Correy  P.  Lai  Lic.Ac.
                  
 

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Food Diary

Food Diary

 

Name:                                             Day of the week:

List everything that you consume for a seven-day-period. This exercise will help you evaluate your eating habits and see where simple changes can make big difference. Fueling your body appropriately with balance carbohydrates, proteins, fats and water will help you maintain energy levels that are constant.

 

 

Time

Food, junk food, everything!

Approximate amounts.

Liquids:

Type and Amount

Supplements and medications

6:00 am

 

 

 

7:00

 

 

 

8:00

 

 

 

9:00

 

 

 

10:00

 

 

 

11:00

 

 

 

Noon

 

 

 

1:00 pm

 

 

 

2:00

 

 

 

3:00

 

 

 

4:00

 

 

 

5:00

 

 

 

6:00

 

 

 

7:00

 

 

 

8:00

 

 

 

9:00

 

 

 

10:00

 

 

 

11:00

 

 

 

Midnight

 

 

 

 

List the type of exercise you did today: