HHS 241 -- Extended Campus - Oregon State University

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Wellness Inventory -- Section III

Diet-Related Questions

Questions	Answers
1. How many servings per day do you have:
from the bread, cereal, rice, and pasta group?	6-11		4-5		1-3		0
from the vegetable group?	3-5		2		1		0
from the fruit group?	3-4		2		1		0
from the milk, yogurt and cheese group?	3		2		1		0
from the meat, poultry, fish, dry beans, eggs and nuts group?	3		2		1		0
2. How many alcoholic drinks per day do youhave (a drink equals 12 oz of beer, 5 oz of wine, or 1 1/2 oz of distilled spirits?	0		1		2		3
3. Do you choose the low-fat options for dairy products, meat and poultry, or spreads and salad dressings?	often		sometimes		seldom		never
4. Do you add salt to your food?	never		seldom		sometimes		often
5. How many servings per day of calcium sources do you consume (milk and milk products, calcium supplement)?	3		2		1		0
6. How many servings per day of iron sources do you consume (meat, fish, poultry, eggs, apricots, broccoli, green peas, raisins, spinach, iron supplement)?	3		2		1		0
7. How would you rate your daily sugar intake (sweets, soft drinks, desserts, table sugar, presweetened breakfast cereals)?	low		moderate		high		very high
8. Do you avoid foods that are high in cholesterol (egg yolks, butter, meat, organ meats, cheeses)?	always		usually		sometimes		never

Your Score

What your score means:

≥ 42	You have a well-balanced diet.
30-41	Your diet would benefit by modification in some areas.
19-29	You should reevaluate your diet and make significant modifications.
≤ 18	You should consult with a nutritionist.

Please make note of your score for this section and move on to the next section.

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