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Eating Your Way to Health Self-Report Sheet Name:_ J ohn Hardly pate:_[/r Jot ‘**This sheet is to be completed without assistance from books, internet, books, other people & any other outside sources. 1. The 3-5 healthiest individual foods are & why? a _Bengae, Good Severe of vie 6nd low in bec jngléclienty b. kale. ots 6f nuvients Sweet pene peer, sue fie a. Toe Leen, bee [thy pated e. Sclm cena 2. The 3-5 unhealthiest individual foods are & why? a ane Aiigh in Cuger b. Hench Fie Cth end gre c. Lee cresm hich ugar od ads RIG a. Socks Ly fuser cad poice!2 e Chip) An FG C+ 3. Mecronutrientsare: nutrients thet ervvick energy 4, Micronutrients are: U4" © heie Atrnloy the loaely 5. Label the following foods as primarily either: fat (F), carbohydrate (C) or protein (P): Eggs c Olive oil E Salmon fe Broccoli c Black beans f Celery G Rice Milk Avocado e Pork £ Coconut P Blueberries Efi 6. Whenever | eat, | am cognizant of what is in (the composition) of my food. a, Strongly agree (b. Agree —c—Neither agree or disagree d. Disagree e. Strongly disagree 7. When purchasing foods | typically base my selections on: (rank the top three, 1=primary reason) Z Price | Value Quality __Brand—__ Source. __Labeling 8. | typically eat healthiest food choices. a. Strongly agree e. Strongly disagree 9. [typically pay little attention to the quality of the foods | consume/enjoy. a. Strongly agree b. Agree c._Neither agree or disagree "~@. Strongly disagree 10. If |had three foods + water to survive on for a year, | would select & why. a Grilled Chidlm — ~-Bverite food ~ Geol prohen b, Rice Sty fo eke Fetes coe c BetA ~ aust Foner te

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