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Snack

Snack
Snack

Lunch

Dinner
Breakfast
Day: Su M T W Th F Sa
Daily Food/Feeling Journal

Entre

Dairy

Starch

Fats

Vegetable

Fruit

Dessert

BREAKFAST

SNACK
DINNER
LUNCH
SNACK

SNACK
BEFORE
MEAL/SNACK:
Rate Hunger 1-10
Rate Anger 1-10
Rate Loneliness 1-10
Rate Sleepiness 1-10
List your feelings

People with you

Rate Fullness 1-10

AFTER
MEAL/SNACK:
Rate Hunger 1-10
Rate Anger 1-10
Rate Loneliness 1-10
Rate Sleepiness 1-10
List your feelings

People with you

Rate Fullness 1-10

Food Rituals

***1-LEAST & 10-EXTREME***

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