Kitchen Makeover Questionnaire
There’s a fundamental law of human nutrition that goes like this:

If a food is in your possession or located in your residence, you will eventually eat it.

(Whether you plan to or not, whether you want to or not, you’ll eventually eat it! Trust us.)
Therefore, according to this important law of human nutrition, if you wish to be healthy and
lean, you must remove all foods that aren’t part of your healthy eating program and replace
them with a variety of better, healthier choices.

How do you know which foods have got to go and which foods can stay? Simply answer the
questions below by selecting the response most appropriate to your situation. Once you’ve
completed all the questions, your score will be calculated. And remember, be honest. You’re
doing this exercise to find out whether your kitchen is in good shape.

Name
Your answer
Date
MM
/
DD
/
YYYY
Do you have the following items in your kitchen?
Are the kitchen items (checked) above easy to access in your kitchen?
Do you have the following items in your pantry?
Do you have the following items in your fridge or freezer?
Do you have the following items in your pantry?
Do you have the following items in your fridge or freezer?
Do you have bowls of candy, chips, crackers, or other snacks sitting around at home?
When you have parties or dinner guests, do you serve them what you think they'll want or what you think is healthy?
When food shopping, do you buy economy-sized bags, or do you buy smaller portions?
How often do you shop for groceries?
When you shop for groceries do you have a well-planned list before you enter the store(s)?
Do you keep food in plain view around the house?
Do you think healthy eating means low-fat eating?
If someone were to point to a food in your kitchen, would you know whether it was composed of mostly carbohydrate, protein, or fat?
When you prepare meals from recipe books, do you use those that contain healthy recipes?
Do you prepare meals in advance to take with you to work, on day trips, or on vacation?
Are you hesitant to throw out unhealthy leftovers or gift foods that don't fit into your nutritional plan?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms