| Name* | |
| Address* | |
| City* | |
| State* | |
| Zip code* | |
| Phone Number* | |
| Email Address* | |
| # adults in household* | |
| # children in household 18 yrs and under, include pregnancy, include, non-custodial children (grandchildren, any children you may prepare food for)* | |
| I am prepared to sign that my income is below 200% of the federal poverty level( We do not require proof of income, only a signature)* | |
| Two Cups lettuce equals one cup serving of fresh vegetable (True/False)* | |
| What is Considered One Serving Size of Meat?* | |
| A serving size of grapes is...* | |
| Which of the following are part of the dairy group?* | |
| Are all of the following are considered Grains? Rice, Pasta, Rye, Wheat* | |
| Generally speaking, which require more calaries?* | |
| Would the following be considered an example of a nutritiously complete meal? Pasta, Spaghetti sauce with ground turkey, salad with spring mix, apples and Monterey Jack Cheese, topped with apple cider vinegar dressing and a glass of water...* | |
| Do pregnant and breast feeding women need more calories than other women?* | |
| It is best to eat a variety of colors of fruits (true/false)* | |
| The darker the color of a vegetable the more nutritionally dense with vitamins and minerals it is.* | |
| Which is considered a lean source of protein?* | |
| Which food group is the best for vitamin C?* | |
| You should always wash fresh fruit before eating.* | |
| Of the following, which shows the best order in which to eat vegetables in order to receive the most nutrients?* | |
| Gum, candy, soda, fruit gummies are a good source of nutrients.* | |
| How many food groups are there?* | |
| The USDA website for nutrition is Myplate.gov.* | |
| Oils/fats is a food group.* | |
| According to the USDA half of your plate should be fruits and vegetables.* | |
| Juice is better for you than whole fruit.* | |
| Which of the following is the best drink for you?* | |
| Of the following, which contain protein?* | |
| Are the following good sources of fats/oils? Butter, Olive Oil, Coconut Oil, avacados, grape seed oil* | |
|
| |
| |