1.	I eat foods that are low in fat and high in fiber, such as oatmeal, lettuce, and bran, every day.

a  yes      b  sometimes      c  no

	2.	I limit my intake of salty foods, high-sugar snacks, and soft drinks.

a  yes      b  sometimes      c  no

	3.	I avoid using food as a way of coping with my emotions.

a  yes      b  sometimes      c  no

	4.	I brush my teeth at least twice a day and floss at least once a day.

a  yes      b  sometimes      c  no

	5.	I chew each bite of food thoroughly before swallowing.

a  yes      b  sometimes      c  no

	6.	To reduce the risk of spreading bacteria, I wash my hands before preparing food or eating.

a  yes      b  sometimes      c  no

	7.	I do not use laxatives except when recommended by a health care professional.

a  yes      b  sometimes      c  no

	8.	I drink at least eight 8-ounce glasses of water per day.

a  yes      b  sometimes      c  no

	9.	I seek medical attention when diarrhea persists for more than 48 hours.

a  yes      b  sometimes      c  no

	10.	If necessary, I would discuss with a health care professional any changes in urine color or odor, as well as any changes in frequency of urination.

a  yes      b  sometimes      c  no