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.