FOOD LOG

Your Daily Diet

Instructions:

● Keep a record of everything you eat for 7 consecutive days. Record all foods you consume.
Complete the column of the chart during the course of the day.
● Record your mood/feeling before and after eating. Mood before eating affect your food choices
and consumption. Being aware of these can help in evaluating your eating practices.
● Think carefully about the reasons behind your food choices. List any areas of concern below,

Mood/Feeling
exhausted, angry, sad, frustrated, stressed, depressed, overwhelmed, anxious, guilty, lonely,
jealous, bored, hopeful, confident, happy, excited, etc.

along with a goal for change and strategies for achieving the goal you have set.

Day/Date:

Meals/Food Mood/Feeling

Before After

Breakfast

AM Snack

Lunch

PM Snack

Dinner

Problem:

Goal:

Strategies for change: