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Thursday, January 6, 2011

Starting Point # 39: Nutritional Confidence Survey


St. Leonard Wellness Program

Nutritional Confidence Survey

On a scale of 1-5 rate your nutritional confidence

v I understand the MyPyramid Food Guidance System

1............... 2............... 3................ 4............... 5

Unsure............... Sometimes.............. Most of the time

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vMy lifecycle nutritional needs are being addressed

1................2...............3.................4.................5

Unsure.............. Sometimes..................... Always

_____________________________________________________________________

v I understand the relationship between unhealthy food choices and disease


1................2...............3..................4.................5

Not always......... Sometimes..................... Always

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v Food safety is a top priority in my life

1.................2................ 3................4................5

Not always.......... Sometimes......................Always

_____________________________________________________________________

v I practice good dental care and hygiene

1..................2................3..................4................5

Not always............ Sometimes.................... Always

Nutritional Confidence Survey

The purpose of this survey is to begin your journey toward self-assessment concerning your optimal well-being. After taking this brief survey and adding your scores together, take a moment and reflect on your nutritional wellness. You will find that if your overall confidence score was high you will have a better chance to stay self-motivated and focused on your nutritional wellness. If your nutritional confidence number was low then you may benefit from strategies that help with your personal nutritional management.

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