NUTRITION ASSESSMENTS:

KIDS IN THE KITCHEN

1. I am a ___Girl ___Boy.

2. I am ___8 ___9 ___10 ___11 ___12 ___13 years old

3. I am:

___African-American
___Asian or Pacific Islander
___American Indian
___White
___Hispanic
___Mixed or Other

Check the box under the answer that best describes you:

	very often	sometimes	never
4. When my hands need to be washed, I rub them with soap for 20 seconds and rinse then with warm water.
5. I wash my hands before eating.
6. I wash my hands after using the bathroom.
7. I wash my hands after wiping my nose or coughing.
8. I wash my hands after playing with my pets.
9. I cover cuts or sores when I prepare food.
10. I make something for breakfast.
11. I make something for lunch.
12. I make somthing for snacks between meals.
13. I pack my own lunch for school.
14. I drink from the big container.
15. I use a cutting board.
16. I clean up the kitchen after I prepare food.
17. I help with grocery shopping.
18. I wash fresh fruits and vegetables before eating them.
19. Before preparing food, I clean the counter tops.
20. I ask for help when I use knives, blenders, mixers.
21. When I am cooking, I taste and stir the food with the same spoon.
22. I share my food with my pets while I am eating.
23. I throw food away that has fallen on the floor.
24. I return leftover or unused food to the refrigerator.

Put an X by all that you do.

25. When I make breakfast for myself, I usually

___Have dry cereal and milk
___Make cooked cereal
___Toast bagels, pop tarts, or bread
___Cook eggs
___Make frozen waffles, french toast or pancakes in the microwave or toaster
___Have fresh fruit

26. When I make lunch or dinner for myself, I usually

___Have fresh fruit or vegetables
___Cook food on the stove from a can or a package
___Make a sandwich
___Heat up leftovers
___Cut food with a knife
___Use the oven to make frozen pizza
___Heat frozen food in the microwave
___Cook meat in the stove or in the microwave
___Use the oven to bake muffins, cookies, or cake
___Read and prepare a recipe

27. When I make a snack for myself, I usually

___Make a sandwich
___Cook meat
___Heat frozen food in the microwave
___Cook food on the stove from a can or a package
___Have fresh fruit or vegetables
___Heat up leftovers
___Use the oven to make frozen pizza
___Use the oven to bake muffins, cookies, or cake
___Have crackers, chips, or cookies
___Read and prepare a recipe

Write down the foods you usually make for yourself for:

28. Breakfast

29. Lunch

30. After-school snack

31. Dinner/supper

32. Before bed snack

Put an X by all the right answers.

33. These foods need to be kept cold:

___meat
___unopened canned foods
___milk or drink
___leftover soup
___eggs
___bread

34. I shouldn't eat something

___that smells bad
___that has a color that is not normal
___when the freshness date is past
___when it gets watery
___when it is moldy

Evaluation Tools Page

ENTRY DATE:: January 1999