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What's on Your Plate?

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. To see how the form looks completed, check the sample menu.

Food Amount
(serving size)
Number of servings by DASH food groups
      Grains Veg. Fruits Dairy Meat Nuts Fats Sweets
Breakfast                    
Example: whole wheat bread 2 slices 2              
and soft margarine 2 tsp             2  
                     
                     
                     
                     
                     
                     
Lunch                    
                     
                     
                     
                     
                     
                     
                     
                     
Dinner                    
                     
                     
                     
                     
                     
                     
                     
Snacks                    
                     
                     
                     
Day's Total                    
Compare yours with the DASH plan     7-8 4-5 4-5 2-3 2
or less
4-5
a week
2-3 5 a week


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Sources:
National Institutes of Health

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