You are on page 1of 1

YOUR FOOD DIARY Print three copies of this page and track your eating patterns for three

ack your eating patterns for three days. Date: ______________

TIME PLACE WITH WHOM ACTIVITY MOOD HUNGER AMOUNT FOOD FRUITS FULLNESS FILLED OUT
(record start and (kitchen, (alone, or with (reading, (neutral, (rate from 0–5, OR VEGE­ (after eating: JUST BEFORE
end time of meal or living room, family, friends, watching happy, tense, 0=no hunger, TABLES 1=still hungry OR AFTER
snack) bedroom, car, colleagues) TV, talking, depressed, 5=starving) 2=quite satisfied EATING?
(number of
desk at work) cooking) angry, bored, 3=uncomfortable)
servings) (X=yes)
rushed, tired)

TOTAL :

You might also like