Kettering  |  Grandview  |  Sycamore  |  Southview  |  Greene  |  Fort Hamilton  |  Soin KHN Home  |  Bookmark  |  About Us  |  Site Map   
Kettering Health Network
I Want To Search For:
Brain & Spine Cancer Care Heart Care
Orthopedics Weight Loss Women's Health
Drop Down Menu




Nutrition Evaluation Quiz

Larger Text    Text Size   Smaller Text Print  Print 

Take this short quiz to find out if your eating habits are protecting you from cancer. Simply answer the questions below to the best of your ability and click the "Calculate Report" button below to tally your answers.

Number of Servings

How many daily servings do you typically eat from the following food groups? Please note the serving sizes.

Number of Servings Eaten Per Day Food Group Sample Serving Size

serv/day 		Breads and Grains 1 slice bread, 1 oz. dry cereal, 1/2 cup cooked cereal, rice, or pasta

serv/day		 Vegetables 1 cup raw, 1/2 cup cooked, 3/4 cup vegetable juice

serv/day		 Fruit 1 medium apple, orange, banana, 1/2 cup cooked or canned fruit, 3/4 cup juice

serv/day		 Dairy 1 cup milk or yogurt, 1.5 oz. natural cheese, 2 oz. processed cheese

serv/day		 Protein Foods 2 to 3 oz. cooked lean meat, poultry, or fish, 1 large egg, 1 cup cooked beans, 3 oz. tofu, 1 oz. nuts, 3 oz. "veggie" burger (meat alternative)

serv/day		 Sweets and Desserts 12 oz. soft drink, 1 small candy bar, 2 Tbs. sugar or jam, 2 small cookies, 1/2 cup ice cream, 1 slice pie or cake

serv/day		 Fats 1 Tbs. butter, oil, or margarine, 2 Tbs. salad dressing or mayonnaise

Eating Practices

Mark the response that best describes your typical eating practices.

1. How often do you eat breakfast?
2. How often do you eat high fat foods (hamburgers, hot dogs, steak, bacon, sausage, and other high fat meats, fried foods, cheese, ice cream, sour cream, butter, rich desserts, or creamy salad dressings)?
3. How often do you add salt to your food or eat salty foods (chips, pickles, soy sauce, etc.)?
4. How often do you eat high cholesterol foods (eggs, meats, fried chicken, tacos, fast foods with meat, custards, whole dairy products, sour cream or ice cream, cheeses, and other foods high in animal fats)?
5. How often do you eat whole-grain breads and cereals (dry cereal like Shredded Wheat, Wheaties, or Grape Nuts, cooked cereal, or brown rice) as opposed to white breads, refined cereals such as Sugar Pops or Frosted Flakes, and white rice?
6. How often do you drink an alcohol beverage (one drink = 12 oz. can/bottle of beer, 5 oz. wine, 10 oz. wine cooler, 1.5 oz. hard liquor)?
9. Body Composition

Height:       
Weight:      
10. Gender:

   

11. How did you learn of the screening?

If "Other": 
 
Image Code: Enter number »





Top of Page

Disclaimer: This quiz has been created for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, treatment, or care. You should always follow your doctor's recommendations regarding your specific medical needs.


     © 2012 Kettering Health Network
     Privacy Practices  |  Terms of Use
Physicians Only
Employees Only

Network Home  |  Find-a-Physician  |  Billing  |  Pre-Registration  |  Thomson Award