2 minutes
The Health and Nutrition assessment form is meant for all the families that want to be a part of the Head Start program.
How often do you eat breakfast?
How often do you eat fast food?
How often do you eat fruits and vegetables?
How often do you eat junk food?
How often do you eat out?
How much water do you drink each day?
How often do you exercise?
What is your current weight?
What are your current eating habits?
What are your current fitness goals?
What are your current health concerns?
What medications are you currently taking?
Have you ever been diagnosed with a chronic health condition?
Do you have any allergies?
Do you have any food preferences or restrictions?
Do you have any dietary supplements that you take regularly?