Carotenoid Screener During the past week, how many servings of the items below did you eat or drink?	ID# _______________ DATE______________
FRUITS	SERVINGS
Apple (1 medium)
Avocado (½ cup, cubed)
Banana (1 medium)
Cantaloupe (1 slice [⅛ of medium melon])
Fruit and Vegetable Smoothie or Drink (12 fluid ounces)
Grapefruit (1 small)
Mango (½ mango)
Orange or Tangerine (1 medium)
Orange Juice (8 fluid ounces)
Watermelon (1 ½ cups)
VEGETABLES	SERVINGS
Asparagus, cooked (6 medium spears)
Bell Pepper, cooked or raw (½ small or ¼ cup, chopped)
Broccoli, cooked or raw (1 cup)
Carrots, cooked or raw (½ cup)
Carrot Juice, 100% (8 fluid ounces)
Green Beans, cooked (½ cup)
Greens [other than spinach], cooked (1 cup)
Lettuce [other than spinach], raw (1 cup)
Spinach, cooked (1 cup)
Spinach, raw (1 cup)
Summer Squash [includes zucchini or spaghetti squash], cooked (1 cup, sliced)
Sweet Potato (1 cup)
Tomato, raw (¼ cup, chopped or sliced)
Tomato Juice or Vegetable Juice Cocktail, 100% (10 fluid ounces)
Tomato or Vegetable Soup (1 ½ cups)
Vegetable Combinations/Mixed Vegetables, cooked (1 cup)
Winter Squash [includes acorn, butternut, hubbard, pumpkin], cooked (½ cup, cubes)
Pumpkin or Sweet Potato Pie (1 piece [⅛ of 9-inch diameter])
OTHER ITEMS	SERVINGS
American Cheese (1 slice)
Burrito or Enchilada with Red Sauce (2 small)
Carrot Cake (1 slice [⅛ of 2-layer cake, 8" or 9" diameter])
Chili (1 cup)
Egg, cooked (1 large)
Fajita (1 cup)
Hamburger/Cheeseburger/Sandwich with Tomatoes or Tomato-based Sauce (1 sandwich)
Ketchup, Salsa, Barbecue Sauce, or Steak Sauce (1 tablespoon)
Lasagna, Ravioli, or Tortellini with Red Sauce (1 cup)
Meat with Vegetables and/or Tomato-based sauce (1 cup)
Pasta, Spaghetti or Noodles with Red Sauce (1 cup)
Pizza with Red Sauce (2 slices [¼ of large pizza])
Popcorn (3 cups, popped)
Spanish Rice (½ cup)
Taco, hard or soft (2 medium tacos)
Vegetable Chips (1 cup)