My Food Journal

Moring(Time:         )
Food:_______
Portion:_______
Calories:_______

Food:_______
Portion:______
Calories:______

Food:________
Portion:_______
Calories:_______

Beverage:_______
Portion:________
Calories:_______


Snack(Time:      )
Food:________
Portion:_______
Calories:_______

• 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 foodds, 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