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Week 1 - Food Diary Calendar Example
Week 1 - Food Diary Calendar Example
of how to
fill out a food
diary
SAMPLE FOOD DIARY
TIME PLACE WITH WHOM ACTIVITY MOOD HUNGER AMOUNT FOOD FRUITS FULLNESS FILLED OUT
(record start and (kitchen, (alone, or with (reading, (neutral, (rate from 0–5, OR VEGE (after eating: JUST BEFORE
end time of meal living room, family, friends, watching happy, tense, 0=no hunger, TABLES 1=still hungry OR AFTER
or snack) bedroom, car, colleagues) TV, talking, depressed, 5=starving) 2=quite satisfied EATING?
angry, bored, (number of
desk at work) cooking) servings) 3=uncomfortable)
rushed, tired) (X=yes)
1 medium Banana 1 X
2 teaspoons Sugar X
1 large Chocolate X
chip cookie
1 cup Broccoli 1 X