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| Date:
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County:
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| Program Site :
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Method:
Group
Individual
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| Who:
Pre-K
Youth
Adults
Seniors (Select all groups that apply to this outcome |
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| Cooking Schools |
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Participants now plan and prepare healthy low-cost meals for their
families. |
| Trying
new foods |
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Participants now try new healthy foods and adopt regular eating of those foods. |
| Fruits and vegetables |
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Participants are eating more Fruits and vegetables. |
| Hand washing |
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Participants have handwashing habits for food prep & eating. |
| Food
Safety |
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Participants wash cooking surfaces, separate foods, cook food to proper temperatures, & refrigerate foods within 2 hours. |
| Farmer's
markets |
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Participants use Farmers Markets and eat more fruits and vegetables. |
| Healthy
Snacks |
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Participants now plan, prepare and eat healthy snacks. |
| Recommended Daily Food Group Intakes |
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Participants learn how much grains, fruits, vegetables, dairy and meat & beans are needed each day. |
| Low-fat food choices |
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Participants are able to choose foods low in fat and cholesterol. |
| Physical
Activity |
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Participants now intend to be regularly physically active (30 min/day adults, 60 min/day children). |
| Food Labels |
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Participants know how to read and understand food labels. |
| Food planning and budgeting |
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Participants know how to plan a menu, make a shopping list, and compare food prices. |
| MyPyramid |
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Participants understand the new food guidance system, MyPyramid, that suggests an increase in fruit and vegetable consumption, choosing whole grains, having a low-fat, low-cholesterol diet and eating recommended portion sizes. |
| Community Food Resources |
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Participants know how to use additional community food resources such as farmer’s markets, enrollment in WIC and food pantries. |
| Others (ie. Gardening, eating away from home) |
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As
a result of the program #
of the
people reached= % of people who changed to the new behavior below.
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What behavior are the people now doing? (ie. Participants learned new ways to add fruits and vegetables to their diets.)
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Staff
Member:
Email:
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