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* 1. First Name

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* 2. Last Name

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* 3. Employee ID Number

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* 4. Email (Texas Children's email preferred)

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* 5. How many servings of fruit do you currently consume per day?
(1 serving = approx. 1 cup)

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* 6. How many servings of vegetables do you currently consume per day?
(1 serving = approx. 1 cup)

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* 7. How many servings of animal and/or plant based protein do you currently consume per day? (1 serving = approx. palm of hand) Examples include chicken, turkey, fish, eggs, greek yogurt, beans, tofu, etc.

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* 8. How many servings of fat do you normally consume per day (1 serving = 2 tbsp.) Examples include olive oil, avocado, nuts, seeds, etc.

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* 9. How many servings of carbohydrates do you normally consume per day (1 serving = 1/2 cup)? Examples include oats, rice, pasta, potatoes, etc.

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* 10. How many glasses of water do you consume each day?

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* 11. How often do you grocery shop?

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* 12. How often do you cook for yourself or your family?

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* 13. What are your goals for the My Nutrition Challenge?

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