Please answer the following questions based on the nutrition recommendations for ages 4-18 years old

* 1. Do you think what people eat and drink is related to health problems like high blood pressure?

* 2. How many 1/2 cup servings of fruits do you need a day?

* 3. How many 1/2 cup servings of vegetables do you need a day?

* 4. Can fresh fruits and vegetables help prevent diseases like cancer?

* 5. How many servings of milk and dairy foods do you need each day?

* 6. How many 1 ounce servings of breads and grains do you need each day?

* 7. Do you think too much sugar can lead to being overweight and diabetes?

* 8. Do you think these foods are high or low in extra sugar? (check one box per food)

  High Low Not Sure
Granola bars and cereal bars
Tomato ketchup
Frosted breakfast cereal flakes
Canned fruit in natural juice
Fruit punch and soda
Pretzels and saltine crackers

* 9. Do you think heart disease can be caused by eating too much fat?

* 10. Do you think these foods are high or low in fat? (check one box per food)

  High Low Not Sure
Pasta with meatless spaghetti sauce
Roasted chicken or turkey breast (without skin)
Granola bars
Nuts
Pizza
Peanut butter
Fast food hamburger
Potato chips or corn chips

* 11. Do you think these foods are high or low in saturated fat? (check one box per food)

  High Low Not Sure
Salmon
Whole milk
Olive oil
Beef or pork ribs
Butter
Chocolate
Palm oil
Hotdog
Bacon or breakfast sausage

* 12. Which cheese has the least amount of fat?

* 13. Cholesterol in the diet can only come from animal products:

* 14. Do you think that too little fiber leads to problems like colon cancer or heart disease?

* 15. Do you think these foods are high or low in fiber? (check one box per food)

  High Low Not Sure
Cornflakes
Eggs
Iceberg lettuce
Fresh, raw or steamed broccoli
Oats and whole grains
Baked potato with skin
Chicken, beef, or pork
Beans such as baked beans, pinto, kidney or lentils
Apple with skin

* 16. Do you think how much salt people eat or drink can lead to high blood pressure?

* 17. Do you think these foods and drinks are high or low in salt? (check one box per food)

  High Low Not Sure
Bacon or breakfast sausage
Bottled or canned spaghetti sauce
Prepackaged meals (frozen dinners or boxed macaroni and cheese)
Frozen vegetables without sauce
Cheese
Canned soup
Deli lunch meat (bologna, ham, roast beef)
Canned fruit

* 18. Do you think these eating habits can help lower your risk of getting certain kinds of cancer? (answer each one)

  Yes No Not Sure
Eating less fiber
Eating more fruits and vegetables
Eating more processed foods
Eating less fat

* 19. Do you think these foods will help build strong bones?

  Yes No Not Sure
Canned sardines
Broccoli, spinach, other dark leafy greens
Dairy products (milk, cheese, yogurt, ice cream)
Orange juice with calcium
Fruit
White rice
Almond milk, rice milk, soy milk

* 20. Check all nutrients that you think help keep bones healthy.

* 21. Additional Comments

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