Nutritional Food Journal
For the past two days I ate the following foods (include all meats, snacks and beverages). List examples of what  you normally eat for breakfast, lunch, dinner and snacks. If you ate a specific recipe, try to include the ingredients and amount of food eaten. Please comment about how  you felt after eating this food, even up to 12 hours after eating a particular food or meal. Be as specific and as detailed as you can. This will help both of us understand your specific food patterns.
Mealtime/event Day 1 Day 2 Reaction
       
Breakfast      
 
Time:
 
Where:
 
 
Lunch      
 
Time:
 
Where:
 
 
Dinner      
 
Time:
 
Where:
 
 
Morning Snack      
 
Time:
 
Where:
 
Afternoon Snack      
 
Time:
 
Where:
 
Bedtime Snack      
 
Time
 
Where
 
Cravings      
 
When:
 
Where:
 
Water: How Much ?      
 
 
Exercise      
 
When
 
What & How Much
 
Other Important Information (Eg: life events, etc)
 

 

 
Name: Dates:
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