You are What You Eat
1. Do you shop less frequently than every four days?
Yes
No
Do you eat more packaged (frozen or canned) fruits and vegetables than fresh?
Yes
No
Do you eat more cooked vegetables than raw?
Yes
No
Do you eat vegetables with less than two meals daily?
Yes
No
Do you buy more non-organic vegetables than organic vegetables?
Yes
No
Do you use a microwave oven?
Yes, 1-2 times per week
Yes, 3-4 times per week
Yes, more than 4 times per week
No
Do you eat quick cook grains such as Rice-aroni, Quaker Oats or Minute rice more often than slow cooked organic whole grains?
Yes
No
Do you eat white bread more often than whole grain breads?
Yes
No
Do you drink pasteurized/homogenized milk, or eat cheeses frequently?
Yes, 1-2 times per week
Yes, 3 times per week
Yes, more than 3 times per week
No
Do you eat non-organic yogurts that are low fat, presweetened or have fruit added?
Yes, 1-2 times per week
Yes, 3 times per week
Yes, more than 3 times per week
No
Do you eat typical store bought eggs from cage raised chickens (as apposed to free range, grain fed eggs)?
Yes
No
Do you eat red meat more than once every four days?
Yes
No
Do you commonly eat meats (beef, chicken, turkey) from sources other than a free-range and hormone-free source?
Yes
No
Do you eat canned fish more frequently than fresh fish?
Yes
No
Do you use commercial salad dressings?
Yes, once per week
Yes, twice per week
Yes, more than 2 times per week
No
Do you use Mayonnaise or products containing hydrogenated oils?
Yes, once per week
Yes, twice per week
Yes, more than 2 times per week
No
Do you eat nuts and/or seeds that are roasted and/or salted?
Yes
No
Do you use white table sugar as a sweetener?
Yes, once per week
Yes, 2-3 times per week
Yes, more than 3 times per week
No
Do you use artificial sweeteners such as Sweet-n-Low, Equal or Nurtasweet?
Yes, once per week
Yes, 2-3 times per week
Yes, more than 3 times per week
No
Do you use standard white table salt?
Yes
No
Do you eat TV dinners or other highly processed foods more than three times a week?
Yes
No
Do you eat from fast food restaurants like McDonald’s, Arbey’s, Wendy’s, etc...?
Yes, 1-2 times per week
Yes, 3 times per week
Yes, more than 3 times per week
No
Do you eat from vending machines?
Yes, 1-2 times per week
Yes, 3 times per week
Yes, more than 3 times per week
No
Do you drink tap water?
Yes
No
Do you eat some form of store bought dessert, such as ice cream, cookies, donuts, cakes or pies after dinner most nights?
Yes, once per week
Yes, 2-3 times per week
Yes, more than 3 times per week
No
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