participants of the pilot test, as well such as the need for instrument modifications, adjustments or improvements.

• Questions 1 to 23 that assess the quality of food were adapted from the FQSE survey (Durán Agüero, Candia and Pizarro Mena, 2017)

• Question 24 to assess the level of physical activity was formulated according to the literature. (Spanish Nutrition Foundation (FEN))

• Questions 25-32 are questions about universal / socio-demographic data,

• Questions 33, 34 and 35 are optional questions, for subjects who want to benefit from health education, who accompanied the survey.

Question 33 was added for subjects who want to receive health education with personalized information on body parameters, as well as advice on healthy eating and physical activity with respect to the AFQPHALS survey questions.

Question 34 was added to enter the email address of the person interested in health education with the services mentioned above.

Question 35 was added to refer to problems or diseases, with the aim of dietary advice for each of them based on their health problems or diseases.