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Put an x next to all of the foods you have consumed in the past week.
Add up the points next to the foods you x'ed. Interpretations are at the bottom!
LIQUIDS:
[] water (1 point)
[] orange juice (1 point)
[] skim milk (1 point)
[] 2% milk (2 points)
[] soda (3 points)
[] diet soda (1 point)
[] beer (5 points)
[] champagne (5 points)
[] any other alcohol (5 points)
[] v8 (1 point)
[] tea (1 point)
[] energy drink] Grape Drink (2 points)
[] cranberry juice (2 points)
[] apple juice (2 points)
[] capri sun (3 points)
[] hi-c (3 points)
[] Kool Aid (3 points)
[] chocolate milk (4 points)
[] strawberry milk (4 points)
[] coffee (2 points)
Total for this category:
GRAND TOTAL:
Liquids:
Solids:
Fast Foods:
Snacks:
Grand Total:
Under 25: You have a serious problem with a lack of food, possible eating disorder. Seek help. Under 45: A level that requires attention, you need to make time to eat cause you're not doing yourself any favors. Between 45 and 85: This is what I will consider a good, balanced and well taken diet. If you're in here, you have a displined diet and are serious about what you put into your body. Between 85 and 115: If you're in this category, I call you the fun loving food type. You love to eat, but eat only when you want to and are capable of keeping a grip on things and not overdo it. This is what I would call the middle ground. Not too strict, but not too free. Between 115 and 145: This isn't bad, but it's no where near good either, but you're getting close to having a bad problem with fatty foods... especially fast foods. Between 145 and 170: I really think the only way you can top this is to eat a lot if not most of the fast foods. This means you are a fatty and need to cut out the greasy foods. Over 170: The opposite of the lowest scale... seek help.