How many times a week do you eat red meat? (Include beef, lamb,
pork, veal.)
0
1 or 2
3 or 4
5 or 6
More than 6
How many ounces of red meat constitute your normal portion? (Hint: 3
ounces, cooked, is approximately the size of a deck of cards.)
3 ounces
4 ounces
5 ounces
6 or more ounces
What kind of red meat do you usually choose?
Loin or round cuts only
80% lean
Ribs, T-bon
Hot dogs, bacon, bologna
How many times a week do you eat seafood? (Omit fried dishes;
include shellfish like shrimp and lobster.)
2 or more
1
Less than 1
Never
How many ounces of poultry or seafood do you eat for a serving? (Do
not count fried items.)
3 ounces
4 ounces
5 ounces
6 or more ounces
Do you remove the skin from poultry?
Yes
Don't eat poultry
No
How many times a week do you eat at least one half-cup serving of
legumes? (Include beans like soybeans, navy, kidney, garbanzo, baked
beans, lentils.)
3 or more
1 or 2
Less than 1
Never eat legumes
What kind of milk do you drink?
Skim or 1%
Don't drink milk
2%
Whole
What kind of cheese do you usually eat?
Fat-free
Lowfat (5 grams fat or less per ounce)
Don't eat cheese
Whole milk cheese
How many servings of low-fat, high-calcium foods do you eat daily?
(One cup of yogurt or milk, 2 ounces of cheese, or one cup chopped
broccoli, kale, or greens count as a serving.)
3 or more
1 or 2
0
What kind of bread do you eat most often?
100% whole wheat
Whole grain
White, "wheat," Italian or French
Croissant or biscuit
Which is part of your most typical breakfast?
High-fiber cereal and fruit
Bagel or toast
Don't eat breakfast
Danish, pastry, or doughnut
What kind of sauce or topping is usually on the pasta you eat?
Vegetables tossed lightly with olive oil
Tomato or marinara sauce
Meat sauce
Alfredo or cream sauce
Which would you be most likely to order at a Chinese restaurant?
Chicken with steamed vegetables over white rice
Cold sesame noodles
Twice-fried pork
Which would you be most likely to choose as toppings for pizza?
Vegetables (e. g., broccoli, peppers)
Plain cheese
Extra cheese
Sausage and pepperoni
What is the most typical snack for you?
Fresh fruit
Lowfat yogurt
Pretzels
Potato chips
Candy bar
How many half-cup servings of a high vitamin C fruit or vegetable do
you eat daily? (Include citrus fruit and juices, kiwi, papaya,
strawberries, broccoli, peppers, potatoes, tomatoes.)
2 or more
1
None
How many half-cup servings of a high vitamin A fruit or vegetable do
you eat daily? (Include apricots, cantaloupe, mango, broccoli, carrots,
greens, spinach, sweet potato, winter squash.)
2 or more
1
None
What kind of salad dressing do you most often choose?
Fat-free or low-fat
Lemon juice or herb vinegar
Olive or canola oil-based
Creamy or cheese-based
What do you usually spread on bread, rolls, or bagels?
Nothing
Jam, jelly, or honey
Light butter or light margarine
Margarine
Butter
What spread do you usually choose for sandwiches?
Nothing
Mustard
Light mayonnaise
Mayonnaise, margarine, or butter
Which frozen dessert do you usually choose?
Don't eat frozen desserts
Fat-free frozen yogurt
Sorbet or sherbet
Light ice cream
Ice cream
How many cups of caffeinated beverages (e. g., coffee, tea, or soda)
do you usually drink in a typical day?
None
1 to 2
3 or 4
5 or more
How many total cups of fluid do you drink in a typical day? (Include
water, juice, milk.)
8 or more
6 to 7
4 or 5
Less than 4
What kind of cereal do you eat?
High-fiber cereals such as bran flakes
Low-fiber, low-sugar cereals, such as puffed rice, corn
flakes, Corn Chex, or Cheerios.
Sugary, low-fiber cereals, like Frosted Flakes, or
fruit-flavored cereals
Regular (high-fat) granola
How many times a week do you eat fried foods?
never
2 or less
3 or more
How many times a week do you eat cancer-fighting cruciferous
vegetables? (Include broc-coli, cauliflower, brussels sprouts, cabbage,
kale, bok choy, cooking greens, turnips, rutabaga.)
3 or more
1 to 2
Rarely