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I eat fried foods ____ days out of the week.
 
1-4
 
5-7
 
0
 
 
 
I have dessert after every meal
 
True
 
False
 
 
 
I think exercising is important
 
True
 
False
 
I don't care
 
 
 
I exercise ___ days out of the week.
 
1-3
 
4-7
 
0
 
 
 
I eat fruit...
 
sometimes
 
always
 
never
 
 
 
I eat vegetables....
 
sometimes
 
always
 
never
 
 
 
I eat until I am...
 
satisfied
 
stuffed
 
I don't pay attention
 
 
 
I try to eat small portions
 
True
 
False
 
Why would I do that?
 
 
 
I think I am at a healthy weight
 
Yes
 
No
 
I don't care
 
 
 
I have tried to go on a "diet" before
 
Yes
 
No
 
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