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How often do you eat F&V?
 
1 day
 
2 day
 
3 day
 
4 days or more
 
weekly
 
Other
 
 
 
 
When food shopping do you purchase organic foods?
 
1 day
 
2 days
 
3 days
 
4 days or more
 
weekly
 
Other
 
 
 
 
Do you feel that you have good shopping practices?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Do you understand what it means to be food safe?
 
yes
 
no
 
Other
 
 
 
 
Do you understand what it means to modify foods low in fats?
 
yes
 
no
 
Other
 
 
 
 
Do you avoid seasonings or condiments in cooking?
 
Yes
 
No
 
Other
 
 
 
 
Are you familiar with the DASH seasonings and or diet plan?
 
yes
 
no
 
Other
 
 
 
 
How many days of the week do you eat breakfast?
 
1 day
 
2 days
 
3 days
 
4 days or more
 
weekly
 
Other
 
 
 
 
How would you describe the quality of your diet?
 
fair
 
good
 
excellent
 
Other
 
 
 
 
Are you ready to make healthy food changes today on your meal plan?
 
yes
 
no
 
Other
 
 
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