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| How many serving of fruits and vegetables do you and family eat on a daily basis? |
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| How often on a daily basis, do you plan meals for you and your family? |
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| How often do you and your family eat at fast food restaurants? |
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| From 1-4, 1 being the most important. How important is eating healthy to you and your family? |
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| How often on a weekly basis, do you plan meals ahead for you and your family? |
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| Do you select foods for taste or for nutrition? |
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| Please plan a typical family meal below with proteins, vegetables, grain, fruit and dairy. |
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| How often do you and your family eat fish each week? |
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| Do you and your family drink water instead of choosing beverages that contain sugar? |
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| Do you and your family drink milk? |
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