4 Which calcium rich foods, if any do you usually eat or drink?
a. Green vegetables, such as spinach and broccoli
b. 1 percent milk, 1 percent yogurt
c. 2 percent milk, low fat cream cheese and low-fat ice cream
d. Regular fat dairy products such as whole milk and ice cream
5. How often do you usually eat fish or shellfish?
a. I eat fish or shellfish at least twice a week
b. I usually eat fish or shellfish once a week
c. I usually eat fish or shellfish a few times a month
d. I rarely or never eat fish or shellfish
6. Which types of poultry do you eat?
a. a. Chicken or turkey breast with the skin removed
b. b. Chicken or turkey breast with the skin on
c. c. I occasionally eat breaded, fried chicken or turkey breast
d. d. I frequently choose dark-meat chicken, duck, goose, etc.
7. How often do you eat red meat?
- I never eat red meat
- I eat red meat 1-2 times a month
- Several times a week
- I eat red meat every day
8. Which fats and oils do you use?
a. I try to limit my use of any fat or oil when cooking
b. I usually use olive or canola oil
c. I usually use butter when cooking
d. I frequently use bacon, fat, fat back, lard or chicken fat when cooking.
9 Apart from coffee, what do you usually drink during the day?
a. I usually drink water exclusively
b. 100 percent fruit juice, water and diet beverages
c. Soda, sports drinks, fruit drinks, and sugar-sweetened iced teas
d. Soda and sugar-sweetened beverages
10. If eating out, which of these would you usually choose?
a. Grilled, broiled, baked, or steamed entrees
b. Pasta with seafood in marinara or red sauce
c. Prime rib, steak, veal, lamb or pasta in a cream sauce
d. Pizza, sausage, hoagies, fried foods, or hot dogs
11. How much exercise do you get?
a. I usually exercise for at least 30-60 minutest on most days
b. I usually exercise for 30 minutes a few days a week
c. I exercise for 30 minutes a few times a month
d. I rarely participate in any physical activity
12. How much TV do you watch?
a. I rarely watch television
b. I watch a few hours of television every week
c. I watch less than 2 hours daily
d. I usually watch 3 or more hours of television daily
13. How often do you drink alcohol and how much?
a. I usually have 1-2 drinks of alcohol a week
b. I usually have 1-2 drinks of alcohol daily
c. I rarely drink alcohol
d. I usually have at least 3 alcoholic drinks daily
14. Do you smoke? How many per day?
a. I have never smoked, or I quit more than 8 years ago
b. I smoke fewer than 5 cigaretes a day
c. I smoke 5-10 cigarettes a day or up to 5 cigars
d. I smoke more than 10 cigarettes a day