|
|
.
|
|
|
Question 1.
Do you consider nutrition
when you make food choices?
usually
sometimes
never
|
|
Question 2.
Do you
try to eat regular meals (including breakfast),
rather than skip or skimp on some?
usually
sometimes
never
|
|
|
.
|
|
|
Question 3.
Do you choose nutritious
snacks?
usually
sometimes
never
|
|
Question 4.
Do you
try to eat a variety of foods?
usually
sometimes
never
|
|
|
.
|
|
|
Question 5.
Do you include new-to-you
foods in meals and snacks?
usually
sometimes
never
|
|
Question 6.
Do you
try to balance your energy (calorie) intake with
your physical activity?
usually
sometimes
never
|
|
|
.
|
|
|
Question 7.
Do you
eat at least 6 servings of grain products daily?
ie bread, cereals, rice and
pasta group - 1 serve is equivalent to:
- 1 slice (30 grams)
enriched or whole-grain bread, or
- 1/2 hamburger roll,
bagel, English muffin, or pita, or
- 1/2 cup cooked rice or
pasta, or
- 30 grams (1 cup)
ready-to-eat cereal
usually
sometimes
never
|
|
Question 8.
Do you
eat at least 3 servings of vegetables daily?
ie
vegetable group - 1 serve is equivalent to:
- 1/2 cup
chopped raw, non-leafy vegetables, or
- 1/2 cup
cooked vegetables, or
- 1 small
baked potato (90 grams), or
- 3/4 cup
vegetable juice
usually
sometimes
never
|
|
|
.
|
|
|
Question 9.
Do you eat at least 2
servings of fruits daily?
ie fruit
group - 1 serve is equivalent to:
- 1 medium
fruit (apple, orange, banana, peach), or
- 3/4 cup
fruit juice, or
- 1/2 cup
canned, frozen, or cooked fruit
usually
sometimes
never
|
|
Question 10.
Do you
consume at least 2 servings of milk, yoghurt, or
cheese daily?
ie milk,
yogurt and cheese group - 1 serve is equivalent
to:
- 1 cup
milk, buttermilk, or yoghurt, or
- 40 grams
natural cheese (cheddar, mozzarella,
Swiss), or
- 1 cup
frozen yoghurt
usually
sometimes
never
|
|
|
.
|
|
|
Question 11.
Do you go easy on higher-fat
foods?
usually
sometimes
never
|
|
Question 12.
Do you go easy on sweets?
usually
sometimes
never
|
|
|
.
|
|
|
Question 13.
Do you drink 8 or more cups
of fluids daily?
usually
sometimes
never
|
|
Question 14.
Do you limit alcoholic
beverages (no more than 1 daily for a woman or 2
for a man)?
usually
sometimes
never
|