Rioflorido, Janine R.

HNCA II-01
ASSIGN. #1

7. Usual food intake.

Frequency of Use Remarks/

Food Description/ Size per
Per
Per day Seldom Never serving
week

Cereals and Starches

Rice ✓
Bread ✓
Noodles/Pasta ✓
Other cereals ✓
Other baked ✓
✓
Goods
Potato/Camote ✓

Vegetables ✓
Leafy green ✓
Others

Fruits
✓
Banana ✓
Juices
Others
✓
Protein-rich foods ✓
Beef
Pork ✓
Fish/Shellfish ✓
Processed meat ✓ ✓
Processed fish ✓
Poultry ✓
Eggs ✓
Milk (type) ✓
Cheese (type) ✓
✓
Dried beans/nuts

Fats and oils

Cooking oil (type) ✓
Butter
✓
 Margarine (type) ✓ ✓
Salad dressing

Sweets and desserts

Sugar ✓
Candy/Chocolate ✓
Ice cream ✓ ✓
Cakes/ Pastries ✓
Native *kakanin*

Misellaneous
Toyo, patis,
Bagoong ✓
Alcoholic drinks ✓
Coffee/tea ✓
Soft drinks ✓ ✓

8. Other food eaten regularly

9. Foods particularly liked
10. Foods particularly dislike
11. Allergies
12. Vitamin and minerals supplements taken