Food & Drink Diary
February 10. 2011
Written by: Cliff Fullingim
Food and Drinks you consume
A diary of all the food and drinks you consume for a week, including their cost
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SATURDAY FOOD AND
DRINK
This food diary print-out can be used for
recording your food intake and to reflect on your eating habits at the end of the day.
SaturdayMorning (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
SaturdaySnack (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
SaturdayLunch (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
SaturdaySnack (Time: ________)
Food: __________________________ Portion:
_________ Calories: ___________
Food: __________________________ Portion:
_________ Calories: ___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
SaturdayDinner (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
SaturdayAfter Dinner , before bed time (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
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 longer 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 dairy, fried foods, and desserts? Y / N
·
Did you eat the 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.
SUNDAY FOOD
AND DRINK
This food diary print-out can be used for
recording your food intake and to reflect on your eating habits at the end of the day.
SundayMorning (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
SundaySnack (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Sunday Lunch (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Sunday Snack (Time:
________)
Food: __________________________ Portion:
_________ Calories: ___________
Food: __________________________ Portion:
_________ Calories: ___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Sunday Dinner (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Sunday After Dinner , before bed
time (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
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 longer 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 dairy, fried foods, and desserts? Y / N
·
Did you eat the 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.
Monday FOOD AND
DRINK
This food diary print-out can be used for
recording your food intake and to reflect on your eating habits at the end of the day.
Monday Morning (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Monday Snack (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Monday Lunch (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Monday Snack (Time:
________)
Food: __________________________ Portion:
_________ Calories: ___________
Food: __________________________ Portion:
_________ Calories: ___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Monday Dinner (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Monday After Dinner , before bed
time (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
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 longer 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 dairy, fried foods, and desserts? Y / N
·
Did you eat the 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.
TUESDAY FOOD
AND DRINK
This food diary print-out can be used for
recording your food intake and to reflect on your eating habits at the end of the day.
Tuesday Morning (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Tuesday Snack (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Tuesday Lunch (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Tuesday Snack (Time:
________)
Food: __________________________ Portion:
_________ Calories: ___________
Food: __________________________ Portion:
_________ Calories: ___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Tuesday Dinner (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Tuesday After Dinner , before bed
time (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
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 longer 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 dairy, fried foods, and desserts? Y / N
·
Did you eat the 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.
Wednesday FOOD AND
DRINK
This food diary print-out can be used for
recording your food intake and to reflect on your eating habits at the end of the day.
Wednesday Morning (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Wednesday Snack (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Wednesday Lunch (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Wednesday Snack (Time: ________)
Food: __________________________ Portion:
_________ Calories: ___________
Food: __________________________ Portion:
_________ Calories: ___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
WednesdayDinner (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
WednesdayAfter Dinner , before bed time (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
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 longer 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 dairy, fried foods, and desserts? Y / N
·
Did you eat the 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.
THURSDAY FOOD
AND DRINK
This food diary print-out can be used for
recording your food intake and to reflect on your eating habits at the end of the day.
ThursdayMorning (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
ThursdaySnack (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
ThursdayLunch (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
ThursdaySnack (Time: ________)
Food: __________________________ Portion:
_________ Calories: ___________
Food: __________________________ Portion:
_________ Calories: ___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
ThursdayDinner (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
ThursdayAfter Dinner , before bed time (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
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 longer 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 dairy, fried foods, and desserts? Y / N
·
Did you eat the 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.
FRIDAY FOOD AND
DRINK
This food diary print-out can be used for
recording your food intake and to reflect on your eating habits at the end of the day.
FridayMorning (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
FridaySnack (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
FridayLunch (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
FridaySnack (Time: ________)
Food: __________________________ Portion:
_________ Calories: ___________
Food: __________________________ Portion:
_________ Calories: ___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
Friday Dinner (Time: ________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
FridayAfter Dinner , before bed time (Time:
________)
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Food: ________________ Portion: _________
Calories: ________ Cost___________
Beverage: ____________ Portion: _________
Calories: _________Cost___________
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 longer 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 dairy, fried foods, and desserts? Y / N
·
Did you eat the 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.
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