Nutrition and Lifestyle Questionnaire

You are WHAT You Eat

1. Do you shop less frequently than every four days?

2. Do you eat more packaged (frozen or canned) fruits and vegetables than fresh?

3. Do you eat more cooked vegetables than raw?

4. Do you eat vegetables with less than two meals daily?

5. Do you buy more non-organic vegetables than organic vegetables?

6. Do you use microwave oven?

7. Do you eat quick cook grains such as Rice-aroni, Quaker Oats or Minute rice more often than slow cooked organic whole grains?

8. Do you eat white bread more often than whole grain breads?

9. Do you drink pasteurized/homogenized milk, or eat cheeses frequently?

10. Do you eat non-organic yogurts that are low fat, presweetened or have fruit added?

11. Do you eat typical store bought eggs from cage raised chickens (as apposed to free range, grain fed eggs?

12. Do you eat red meat more than once every four days?

13. Do you commonly eat meats (beef, chicken, turkey) from sources other than a free-range and hormone-free source?

14. Do you eat canned fish more frequently than fresh fish?

15. Do you use commercial salad dressings?

16. Do you use Mayonnaise or products containing hydrogenated oils?

17. Do you eat nuts and/or seeds that are roasted and/or salted?

18. Do you use white table sugar as a sweetener?

19. Do you use artificial sweeteners such as Sweet-n-Low, Equal or Nurtasweet?

20. Do you use standard white table salt?

21. Do you eat TV dinners or other highly processed foods more than three times a week?

22. Do you eat from fast food restaurants like McDonald's, Arbey's, Wendy's, etc...?

23. Do you eat from vending machines?

24. Do you drink tap water?

25. Do you eat some form of store bought dessert, such as ice cream, cookies, donuts, cakes or pies after dinner most nights?

Next section