Nutrition Quiz

Vegetables

How often do you eat vegetables (1 serving is around a 1/2 cup of vegetables)?

Sugar Sweetened Beverages

Do you drink any beverages that contain sugar (soda, fruit juice, energy drinks, sweetened coffee drinks, sports drinks, sugary alcoholic beverages)? Only answer about beverages with sugar, not artificially sweetened or diet beverages.

Carbohydrate consumption

How often do you eat processed carbohydrates like bread, pasta, rice, potatoes or crackers?

Colorful Starchy Vegetables

How often do you eat colorful starchy vegetables (sweet potatoes, beets, squash, etc)?

Never

Once a week

A few times per week

Every day

Beans

How often do you eat beans (1 serving is 1/2 cup)?

Never

1-2 times per week

A few times per week

Every day

Junk Food

Fast Food

How often do you eat fast food (burgers and fries, Taco Bell, Chick-fil-a, pizza, wings)?

Animal Protein

How often do you eat animal protein (poultry, fish, pork, eggs, beef)?

Dairy Products

Yogurt Type

What type of yogurt do you eat?

Plain

Flavored yogurt (strawberry, cherry, raspberry)

Light (artificially sweetened), flavored yogurt

Artificial Sweeteners

How often do you consume diet beverages (soda, Gatorade Zero, Crystal Light, etc)?

Coffee (amount)

How many cups of coffee do you drink daily (1 cup is 12 ounces of coffee)?

less than 1 cup per day

1 cup per day

2 cups per day

3+ cups per day

Overall diet rating

Bariatric Surgery History

Have you had Bariatric (Weight Loss) Surgery in the past?

No, and I am not considering it

No, but I am considering weight loss surgery in the future

Yes, I am a postop patient

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