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Walking and Food Diary Date:

Breakfast Time ate:


Protein: Vegetables:

Bread/starch: Fruit:

Dairy: Fat:

Water: Comment:
Lunch Time ate:
Protein: Vegetables:

Bread/starch: Fruit:

Dairy: Fat:

Water: Comment:
Snacks Time(s) ate:
Protein: Vegetables:

Bread/starch: Fruit:

Dairy: Fat:

Water: Comment:
Dinner Time ate:
Protein: Vegetables:

Bread/starch: Fruit:

Dairy: Fat:

Water: Comment:
Walks: Distance Time Speed Steps Calories

Other Exercise:

Successes and Lessons Learned:

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