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2001 Volunteer Leader Training Guide
The DASH Diet
What’s On Your Plate

Printer Friendly Version Printer Friendly Version (PDF)

Use this form to track your food habits before you start on the DASH eating plan or to see how you’re doing after a few weeks. To record more than 1 day, just copy the form. Total each day’s food groups and compare what you ate with the DASH plan.

Food Amount (Serving Size) Number of Servings by DASH Food Groups
      Grains Veg. Fruits Dairy Meats Nuts Fats Sweets
Breakfast                    
                     
                     
                     
                     
                     
Lunch                    
                     
                     
                     
                     
Dinner                    
                     
                     
                     
                     
Snack                    
                     
                     
Day's Total                    
Compare Yours with the DASH Plan                    

Prepared by: Easter H. Tucker, Extension Family and Consumer Sciences Specialist, University of Arkansas Cooperative Extension Service.

Source: The DASH Diet, NIH Publication No. 98-4082, September 1998. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Heart, Lung and Blood Institute.

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University of Arkansas
Division of Agriculture
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University of Arkansas • Division of Agriculture
Cooperative Extension Service
2301 South University Avenue
Little Rock, Arkansas 72204 • USA
Phone (501) 671-2000 • Fax (501) 671-2209
 

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