Do fast carves make us fat

Are sugar and chips and basicaly sweets the main thing


         

       

Name: 


  1. Who shops for food at your home? ____________________________


  1. What do you drink during the day? ____________________________


  1. What kind of meat do you usually buy?
    ___ hamburger, steaks, pork chops ___ chicken, fish



  1. What type of meal or meals do you prepare most often?
    ___ fry ___ bake ___ broil ___ stew/slow cook ___ grill



  1. How many times a day do you eat? ____________________________




  1. What do you usually eat? ____________________________


  1. How many times do you eat out during the week? ___________________




  1. What do you get when you do eat out?


  1. Where do you normally eat out at?


  1. List any vitamins or dietary supplements you take here. How many of each do you take? How often?
    __________________________________________________________
    __________________________________________________________
    __________________________________________________________



  1. If you eat any special foods for health or personal reasons, list what kind and how much.
    __________________________________________________________
    __________________________________________________________
    __________________________________________________________



  1. Do you add salt to your food at the table?
    ___ Yes ___ No



  1. Do you add salt to foods when you cook?
    ___ Yes ___ No



  1. Grains
    ____ slice(s) of bread



  1. Fruits
    ____ piece(s) of fruit (an apple, orange, banana, slice of melon, etc.)
    ____ 1/2 cup(s) cooked or canned fruit
    ____ small glass(es) of fruit juice



  1. Beverages
    ____ cup(s) of regular coffee
    ____ cup(s) of decaf coffee
    ____ cup(s) of regular tea
    ____ cup(s) of decaf tea
    ____ 12-ounce soft drinks
    ____ 12-ounce diet drinks
    ____ glass(es) of Kool-Aid or fruit punch
    ____ glass(es) of water



  1. Sweets and Fats
    ____ sweet roll(s) or donut(s)
    ____ slice(s) of pie or cake
    ____ 3 small cookies
    ____ candy bar(s)
    ____ 10 chips or french fries
    ____ rounded teaspoon(s) of margarine or butter
    ____ tablespoon(s) of salad dressing



  1. ____ glass(es) (8 ounces) of whole milk




  1. ____ 1/2 bun(s), English muffin(s) or bagel(s)


  1. ____ glass(es) of 2% milk and how many onces






Ms. Hall
Technology Specialist
Gary Community Service Center
Gary, IN