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Click here to get started to receive free food benefits or call or text +1 714-475-7483 and we will be happy to assist.

Click here to get started to receive free food benefits or call or text +1 714-475-7483 and we will be happy to assist.

Tangelo Health Assessment

Please take 2 minutes to answer a few questions from our registered dietitians to get a better sense of your current health conditions and challenges.

(2 Minutes)

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Choose your preferred language

What other chronic conditions do you have?

Type in your chronic conditions

Please specify an answer

How well are you managing your chronic diseases?

1

Well Controlled

2

Somewhat Controlled

3

Not Controlled

What other challenges or barriers do you face in managing your chronic disease(s)

Type in your challenges and barriers

Please specify an answer

Approximately how many servings of fruits do you consume in a day?

1

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I hardly eat fruit

2

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1 cup or less a day

3

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2 cups or more a day

Approximately how many servings of vegetables do you consume in a day?

1

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I hardly eat vegetables

2

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1 cup or less a day

3

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2-3 cups a day

4

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More than 3 cups a day

How often do you drink sugar-sweetened beverages?

Such as soda, sweetened tea, sports drinks, etc

1

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Never

2

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Times a Week

3

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Times a Week

4

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Times a Week

Thinking about the meals that you normally eat for lunch and dinner

How often do you fill up half of your plate with vegetables and/or fruits?

1

All the Time

2

Sometimes

3

Seldom or Never

Think about the meals that you normally eat for lunch and dinner

How much protein such as chicken, beef, fish, beans or plant-based "meat" do you eat?

1

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Only a quarter of my plate

2

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More than a quarter of my plate

3

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Don't care or pay attention

How many times a week do you eat red meat?

1

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Never

2

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Times a Week

3

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Times a Week

4

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Times a Week

Think about the meals that you normally eat for lunch and dinner

How much grain or starch such as rice, pasta, noodles, and bread do you eat?

1

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Only a quarter of my plate

2

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More than a quarter of my plate

3

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Don't care or pay attention

Think about the meals that you normally eat for lunch and dinner

How many times a week do you eat out (restaurants, fast foods)

1

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2

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3

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4

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Do you have dietary restrictions?

like vegetarian, gluten-free, or kosher

1

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Yes

2

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No

What other dietary restrictions do you have?

Type in your preferences

Please specify an answer

Do you require a soft foods or puréed foods-only diet?

1

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Yes

2

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No

What other cultural dietary preferences do you have?

Type in your preferences

Please specify an answer

Please share your current height and weight

What is your height?

Feet

Feet

ft

Please specify an answer

Inches

Inches

in

Please specify an answer

What is your weight?

Pounds

Pounds

lbs

Please specify an answer

Almost Done!

Please share your meal delivery information so we can ship your free meals.

Enter Your Contact Information

First name

First name

Please enter your first name

Last name

Last name

Please enter your last name

Mobile Phone Number

Mobile Phone Number

Please specify an answer

Address

Address

Please specify an answer

Apt / Unit

Apt / Unit

Please specify an answer

City

City

Please specify an answer

State

State

Please specify an answer

ZIP Code

ZIP Code

Please specify an answer

Delivery Instructions (Optional)

Delivery Instructions (Optional)

Please specify an answer

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RD Assessment

Get Authorized

Choose Your Meals

Congratulations on completing this Assessment!

Thank you for taking the time.

What to expect next

1. We will submit for authorization to your health plan.

2. We are going to pre-select your free meals based on the infromation you provided.

3. We are going to send a text to confirm your selected meals and deliver your food.

Authorization could take up to 7 days.

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