Health Benefits for Seniors

Questions marked with an * are required

I have tried:

* Fruits

* Vegetables

* Lean Proteins

I will try this week: Select all that apply

Green vegetables (spinach, greens, artichokes)

Red fruits (raspberries, grapes, cherries)

Yellow vegetables (corn, squash, Pole beans)

I have tried a lean protein shake or lean meat this week?

Yes

No

Plan to soon

* I know that a varied diet is beneficial to my health?

Yes

No

Need additional assistance

* I see this diet change as a positive change in my lifestyle?

Yes

No

Maybe

Need more information

I let my caregiver help me with food preparation?

Yes

No

Sometimes

I need help

I only eat what my family provides for me.

Yes

No

Maybe

* I want more choices of healthy food, but continue to have trouble obtaining them.

Yes

No

Sometimes

I feel good about my dietary changes.

Yes

No

Sometimes

* I feel stronger since my diet change and will continue to add new fresh fruits, vegetables and lean protein to my diet.

Yes

No