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Food Diary
Date __________________ Date __________________ Date __________________
Meal ______ Time _______ Meal ______ Time _______ Meal ______ Time _______
Meal _______ Time ______ Meal _______ Time ______ Meal _______ Time ______
Meal _______ Time ______ Meal _______ Time ______ Meal _______ Time ______
Meal _______ Time ______ Meal _______ Time ______ Meal _______ Time ______
Snacks Snacks Snacks
______________________ ______________________ ______________________
______________________ ______________________ ______________________
______________________ ______________________ ______________________
Please indicate time of day, the meal you’re having, and the duration of that meal.
Include the name of food, how it was prepared and portion size.
Food Diary
Date _______ Day __________ Be sure to record all meals and snacks.
Food/Beverage & Portion Time of Day Place Where Duration of Exercise
How Prepared Eating Meal (Min.) Activities
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