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Rate Your Eating Out Diet
| 1. Which are you most likely to get on your bagel or English muffin? | |||
| a) | nothing or hummus | ||
| b) | jam or jelly | ||
| c) | light cream cheese | ||
| d) | margarine | ||
| e) | butter | ||
| f) | regular cream cheese | ||
| Option(s): | |||
| Do you order/use half as much margarine, butter, or cream cheese? | |||
| 2. Which breakfast pastry do you order most often? | |||
| a) | low-fat muffin | ||
| b) | regular muffin | ||
| c) | doughnut | ||
| d) | cake doughnut | ||
| e) | chocolate-coated doughnut | ||
| f) | croissant or scone | ||
| g) | pecan roll or Danish | ||
| 3. Which is closest to the breakfast you typically order? | |||
| a) | hot or cold cereal | ||
| b) | eggs and toast | ||
| c) | pancakes or French toast | ||
| d) | Belgian waffle | ||
| e) | ham-and-cheese omelette | ||
| Option(s): | |||
| Do you add ham? | |||
| Do you add bacon or hash browns? | |||
| Do you add sausage? | |||
| Do you order egg whites when ordering eggs? | |||
| Do you order egg substitute instead of eggs? | |||
| Do you order whole-grain cereal or toast only? | |||
| Do you ask for no margarine on your pancakes or French toast? | |||
| 4. Which beverage are you most likely to order at Starbucks? | |||
| a) | coffee, regular | ||
| b) | coffee frappuccino | ||
| c) | cappuccino | ||
| d) | caffè latte | ||
| e) | caffè mocha | ||
| Option(s): | |||
| Do you use skim milk instead of half and half (or whole milk)? | |||
| Do you order tall cappuccino, caffè latte, or caffè mocha instead of a grande or venti size? | |||
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| 5. Which sandwich do you most often order? | |||
| a) | turkey | ||
| b) | roast beef | ||
| c) | chicken salad | ||
| d) | tuna salad | ||
| e) | corned beef | ||
| f) | ham or egg salad | ||
| g) | BLT | ||
| h) | grilled cheese | ||
| Option(s): | |||
| Do you order overstuffed or large sandwiches? | |||
| 6. What do you usually order on your sandwiches? | |||
| a) | lettuce, tomato, or onion | ||
| b) | mustard | ||
| c) | mayonnaise | ||
| d) | cheese | ||
| Option(s): | |||
| Do you order your sandwiches on whole-wheat bread? | |||
| 7. What do you get to go with your sandwich? | |||
| a) | fruit or garden salad | ||
| b) | cole slaw | ||
| c) | potato salad | ||
| d) | potato chips | ||
| e) | french fries | ||
| 8. Which are you most likely to order at McDonald’s? | |||
| a) | Chicken McGrill | ||
| b) | Hamburger | ||
| c) | Chicken McNuggets (6) | ||
| d) | Quarter Pounder | ||
| e) | Big Mac | ||
| f) | Quarter Pounder with Cheese | ||
| Option(s): | |||
| Do you order 9 Chicken McNuggets instead of 6? | |||
| 9. What do you get with—or instead of—a burger, order of nuggets, etc., at McDonald’s? | |||
| a) | Salad Shaker | ||
| b) | Fruit ’n Yogurt Parfait | ||
| c) | Baked Apple Pie | ||
| d) | French Fries (large) | ||
| e) | Shake (medium) | ||
| f) | Shake (large) | ||
| g) | McFlurry (16 oz.) | ||
| Option(s): | |||
| Do you super-size your fries? | |||
| 10. Which kind of pizza comes closest to what you usually order? | |||
| a) | cheeseless with grilled vegetables, chicken, or shrimp | ||
| b) | half the cheese | ||
| c) | cheese | ||
| d) | pepperoni | ||
| e) | beef or sausage | ||
| Option(s): | |||
| Do you eat more than 2 slices? If so, how many over 2? | |||
| 12345 | |||
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| 11. Which are you most likely to snack on at the mall? If your snack (ice cream, for example) is included in another question (like #2, 4, or 13), skip this question. | |||
| a) | fruit shake | ||
| b) | soft pretzel, no butter or cheese | ||
| c) | soft pretzel with butter or cheese | ||
| d) | Mrs. Fields or other gourmet cookie | ||
| e) | Cinnabon or similar roll | ||
| f) | Mrs. Fields Double Fudge Brownie | ||
| 12. Which snack do you typically get at a movie theater? | |||
| a) | nothing | ||
| b) | Twizzlers | ||
| c) | Junior Mints (1/2 box) | ||
| d) | Raisinets or Milk Duds (1/2) | ||
| e) | Whoppers (1/2) | ||
| f) | M&M’s (1/2) | ||
| g) | Reese’s Pieces (1/2) | ||
| h) | small popcorn | ||
| i) | medium popcorn (1/2) | ||
| j) | large popcorn (1/2) | ||
| Option(s): | |||
| Do you add butter to your popcorn? | |||
| Do you eat more than the half-portions listed above? | |||
| 13. Which is closest to what you typically order at an ice cream shop? | |||
| a) | low-fat frozen yogurt | ||
| b) | low-fat ice cream | ||
| c) | sorbet, sherbet, or ices | ||
| d) | regular ice cream | ||
| e) | gourmet ice cream | ||
| f) | hot fudge sundae | ||
| g) | milk shake | ||
| Option(s): | |||
