Eating Habits

How many servings of each do you eat on an average day:

Vegetables Servings:

None 1 cup 2 cups 3 cups 4 cups 5 cups 6 cups 7 cups 8 cups 9 cups 10 cups	Raw Vegetables, Salads
None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	Canned or Frozen Vegetables
None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	Vegs with Oil or Margarine Added
None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	Vegs with Meat, Grease, Cheese, Sauces Added, Vegetable Casseroles, Fried Vegetables

Fruit Servings:

None 1 piece 2 pieces 3 pieces 4 pieces 5 pieces 6 pieces 7 pieces 8 pieces 9 pieces 10 pieces	Raw, Fresh Fruits
None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	Canned or Dried Fruits, Juices
None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	Fruit Cobblers/Deserts, Fruit Drinks with Added Sugar

Bread/Starch Servings:

None 1 slice or cup 2 slices or cups 3 slices or cups 4 slices or cups 5 slices or cups 6 slices or cups 7 slices or cups 8 slices or cups 9 slices or cups 10 slices or cups	Whole Grain Bread, Baked Potato
None 1 cup 2 cups 3 cups 4 cups 5 cups 6 cups 7 cups 8 cups 9 cups 10 cups	Whole Grain Cereals, Oatmeal, Pasta, Brown Rice, Sweet Potatoes, Beans or Peas
None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	White Rice, Corn, Low Sugar Cereals, Crackers, Mashed Potatoes
None 1 piece 2 pieces 3 pieces 4 pieces 5 pieces 6 pieces 7 pieces 8 pieces 9 pieces 10 pieces	Donuts, Cookies, Cakes, Candy
None 1 cup 2 cups 3 cups 4 cups 5 cups 6 cups 7 cups 8 cups 9 cups 10 cups	High Sugar Cereals, Non-Diet Soft Drinks, Sweet Tea
None 1 tbsp 2 tbsps 3 tbsps 4 tbsps 5 tbsps 6 tbsps 7 tbsps 8 tbsps 9 tbsps 10 tbsps	Jelly, Syrup, Honey, Sugar
None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	Chips, French Fries, Biscuits

Dairy Servings:

None 1 cup 2 cups 3 cups 4 cups 5 cups 6 cups 7 cups 8 cups 9 cups 10 cups	Skim or 1% Milk, Non-Fat or Light Yogurt
None 1 cup 2 cups 3 cups 4 cups 5 cups 6 cups 7 cups 8 cups 9 cups 10 cups	2% Milk
None 1 cup 2 cups 3 cups 4 cups 5 cups 6 cups 7 cups 8 cups 9 cups 10 cups	Whole Milk or Yogurt Sweetened with Sugar

Meat Servings:

None 1 oz 2 ozs 3 ozs 4 ozs 5 ozs 6 ozs 7 ozs 8 ozs 9 ozs 10 ozs	Baked or Grilled Fish/Chicken, Low Fat Lunch Meats/Cheeses
None 1 oz 2 ozs 3 ozs 4 ozs 5 ozs 6 ozs 7 ozs 8 ozs 9 ozs 10 ozs	Baked, Broiled, or Grilled Lean Beef/Pork, Cheese, Eggs
None 1 oz 2 ozs 3 ozs 4 ozs 5 ozs 6 ozs 7 ozs 8 ozs 9 ozs 10 ozs	Fried Meats (all types), Cottage Cheese, Bacon, Sausage, Hot Dogs, Bologna, Salami, Ribeye Steak, Rib Roast

Fat Servings:

None 1 tbsp 2 tbsps 3 tbsps 4 tbsps 5 tbsps 6 tbsps 7 tbsps 8 tbsps 9 tbsps 10 tbsps	Olive, Canola or Peanut Oils, Light Margarine, Light Salad Dressings
None 1 tbsp 2 tbsps 3 tbsps 4 tbsps 5 tbsps 6 tbsps 7 tbsps 8 tbsps 9 tbsps 10 tbsps	Peanuts, Pecans, Walnuts, Other Nuts, Natural Peanut Butter
None 1 tsp 2 tsps 3 tsps 4 tsps 5 tsps 6 tsps 7 tsps 8 tsps 9 tsps 10 tsps	Regular Margarine, Corn/Safflower/Soybean Oils, Regular Salad Dressings, Light Sour Cream or Cream Cheese, Regular Peanut Butter
None 1 tsp 2 tsps 3 tsps 4 tsps 5 tsps 6 tsps 7 tsps 8 tsps 9 tsps 10 tsps	Meat Grease, Butter, Lard, Crisco, Regular Sour Cream orCream Cheese

Unhealthy Food Servings:

None ½ cup 1 cup 1½ cups 2 cups 2½ cups 3 cups 3½ cups 4 cups 4½ cups 5 cups	Meat/Cheese Casseroles, Loaded Potato, Loaded Pizza, Fast Food Burgers
None 1 piece 2 pieces 3 pieces 4 pieces 5 pieces 6 pieces 7 pieces 8 pieces 9 pieces 10 pieces	Rich Desserts
None 1 2 3 4 5 6 7 8 9 10	Fried Meats with Gravies or Sauces

Exercise

How often do you exercise?
Less than 45 minutes, 5-7 times a week
15-30 minutes, 3-5 times a week
I do not exercise or exercise less than listed.

Health Conditions

Do you have Diabetes?
Yes, and my doctor feels it IS under control.
Yes, and my doctor feels it IS NOT under control.
No

Do you have Heart Disease (including High Blood Pressure or Stroke)?
Yes, and my doctor feels it IS under control.
Yes, and my doctor feels it IS NOT under control.
No

Do you have Cancer?
Yes, and my doctor feels it IS under control.
Yes, and my doctor feels it IS NOT under control.
No

Do you have Renal Disease?
Yes, and my doctor feels it IS under control.
Yes, and my doctor feels it IS NOT under control.
No

Does your family have a history of Diabetes, Heart Disease, Stroke, High Blood Pressure, Cancer, or Kidney Disease?
Yes
No

Medications

I take (including prescription, herbal, and over-the-counter medications):
Less than 4 medications.
More than 6 medications.
No Medications.

Labs

I do not have my Lab results.
I have my Lab results.

Sodium:	SGPT (ALT):	BUN:	HgbA1C:
Less than 133 133-135 136-145 146-149 More than 149	Less than 25 25-39 39-65 66-70 More than 70	Less than 7 7-18 More than 19	4-6% 7% More than 8%
Potassium:	Cholesterol:	Creat:	PSA:
Less than 3.2 3.2-3.4 3.5-5.1 More than 5.2	0-200 200-239 More than 240	Less than 0.6 0.6-1.3 1.4 1.5 More than 1.6	0-4 No PSA
Phosphorus:	HDL:	BUN/Creat:	TSH:
Less than 2.1 2.2-4.8 More than 4.9	Less than 34 35-39 40-60	Less than 12. 12-20. 21. More than 23	Less than .30. .33 .34-4.82 4.83 More than 5
Magnesium:	LDL:	Hgb:	Blood Pressure:
Less than 1.4. 1.5-2.5 More than 2.6	0-130 130-150 More than 150	Less than 10 10-11 12-16 17-19 More than 19	Less Than 130/80 131/81-139/89 More than 140/90
SGOT (AST):	Triglycerides:	Hct:	Bone Density:
Less than 12 12-14 15-37 38-40 More than 40	Less than 30 30-150 151-161 More than 162	Less than 32 32-36 37-47 48-50 More than 50	Negative 1 Negative 1 - Negative 2.5 More than Negative 2.5
Glucose:	Pulse:
Less than 69 70-110 111-124 More than 125	Below 60 Beats/Minute 60 to 100 Beats/Minute Above 100 Beats/Minute
Pap Smear (Annual):	Mammogram (Annual):	Prostate Exam (Annual):	Colonoscopy (Annual):
Yes   No	Yes   No	Yes   No	Yes   No

Alcohol, Drugs, and Smoking

Describe your Alcohol Use.
I do not drink.
I do drink less than one ounce of alcohol a day.
I do drink more than one ounce of alcohol a day.

Describe your Smoking Habits:
I do not smoke.
I do smoke or use smokeless tobacco/snuff.
I have quit for five or more years.

Describe your Drug Use:
I do not use illegal drugs.
I do use illegal drugs.

After answering the questions, click on the button below to get your FFF score: