Food Diary

3-Day Food Diary

 

Record as complete a record of everything you ate for three days. Please be as honest as possible.  We are nonjudgemental, and the information you provide is going to help US help you smash your goals!

Name *
Name
Please indicate Breakfast, Lunch, Dinner, and any Snacks or Desserts for the day. Also, indicate if there is anything significant or different about today (ex. travel, holiday, weekend/weekday, etc.)
Please record to the best of your abilities all fluids consumed (coffee, alcohol, juice, etc.), but particularly WATER INTAKE.
Please indicate Breakfast, Lunch, Dinner, and any Snacks or Desserts for the day. Also, indicate if there is anything significant or different about today (ex. travel, holiday, weekend/weekday, etc.)
Please record to the best of your abilities all fluids consumed (coffee, alcohol, juice, etc.), but particularly WATER INTAKE.
Please indicate Breakfast, Lunch, Dinner, and any Snacks or Desserts for the day. Also, indicate if there is anything significant or different about today (ex. travel, holiday, weekend/weekday, etc.)
Please record to the best of your abilities all fluids consumed (coffee, alcohol, juice, etc.), but particularly WATER INTAKE.