How would you rate your general level of energy?
{"type":"radio","name":"energylevelmini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 - Running on Empty\n2\n3 - Half Full\n4\n5 - Energized"}
What percentage of your food is home cooked?
{"type":"radio","name":"homecookingmini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 - 20% or less\n2 - 30 - 40%\n3 - 50 - 60%\n4 - 60 - 70%\n5 - 80% or more"}
Generally speaking, how much of your plate is typically occupied by vegetables? (exclude white potatoes)
{"type":"radio","name":"percentvegmini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 - 5% or less\n2 - 10%\n3 - 15%\n4 - 20%\n5 - 25% or more"}
What percentage of your diet consists of processed foods?
(Boxed, packaged, canned)
{"type":"radio","name":"processedfoodmini","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 - 80% or more\n2 - 70 - 80%\n3 - 50 - 60%\n4 - 30 - 40%\n5 - 20% or less"}
How would you rate the healthiness of your diet?
{"type":"radio","name":"dietratingmini","width":20,"value":"","size":"Normal","validation":"C1","validationMessage":"Please make a selection for this item.","options":"1 Least\n2\n3\n4\n5 Most"}
Your Score {"type":"computed","name":"foodscoremini","width":15,"value":"","size":"Normal","validation":null,"validationMessage":null,"formula":"(energylevelmini+homecookingmini+percentvegmini+processedfoodmini+dietratingmini)/5","hidden":false}
Maximum 5
Click COMPLETE to learn what your score means.
