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NEAT24 Hour Recall Updated (Cuesta College)

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NEAT (Nutrition Education Action Team) Program
24-hour Recall and Pre-Appointment Questionnaire
Welcome to NEAT…
We will help you learn about Nutrition and set goals for positive nutrition and
lifestyle changes.
Please complete and submit a minimum of 48 hours before your appointment:
Name
Date
Email
Reason for Appointment Request
Information needed for Computer Diet Analysis:
Birthdate
Gender (if female, then are you pregnant or lactating?)
Height
Weight
Weight Gain or Loss desired?
Activity Level:
How many minutes a week do you exercise moderately or vigorously?
Do you follow a specific type of diet and/or have any allergies?
What do you feel you do especially well concerning your food choices?
What do you think you could improve on nutritionally?
Are there any specific nutrition-related topics you would like to know more
about? Do you often feel hungry? (If yes, please answer the questions below )
Do you ever feel too hungry to study? Yes
Do you have access to a kitchen? Yes
Is your food supply low at the end of the month? Yes
Male
Weight Loss
High
NEAT (Nutrition Education Action Team) Program
List any supplements you are taking.
Choose a typical day of eating and record your food and liquid consumption in a 24-hour period:
Time
Location
Description of Food Eaten/How Prepared
Amount Eaten
NEAT (Nutrition Education Action Team) Program
HELPFUL HINTS FOR LISTING FOODS
1. Be sure to write down foods as you eat them so that you can record the amounts accurately.
2. Write down specific information on how the food was cooked (fried, baked, broiled, steamed).
3. Write down whether the food was freshly prepared, frozen, canned, or otherwise processed.
Canned foods should include the type of liquid in which the food was packed (heavy syrup, oil-
packed, water).
4. Many common mixed dishes, such as chili, macaroni and cheese, or tuna noodle casserole, can be
found in the database. If you ate a more unique dish, however, you will need to list the individual
foods in the recipe. For example:
2 cup vegetable
stew =
0.25 cup potato
0.50 cup carrot
0.25 cup onion
1.00 cup tomato
sauce
If you ate ¼ of the recipe, be sure to list only ¼ of the amount of the ingredients.
5. Use measuring cups and spoons to determine how much was eaten.
6. Prep means prepared and ready to eat. For example: “Fruit Juice, Orange, frozen concentrate,
unsweetened, prep” means that the frozen concentrate has been diluted with water to make
juice.
7. Dry means uncooked or unprepared. Examples: oatmeal, dry or rice, dry means uncooked and
expand to double or triple when cooked.
8. 8 oz. is not 1 cup for dry items such as cereal. Use oz. primarily for liquids or meat, unless you get
information from the package.
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NEAT24 Hour Recall Updated (Cuesta College)

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Completed 20 July 2020

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