MY FOOD JOURNAL
MORNING(TIME:_ _ 6:30_ _ _ _ _ _)
FOOD:_________bread______
PORTION:_________1/2___
CALORIES:______250______
FOOD:_________cereal________
PORTION:______1 1/2________
CALORIES:_______200______
FOOD:__________________
PORTION:________________
CALORIES:_______________
BEVERAGE:____milk___________
PORTION:____1whole cup______________
CALORIES:______122__________
SNACK(TIME:____10:10_________)
FOOD:________cookies___________
PORTION:_________1/2________
CALORIES:________110________
FOOD:_____________________
PORTION:____________________
CALORIES:______________________
FOOD:__________________________
PORTION:______________________
CALORIES:_____________________
BEVERAGE:_____milk___________________
PORTION:______1 cup_____________
CALORIES:____122_____________
DINNER TIME(_______4:00_________)
FOOD:__________CHOW MEIN__________
PORTION:__________1 CUP______
CALORIES:________330_______
FOOD:_____________ORANGE CHICKEN___________
PORTION:_________1/2____________
CALORIES:________500____________
FOOD:____________BROCCOLI AND BEEF____
PORTION:_______1/2______________
CALORIES:320
BREVAGE: SODA
CALORIES:100
PORTION: 1 CUP
REFLECT ON YOUR DAY
CIRCLE Y FOR YES AND N FOR NO
- DID YOU EAT SOMETHING TODAY ONLY BECAUSE OF HABIT? Y/N
- DID YOU SKIP ANY MEALS TODAY? Y/N
- DID YOU GO LONER THAN FOUR TO FIVE HOURS WITHOUT EATING? Y/N
- DID YOU EAT TOO LITTLE IN THE MORNING? Y/N
- DID YOU EAT MORE AT NIGHT THAN ANY OTHER TIME? Y/N
- DID YOU EAT A LOT OF HIGH-FAT FOODS, SUCH AS WHOLE DIARY, FRIED FOODS, AND DESSERTS? Y/N
- DID YOU EAT SAME FOODS AS YOU DO EVERY OTHER DAY? Y/N
- DID YOU EAT ACCORDING TO MOOD RATHER THAN HUNGER TODAY? Y/N
IF YOU ANSWERED YES TO ONE OR MORE QUESTIONS, TAKE SOME TIME TO PLAN HOW YOU CAN AVOID THESE PROBLEMS IN THE FUTURE.