| Do you order two scoops or a medium cone, cup, or shake? | |||
| Do you order a large? | |||
| Do you order a “kiddie” size? | |||
| 14. What do you typically get on your ice cream? | |||
| a) | nothing | ||
| b) | fruit | ||
| c) | nuts | ||
| d) | chocolate chips or candy | ||
| e) | crumbled cookies | ||
| f) | syrup or sprinkles | ||
| g) | hot fudge | ||
| h) | chocolate dip or coating | ||
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| 15. Which is closest to what you typically order as an appetizer? | |||
| a) | salad | ||
| b) | unbuttered bread | ||
| c) | garlic bread | ||
| d) | Buffalo wings | ||
| e) | fried calamari (1/2 portion) | ||
| f) | cheese nachos (1/2) | ||
| g) | fried mozzarella sticks (1/2) | ||
| h) | deep-fried onion (1/2) | ||
| i) | stuffed potato skins (1/2) | ||
| j) | cheese fries (1/2) | ||
| Option(s): | |||
| Do you eat more than the half-portions listed above? | |||
| 16. Which is closest to what you typically order at a Chinese restaurant? | |||
| a) | Hunan tofu | ||
| b) | shrimp with garlic sauce | ||
| c) | stir-fried vegetables | ||
| d) | Szechuan shrimp | ||
| e) | chicken chow mein | ||
| f) | beef with broccoli | ||
| g) | moo shu pork | ||
| h) | house lo mein | ||
| i) | house fried rice | ||
| j) | kung pao chicken | ||
| k) | General Tso’s chicken | ||
| l) | orange or crispy beef | ||
| m) | sweet and sour pork | ||
| 17. Which is closest to what you typically order at an Italian restaurant? | |||
| a) | linguine with red clam sauce | ||
| b) | spaghetti with marinara sauce | ||
| c) | linguine with white clam sauce | ||
| d) | spaghetti with meat sauce | ||
| e) | cheese ravioli | ||
| f) | spaghetti and meatballs | ||
| g) | spaghetti and sausage | ||
| h) | cheese manicotti | ||
| i) | veal or eggplant Parmigiana | ||
| j) | lasagna | ||
| k) | fettuccine Alfredo | ||
| 18. Which is closest to what you typically order at a Mexican restaurant? | |||
| a) | chicken, vegetable, or shrimp fajitas | ||
| b) | 2 chicken tacos (crispy or soft) | ||
| c) | 1 chicken burrito | ||
| d) | 2 beef or chicken enchiladas | ||
| e) | 1 beef burrito | ||
| f) | beef chimichanga | ||
| g) | taco salad or 2 chile rellenos | ||
| Option(s): | |||
| Do you eat the refried beans and sour cream that are served on the side.? | |||
| 19. Which is closest to what you order at a seafood restaurant? | |||
| a) | grilled fish or shellfish | ||
| b) | fried fish or shrimp | ||
| c) | fried clams | ||
| d) | fried seafood combo | ||
| 20. Which is closest to what you typically order at a steak house? | |||
| a) | grilled chicken or fish | ||
| b) | sirloin or filet mignon | ||
| c) | pork chops | ||
| d) | New York Strip steak | ||
| e) | rib eye steak | ||
| f) | T-bone steak | ||
| g) | porterhouse steak | ||
| h) | prime rib (16 oz.) | ||
| Option(s): | |||
| Do you trim the fat from the meat? | |||
| 21. Which kind of potato do you most often order as a side dish? | |||
| a) | baked potato with sour cream (1 Tbs. or less) | ||
| b) | mashed potatoes with gravy | ||
| c) | baked potato with sour cream (3 Tbs.) | ||
| d) | baked potato with butter | ||
| e) | baked potato with sour cream and butter | ||
| f) | french fries | ||
| g) | “loaded” baked potato (with bacon, butter, cheese, and sour cream) | ||
| 22. Which is closest to what you typically order at a family-style restaurant? | |||
| a) | chicken stir-fry or pot roast | ||
| b) | grilled or roasted chicken | ||
| c) | turkey and stuffing | ||
| d) | chicken Caesar salad | ||
| e) | chicken fingers or nuggets | ||
| f) | hamburger | ||
| g) | chef salad or chicken pot pie | ||
| h) | meat loaf | ||
| Option(s): | |||
| Do you eat the skin on the chicken? | |||
| Do you order light dressing on your salad.? | |||
| 23. Which side dish is closest to what you typically order? | |||
| a) | salad or vegetable of the day | ||
| b) | rice pilaf or mashed potatoes | ||
| c) | macaroni and cheese | ||
| d) | french fries or creamed spinach | ||
| e) | onion rings | ||
| 24. Which is closest to what you typically order at a Greek restaurant? | |||
| a) | chicken souvlaki | ||
| b) | lamb or pork souvlaki | ||
| c) | Greek salad | ||
| d) | spanakopita (spinach pie) | ||
| e) | dolmades (meat-stuffed grape leaves) | ||
| f) | gyro sandwich | ||
| g) | moussaka | ||
| 25. Which is closest to the dessert you typically order? | |||
| a) | sorbet | ||
| b) | pumpkin pie | ||
| c) | baklava or chocolate cake | ||
| d) | apple pie or chocolate mousse | ||
| e) | cheesecake | ||
| f) | fudge brownie sundae | ||
Jo95682 |
Latest page update: made by Jo95682
, Feb 20 2008, 9:00 AM EST
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