My Food Journal
Morning (Time: 6:30 AM)
Food: Blueberries
Portion: 1
Calories: 83
Food:_____________
Portion:___________
Calories:___________
Food:_____________
Portion:___________
Calories:___________
Beverage:Coffee plus milk
Portion:1 cup
Calories: 50
Snack(Time 10:00 AM)
Food: Smuckers
Portion:______1_____
Calories:___150________
Beverage:___Milk________
Portion:______1________
Calories: ______122__________
Snack(Time___3:00 PM__________)
Food:_______Mole______
Portion:_____1 1/2______
Calories:__300_________
Food:_____________
Portion:___________
Calories:___________
Beverage:____Orange juice_______
Portion:______2________
Calories: ________350________
Dinner (Time__________)
Food:__pancakes w/syrup___________
Portion:_____2______
Calories:_____270______
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 ant meals today? Y/N
- Did you go longer than four to five hours without eating? Y/N
- Did you eat too little in the morning? Y/N
- Do you eat more at night than at any other time? Y/N
- Did you eat a lot of high fat foods such at whole dairy, fried foods, and desserts? Y/N
- Did you eat the same foods as you do every other day? Y/N
- Did you eat accordind to mood rather than hunger today? Y/N
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