Yes 13 do you typically eat 2 4 servings of fruit yes

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Yes 13. Do you typically eat 2-4 servings of fruit? Yes 14. Do you typically eat 2-3 servings from the milk, yogurt, and cheese groups of food? Yes 15. Do you typically eat 2-3 servings from the meat, poultry, fish, beans, eggs, and nuts group of foods? Yes 16. Do you drink adequate amounts of water? Yes 17. Do you get adequate minerals in your diet without a supplement? Yes 18. Do you limit your caffeine and alcohol consumption to acceptable levels? Yes 19. Is your average calorie consumption reasonable for your body size and for the amount of calories you normally expend? 17 Total number of “yes” answers ___17_______ NAME: Fernando del Campo CHART 2: Dietary habits rating scale Score Rating 18-19 Very good 15-17 Good 13-14 Marginal 12 or less Poor
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DAILY DIET RECORD DAY 1 Breakfast Food Amount (cups,tsp., etc.) Calorie s Food Servings Estimated meal Calorie % Bread/ Cereal Fruit/ Veg. Milk/ Meat Fat/ Sweet bacon 2 698 X 25 % protein 10 % fat 35 % complex carbohydrate 30 % simple carbohydrate 100% Total hashbrowns 1 457 X pear 1 0 x Meal Total 4 1145 1 2 Lunch Food Amount (cups, tsp., etc.) Calorie s Food Servings Estimated meal Calorie % Bread/ Cereal Fruit/ Veg. Milk/ Meat Fat/ Sweet burrito 1 300 X X 27 % protein 18 % fat 37 % complex carbohydrate 18 % simple carbohydrate 100% Total Rice 1 20 X Fries 1 600 X salad 1 6 x Meal Total 4 926 2 1 1 1 Calories Servings Servings Servings Servings
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DAILY DIET RECORD (cont.) Dinner Food Amount (cups, tsp.,etc.) Calories Food Servings Estimated meal Calorie % Bread/ Cereal Fruit/ Veg. Milk/ Meat Fat/ Sweet Chicken fingers 5 489 X 10 % protein 35 % fat 35 % complex carbohydrate 20 % simple carbohydrate 100% Total Salad 1 6 X banana 1 0 x Meal Total 7 495 2 1 Snack Food Amount (cups, tsp., etc.) Calories Food Servings Estimated snack Calorie % Bread/ Cereal Fruit/ Veg.
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