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.