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Food Record for: Tuesday (day) 09 /09 /08 (date) Name: Kimsey Cooper

Food/Description Amount
First Eating Occasion 2 cups Raisin Bran Crunch Cereal
Time: 9:00 AM 1 ½ cups 1 % nurture milk
Hunger: 0 1 2 3
Place: The Apartment
Who: Myself
Activity: Sitting/ Getting
Ready
Emotion: Groggy
Second Eating Occasion 1 cup grapes
Time: 11:45
Hunger: 0 1 2 3
Place: Bus
Who: My Friends
Activity: Riding
Emotion: Bored
Third Eating Occasion 2 slices whole wheat bread
Time: 2:00 PM 1 tsp. mustard, 1 tsp. light sour cream
Hunger: 0 1 2 3 1 ½ oz turkey pastrami
Place: My Office
Who: Myself 1 slice Colby jack cheese
Activity: Walking 32 oz. water
Emotion: Scattered
Fourth Eating Occasion 6 oz weight watchers yogurt
Time: 6:00 PM 1 turkey cheddar hotdog
Hunger: 0 1 2 3
Place: Apartment
Who: Myself
Activity: Walking Around
Emotion: Rushed
Fifth Eating Occasion 1 ½ ounces pound cake
Time: 9:45 PM ½ melted white chocolate
Hunger: 0 1 2 3 1 cup vanilla ice cream
Place: Chili’s
Who: My Boyfriend
Activity: Sitting/ Talking
Emotion: Winding Down
Sixth Eating Occasion
Time: __________________
Hunger: 0 1 2 3
Place: __________________
Who: __________________
Activity: ________________
Emotion: _______________

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