This survery helps your dietitian understand your food preferences and how you you prefer to eat. Please mark items that you would be likely to eat if offered, make at home, or order from a menu. Below each is place to write in a modified version of the meal suggested if there is one part you might like. This form is designed to have minimum redundencies. You might see "Ginger glazed Salmon with brown rice and broccoli" and think that you would eat most of that. By using the modification box you can change it to "A different salmon, brown rice, and asparagus."