Name: Elren Mae Dewites Date: December 12, 2021

Year/Course/Section: 1 BSE-D

2 Pts- Almost 1 Pt- Sometimes 0 Pt-

Always Seldom/Never
1. I eat foods from
several food groups ✔
at each meal.
2. Each day I eat at
least 6 servings of ✔
bread, cereal,
grains, and pasta
group.
3. Each day I eat at ✔
least 3 servings of
vegetable group.
4. Each day I eat at ✔
least 3 servings
from the fruit group.
5. Each day I eat at
least 2 servings ✔
from the meat,
poultry, fish and
alternate groups.
6. Each day I eat at
least 2 servings ✔
from the milk, yogurt
and the cheese
group.
7. I eat fried foods
such as french fries ✔
and fried onion rings
sparingly.
8. I avoid high-fat ✔
desserts and baked
food.
9. I eat gravies and
reach sauces ✔
sparingly.
10. I cut all visible
fat of the meats and ✔
remove the skin
from the chicken.
11. I reach for fresh
fruits instead of a ✔
sweet dessert or
snack
12. I buy fruit
packed in water or ✔
juice instead of
heavy syrup.
13. I eat whole-grain
breads and cereals ✔
instead of highly
refined grains.
14. I eat whole fruits ✔
with the skin or
peel.
15. I taste food
before salting it.
16. I avoid eating ✔
too many salty
snack foods.
17. I avoid alcoholic ✔
beverages.
18. I eat a nutritious ✔
breakfast.
19. I drink milk or
juice at mealtime ✔
rather than a soft
drink.
20. I snack mostly
on foods from the 5 ✔
food groups rather
than on empty-
calorie foods
21. If I snack, I do ✔
so well before
mealtime.
22. At potatoes and
pasta bars, I avoid ✔
overloading on
sauces, sour cream,
and butter.
22. At potatoes and
pasta bars, I avoid ✔
overloading on
sauces, sour cream,
and butter.

23. At salad bars I

go heavy on fresh ✔
fruits/ vegetables
and light on
creamed
salads/desserts.
24. I use information
on a nutrient label ✔
and the ingredient
list of a food label
when I shop for
food.
25. I compare prizes
using the unit price ✔
label when I shop
for groceries.

What Is Your Score?

32- I might understand that good nutrition is important to my health, but I need to make wiser food
decisions.

Part B

4. The food behaviors that I like to change or improve is my poor meal planning, eating too processed
foods or any foods are low in fiber or high in fat, salt and/or sugar.

5. The steps involved in making these change is taking baby steps such as starting each day with a
nutritious breakfast, getting 8 hours of sleep each night , drinking more water and fewer sugary drinks and
many more.

6. My timetable for making these changes is every day of the week

7. My rewards for making these changes is having a healthy body and a peaceful life with no sickness.