1a. Butter, margarine, shortening, mayonnaise, sour cream, lard, oil, salad dressing:

I always add these to foods in cooking, and/or at the table.

I occasionally add these foods in cooking and/or at the table.

I rarely add these foods in cooking and/or at the table.

1b. Fried foods

I eat fried foods 3 or more times a week.

I eat fried foods 1-2 times a week.

I rarely eat fried foods.

2a. Milk

I drink whole milk.

I drink 1%-2% milk.

I drink skim milk.

1b. Ice-Cream

I eat ice-cream almost every day.

I eat ice-milk, low-fat frozen yogurt, and sherbet.

I eat only fruit ices, seldom eat dairy deserts.

I eat mostly high-fat cheeses, such as Jack, cheddar, colby.

I eat both low and high-fat cheeses.

I eat mostly low-fat cheeses.

3.Snacks potato chips, corn chips, nuts, buttered popcorn, candy bars:

I eat these every day.

I eat some occasionally.

I seldom or never eat these snacks.

4. Baked Goods pies, cakes, sweet rolls, doughnuts:

I eat them 5 or more times a week.

I eat them 2-4 times a week.

I seldom eat them, if ever.

5. Poultry and Fish

I rarely eat these foods.

I eat them 1-2 times a week.

I eat them three or more times a week.

I am a vegetarian.

6. Low-fat Meat extra-lean hamburger, round steak, pork loin, chuck roast

I rarely eat these foods.

I eat these foods occasionally.

I eat mostly fat-trimmed meat.

I am a vegetarian.

7. High-fat meat luncheon meats, bacon, hot dogs, steaks, sausage, regular ground beef

I eat these every day.

I eat these foods occasionally.

I never eat these foods.

I am a vegetarian.

8. Cured and smoked meat and fish luncheon meats, hot dogs, bacon, ham, pickled meats

I eat these foods four or more times a week.

I eat some 1-3 times a week.

I seldom eat these foods.

I am a vegetarian.

9. Legumes dried peas and beans, kidney, navy, pinto, garbanzo, lentil

I eat legumes less than once a week.

I eat these foods 1-2 times a week.

I eat them 3 or more times a week.

10. Whole grains and cereals whole-grain breads, brown rice, pasta, whole-grain cereals

I seldom eat such foods.

I set them 2-3 times a day.

I eat them 4 or more times daily.

11. Vitamin C-rich foods citrus fruits, green peppers, strawberries, tomatoes

I seldom eat them.

I eat them 3-5 times a week.

I eat them 1-2 times daily.

12. Vegetables in the cabbage family broccoli, cabbage, cauliflower

I seldom eat them.

I eat them 1-2 times a week.

I eat them 3-4 times a week.

13. Alcohol

I drink more than 2 ounces of 80 proof liquor daily (2 oz. 80 proof liquor, 6 ½ ounces wine or 25 ounces beer).

I drink alcohol every week but not daily.

I occasionally or never drink alcohol.

14. Personal Weight

I’m more than 20 pounds over my ideal weight.

I’m 10-20 pounds over my ideal weight.

I’m within ten pounds of my ideal weight.

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