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Diet

In this dwelling: How many days of last week did the occupants consume the following foods?
Number of days
Meat___
Eggs___
Milk___
Fish___
Wheat bread___
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Nutrition:

[Drawings of "meat," "eggs," "fish," "milk," and "wheat bread."]

Write down the number of days during the preceding week in which each of the aforementioned foods were consumed. Do not consider those which were consumed outside of the dwelling.

This refers to the week of the 19th to the 25th of January; the number of days cannot be more than 7 for any line.