2. First Name
3. Last Name
5. HH or ID#*
6. Phone
7. Date/Time of Appointment*
   Date/Time of Appointment

   Date/Time of Appointment
9. Milk Video Questions
11. 1. How many glasses of milk does a two-year-old need each day?*

    1. a) 5
    2. b) 2
    3. c) 10
    4. d) 6

    Choose the best answer.
12. 2. True or false. A good way to start drinking healthier milk is to first switch from whole milk to 2% milk, and then 2% to 1%.*

    1. a) True
    2. b) False
14. 3. What will you do to increase the servings of milk your child receives?*

    1. a) Keep low-fat or fat-free yogurt for snacks.
    2. b) Make fresh fruits smoothies with low-fat or fat-free milk.
    3. c) Make parfait desserts with fruit, whole grain, and low fat yogurt.
    4. d) Serve one glass of milk with one meal each day.

    Check your choice(s).
16. 4. List three benefits of using low-fat or fat-free milk versus whole milk.*
18. 5. True or False. Low fat or fat free milk provides the same nutrients as whole milk.*

    1. True
    2. False
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