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Food-assessment


Please record the servings of each food you consume each week

 
Please record the servings of each food you consume each week
Food Category Rarely / Never 3 or less servings a week 4 or more servings a week 7 or more servings a week 10 or more servings a week
Lean cuts of beef
High fat cuts of beef
Processed Meats
Pork, Lamb & Organ Meats
Poultry
Fish
Whole Eggs
Egg Whites
Whole Dairy
Skim or reduced Fat Dairy
Fried Foods
Baked Goods
Convenience Foods
Processed Snacks
Alcohol
Bread/ Rice/ Cereal/ Pasta
Vegetables
Fruit
Other
Your Name:
Email:
Phone:

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