Telehealth Nutrition Pre-Test
This is your pre-test for the nutritional lessons. You will be asked the same questions at the end of the school year. Please answer honestly.
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Today's date: *
年
/
月
/
日
Your first name: *
Your last name: *
School: *
Grade: *
How old are you? *
Are you A... *
Are you Hispanic or Latino? *
What is your Race? *
How many times do you drink SODA each day? *
How many times do you drink WATER each day? *
How many low-fat or fat free drinks or foods from the dairy group do you have each day? (Examples: low-fat milk, fat-free milk, low-fat yogurt, low-fat cheese) *
How many times do you eat whole grain foods each day? (Examples: whole grain breakfast cereals, oatmeal, popcorn, whole wheat bread, brown rice, soft corn or whole wheat tortillas) *
How many days do you eat breakfast each week? *
How many times do you eat FRUIT each day? *
Yesterday, how many different kinds of FRUIT did you eat? (Examples: apple, banana, berries, pineapple, orange, grapes)
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How many times do you eat VEGETABLES each day?
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Yesterday, how many different kinds of VEGETABLES did you eat? (Examples: lettuce, carrots, cucumber, potato, corn, green beans, pinto beans)
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