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3-Day Food Record

Date: 09/17/10 (weekday/weekend)

Name: Denielle Saitta____
Food Detailed Description(s)

Amount(s) and Unit(s)

First Eating Occasion
Time: _9:45____________
Hunger: 0
1
2
3
Place: _Dorm___________
Who: _Me_____________
Activity: Getting ready for class
Emotion: _Tired________

2 Chocolate Fudge Poptarts
Skim Milk

104 g.
1 cup

Second Eating Occasion
Time: _12:00____________
Hunger: 0
1
2
3
Place: _UC____________
Who: _Me & a friend______
Activity: _Hanging out______
Emotion: _Neutral________

Chicken Teriyaki with Rice
Eggroll
Sprite

2 oz.
2 cups
85 g.
3 cups

Third Eating Occasion
Time: _3:15_____________
Hunger: 0
1
2
3
Place: _Dorm____________
Who: _Me & a friend______
Activity: _Studying______
Emotion: _Happy________

Actt II Popcorn
M&M’s
Diet Dr. Pepper

3 cups
5 tablespoon s
12 fl oz.

Fourth Eating Occasion
Time: _9:00____________
Hunger: 0
1
2
3
Place: _Dorm_____________
Who: _Me_____________
Activity: _Studying_________
Emotion: _Bored_________

Steak Teriyaki with Fried Rice
Glazed Carrots
Eggroll

10oz.
1 cup
85 g.

Fifth Eating Occasion
Time: _1:40____________
Hunger: 0
1
2
3
Place: _Dorm____________
Who: _Me & friends_______
Activity: _Talking_______
Emotion: _Tired________

3 Starburts
Water

34 g.
43.8 fl oz.

Sixth Eating Occasion
Time: _____________
Hunger: 0
1
2
Place: _ ____________
Who: ________
Activity: ________
Emotion: _________

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3-Day Food Record
Date: 09/16/10 (weekday/weekend)

Name: Denielle Saitta____
Food Detailed Description(s)

Amount(s) and Unit(s)

First Eating Occasion
Time: _8:45____________
Hunger: 0
1
2
3
Place: _Dorm___________
Who: _Me_____________
Activity: Getting ready for class
Emotion: _Tired________

2 Chocolate Fudge Poptarts
Skim Milk

104 g.
1 cup

Second Eating Occasion
Time: _11:45____________
Hunger: 0
1
2
3
Place: _UC____________
Who: _Me & a friend______
Activity: _Studying______
Emotion: _Tired________

Water
Healthy Choice Sweet & Sour Chicken

10 fl oz.
225 g.

Third Eating Occasion
Time: _2:00_____________
Hunger: 0
1
2
3
Place: _PCB____________
Who: _Me & friends______
Activity: _Hanging out__
Emotion: _Tired________

Salad with Ranch Dressing
Chicken Sandwich
M&M Minis

2 cups
4 tablespoons
3 oz.
.25 cups

Fourth Eating Occasion
Time: _6:00____________
Hunger: 0
1
2
3
Place: _Ihop_____________
Who: _Me & friends_________
Activity: _Hanging out____
Emotion: _Tired_________

Cheese Sticks
Diet Dr. Pepper

137g.
12 fl oz.

Fifth Eating Occasion
Time: _7:30__________
Hunger: 0
1
2
3
Place: _Mall____________
Who: _Me & a friend_______
Activity: _Shopping____
Emotion: _Happy_____

Marble Slab Creamery Sweet Cream Ice
Cream

100 g.

Sixth Eating Occasion
Time: _10:00____________
Hunger: 0
1
2
3
Place: _Dorm____________
Who: _Me _______
Activity: _Studying_______
Emotion: _Tired________

Keebler Soft Batch Chocolate Chip Cookies
Skim Milk

64 g.
2 cups

3-Day Food Record
Date: 09 /18 /10 (weekday/weekend)

Name: Denielle Saitta_____
Food Detailed Description(s)

Amount(s) and Unit(s)

First Eating Occasion
Time: _12:00____________
Hunger:
0
1
2
3
Place: _Dorm___________
Who: _Me____________
Activity: Getting ready for the
game
Emotion: _Excited______

2 Chocolate Fudge Poptarts
Skim Milk

104 g.
1 cup

Second Eating Occasion
Time: _6:00____________
Hunger:
0
1
2
3
Place: _Subway__________
Who: _Me & friends______
Activity: _Hanging out____
Emotion: _Happy________

6 Inch Tuna with Lettuce and Mayonnaise
Crunchy Chettos

245 g.
2 oz.

Third Eating Occasion
Time: _1:30____________
Hunger:
0
1
2
3
Place: _Taco Bell__________
Who: _Me & friends________
Activity: _Hanging out_____
Emotion: _Happy________

Mexican Pizza
Water

213 g.
12 fl oz.

Fourth Eating Occasion
Time: __________________
Hunger:
0
1
2
3
Place: __________________
Who: __________________
Activity: ________________
Emotion: _______________
Fifth Eating Occasion
Time: __________________
Hunger:
0
1
2
3
Place: __________________
Who: __________________
Activity: ________________
Emotion: _______________

Sixth Eating Occasion
Time: __________________
Hunger:
0
1
2
3
Place: __________________
Who: __________________
Activity: ________________
Emotion: _______________