Dynamic Meal Preparation Form

Meal Preparation Practice

Meal Preparation Practice Category Category 1 Category 2 Category 3 Category 4 Category 5
Home Storage Time 4 < 1 day > 1 to 4 days > 4 to 7 days > 7 to 14 days > 14 days
Home Storage Temperature 2 < 8°C > 8 to 20°C > 20 to 30°C > 30 to 35°C > 35°C
Hygiene 3 < 2.0 2.0 to 2.9 3.0 to 3.9 4.0 to 4.5 4.6 to 5.0
Meal Preparation Time 1 < 1 hour > 1 to 2 hours > 2 to 4 hours > 4 to 6 hours > 6 hours
Kitchen Temperature 3 18 to 22°C 22 to 25°C 25 to 30°C 30 to 35°C > 35°C
Fried Egg Doneness 3 Over Hard Over Medium Over Easy Sunny Side Up Raw

Remarks and Suggestions:


    
Food Consumption Behavior

Food Consumption Behavior

Food Consumption Behavior Category Category 1 Category 2 Category 3 Category 4 Category 5
Chicken Eggs 2 2 oz (56 g) 4 oz (112 g) 6 oz (168 g) 8 oz (224 g) 10 oz (280 g)
Beverage 2 4 oz (118 ml) 8 oz (236 ml) 12 oz (354 ml) 16 oz (473 ml) 20 oz (591 ml)
Side #1 2 2 oz (56 g) 4 oz (112 g) 6 oz (168 g) 8 oz (224 g) 10 oz (280 g)
Side #2 2 2 oz (56 g) 4 oz (112 g) 6 oz (168 g) 8 oz (224 g) 10 oz (280 g)
Condiment #1 3 0.5 Tbsp (7.5 ml) 1 Tbsp (15 ml) 2 Tbsp (30 ml) 3 Tbsp (45 ml) 4 Tbsp (60 ml)
Condiment #2 2 0.5 Tbsp (7.5 ml) 1 Tbsp (15 ml) 2 Tbsp (30 ml) 3 Tbsp (45 ml) 4 Tbsp (60 ml)
Dessert 3 2 oz (56 g) 4 oz (112 g) 6 oz (168 g) 8 oz (224 g) 10 oz (280 g)
Antacid Tablets 1 None One Two Three > Three

Remarks and Suggestions:


    
Consumer Health and Immunity

Consumer Health and Immunity

Consumer Health and Immunity Category Category 1 Category 2 Category 3 Category 4 Category 5
Age 4 17-35 yr 13-16; 35-45 yr 6-12; 46-59 yr 60-79 yr < 6 or > 79 yr
Body Mass Index 1 22 but < 25 19 but < 22 25 but < 30 < 19 or 30 to < 40 40 or above
Diabetes 2 None Mild Moderate Severe Very Severe
Cancer 2 None Mild Moderate Severe Very Severe
Autoimmune Disease 3 None Mild Moderate Severe Very Severe
Pregnancy 1 None 1st Trimester 2nd Trimester 3rd Trimester Complications
Corticosteroid Medication 1 None 1-2 days 3-4 days 5-6 days 7 or more days
Acid Reflux Medication 5 None 1-2 days 3-4 days 5-6 days 7 or more days
Oral Antibiotic Medication 2 None 1-2 days 3-4 days 5-6 days 7 or more days

Remarks and Suggestions:


    
Fried Egg Doneness Chart
Fried Egg Doneness Chart
Fried Egg Doneness Chart
Nutritional Data
To maintain confidentiality, only return this code.
Confidentiality Diagram
Item Fat + Protein (g)
Chicken Egg 13 g
Tea 0 g
Turkey 28 g
Avocado 4 g
Sour Cream 2 g
Ketchup 0.1 g
Yogurt 5 g
Meal 20 g
Body Mass Index Calculation
Body Mass Index Calculation
Height (inches) Weight (lbs) Body Mass Index (BMI) BMI Category
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