A little background information

 

Please answer the following questions in the lines provided.

 

1. What is your gender? ____________________________________________________

2. What is your age in years? ________________________________________________

3.  What is your height in feet and inches?                                                                                   

4.  What is your weight in pounds?                                                                                              

5. How would you rate your overall eating habits? (1 = poor, 7 = excellent) ___________

6. Are you satisfied with your current eating habits? (yes/no) ______________________

 

 

Below is a picture of the blank Food Guide Pyramid.  Please fill it in to the best of your knowledge.