Home Food Waste Assessment - Update As Needed
(There is a video below that demonstrates how to complete this assessment.)

Use this form to assess your food waste from your kitchen waste basket. Look through your waste baskets and mark off all items found. Use the "Other" Section below the list provided to note your waste items not included in the list.

When you are done or want to stop, click the "Submit" button at the bottom of the page.

You may use the results to identify items you want to stop purchasing. You may also want to look for alternatives to trashing them such as composting. Or, you may want to evaluate how much of the item you are purchasing and buy less or switch to something different to save waste. Use the "My Solutions" section to note the items you want to work on, the solutions you try and their success.

You may come back to this assessment and continue to mark off items as you throw away trash, identify new items and identify new solutions. Look for an email after each time you change your assessment and flag/mark the email so you may find it easily. Just click on the link in the email to edit and update your responses. You may also bookmark the form after the first submission to allow you quick access to edit your form.

As you implement solutions and eliminate a waste item, you may un-check the box to reflect that it is no longer a waste item for you.

Privacy Notice: We will not disclose your personal information such as name and email address nor will we share the results of your assessments without your prior authorization.

(This form was created by TheGentleLife.com - Please contact us if you need assistance with this form.)
Email address *
Instructional Video For Completing This Assessment
First and Last Name *
Your answer
Food Waste
Check off all items Food items found in your kitchen waste basket. Feel free to add items under "Other" not included in the list.
Other Food Waste Not Listed Above
Your answer
My Solutions
Identify the items you want to work on below by writing in the name of the waste item and the solution you want to try to reduce or eliminate waste. You may want to look for alternatives to trashing such as composting. You may also want to evaluate how much of the item you are purchasing and buy less or switch to something different to save waste. You may also track the success of each solution here.
Problem/Solution #1
Your answer
Track Success for Solution #1
Not Working For Me
Great Success!
Problem/Solution #2
Your answer
Track Success for Solution #2
Not Working For Me
Great Success!
Problem/Solution #3
Your answer
Track Success for Solution #3
Not Working For Me
Great Success!
Problem/Solution #4
Your answer
Track Success for Solution #4
Not Working For Me
Great Success!
Problem/Solution #5
Your answer
Track Success for Solution #5
Not Working For Me
Great Success!
Problem/Solution #6
Your answer
Track Success for Solution #6
Not Working For Me
Great Success!
Problem/Solution #7
Your answer
Track Success for Solution #7
Not Working For Me
Great Success!
Problem/Solution #8
Your answer
Track Success for Solution #8
Not Working For Me
Great Success!
Problem/Solution #9
Your answer
Track Success for Solution #9
Not Working For Me
Great Success!
Problem/Solution #10
Your answer
Track Success for Solution #10
Not Working For Me
Great Success!
Problem/Solution #11
Your answer
Track Success for Solution #11
Not Working For Me
Great Success!
Problem/Solution #12
Your answer
Track Success for Solution #12
Not Working For Me
Great Success!
Problem/Solution #13
Your answer
Track Success for Solution #13
Not Working For Me
Great Success!
Problem/Solution #14
Your answer
Track Success for Solution #14
Not Working For Me
Great Success!
Problem/Solution #15
Your answer
Track Success for Solution #15
Not Working For Me
Great Success!
Problem/Solution #16
Your answer
Track Success for Solution #16
Not Working For Me
Great Success!
Problem/Solution #17
Your answer
Track Success for Solution #17
Not Working For Me
Great Success!
Problem/Solution #18
Your answer
Track Success for Solution #18
Not Working For Me
Great Success!
Problem/Solution #19
Your answer
Track Success for Solution #19
Not Working For Me
Great Success!
Problem/Solution #20
Your answer
Track Success for Solution #20
Not Working For Me
Great Success!
Problem/Solution #21
Your answer
Track Success for Solution #21
Not Working For Me
Great Success!
Problem/Solution #22
Your answer
Track Success for Solution #22
Not Working For Me
Great Success!
Problem/Solution #23
Your answer
Track Success for Solution #23
Not Working For Me
Great Success!
Problem/Solution #24
Your answer
Track Success for Solution #24
Not Working For Me
Great Success!
Problem/Solution #25
Your answer
Track Success for Solution #25
Not Working For Me
Great Success!
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