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Nutrition Assessment

Nutritional Base-Line - Adapted from Merideth Hawk (2014) - Assessing Sports Nutrition Knowledge of Adolescent Atheltes and their Parents: An Intervention Approach and John La Puma, MD FACP - The Santa Barbara Institute for Medical Nutrition and Healthy Weight Athlete and Sports Nutrition Questionnaire.

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What is your height?

What is your height?

What is your weight?

What is your weight?

Who typically prepares meals in the house?

Who typically prepares meals in the house?

Do you think the following foods are high or low in carbohydrate? (Check one option per food).

Do you think the following foods are high or low in carbohydrate? (Check one option per food).

Chicken

Chicken

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Baked Beans

Baked Beans

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

White bread

White bread

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Butter

Butter

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Cornflakes cereal

Cornflakes cereal

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Cream of wheat

Cream of wheat

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Do you think the following foods are high or low in protein? (Check one option per food).

Do you think the following foods are high or low in protein? (Check one option per food).

Chicken

Chicken

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Baked Beans

Baked Beans

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Fruit

Fruit

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Margarine

Margarine

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Cornflakes cereal

Cornflakes cereal

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Peanuts

Peanuts

[{"label":"High","value":"High"},{"label":"Low","value":"Low"},{"label":"Unsure","value":"Unsure"}]

Mandatory responses not filled. 

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