Nutrition Assistance System

Enter in the following variables to allow us to help provide you with tips for good nutrition.

Name:

Age:

Gender:

Weight:lbs

Height: ft  in

Do you smoke: Yes No

How physically active are you:

Are you diabetic: Yes   No

Are you hypertensive: Yes   No

Are you lactose intolerant:  Yes   No



Select the foods you most frequently eat in a day
(Check all that apply:)


Selection Servings

FRUITS


Apple
Banana
Orange
Grapefruit
Mango
Honeydew










VEGETABLES


Carrots
Broccoli
Tomatoes
Tomato Sauce
Cooked Spinach
Potatoes










DAIRY


Skim Milk(1c)
Light Milk(1c)
Whole Milk(1c)
Yogurt(3/4c)
A. Cheese(30g)
Cottage Cheese(40g)
Cream Cheese(40g)
Teaspoon-Butter












GRAINS


White Bread
Wheat bread
Rye Bread
Pumpernickel
1 Subroll
1 Bagel
E. Muffin
Pancakes
Waffles
French Toast
Grain Cereal
















MEATS AND PROTEINS


Turkey Breast(1/2b)
Chicken Breast(1/2)
Tuna(Can)
Roast Beef(U)
Ground Beef(1oz)
Pork Chop(1)
Steak(1)
Ham(1c)
1 Hot Dog
White Egg