Sayra Feng Wu

HNSC 2210 - MY9

Raizy Weinreb

10/13/2021

DAP Project Part I: Food Record

FOOD RECORD INTAKE FORM (DAY 1)

Day of week (circle) S M T W TH F SA

Name ____Sayra Feng Wu_____ Date: ________10/02/2021_________

*** Use one form per day. Place each food item on a separate line. ***

Time
Food Type Preparation Amount
Consumed
BREAKFAST
Oatmeal Squares Cereal Quaker 0.8 cup (56 9:25 am
gram)
2% Milk Lactaid 0.2 cup “
LUNCH
White Rice, cooked Jasmine Boiled 1 cup 4:30pm
Spare Ribs Pork Marinated 7 oz “
then steamed
Bok Choy Boiled 6 oz “
DINNER
Peanuts Stewed 3 tbsps 10:50pm
Bok Choy Boiled 4 oz “
SNACKS
House Blend Instant Coffee Nescafe Brewed 1 tsp 12:30pm
Taster’s Choice
Crème Brulee Milk Foam Gong Cha Whipped 0.8 tbsp “
Soy Milk (Original) Silk 0.8 cup “
Soy Milk (Original) “ 0.7 cup 5:00pm
Oolong Tea Gong Cha Brewed 4 oz “
WATER throughout day 7 cups

FOOD RECORD INTAKE FORM (DAY 2)

Day of week (circle) S M T W TH F SA

Name _____Sayra Feng Wu______ Date: ______10/07/2021________

*** Use one form per day. Place each food item on a separate line. ***

Time
Food Type Preparation Amount
Consumed
LUNCH
2 slices of pizzas:
Corn Fresh Baked 0.2 cup 11:35am
White Onion (small) Diced “ 1 tbsp “
Cucumber “ 0.5 cup “
Thick Sliced Bacon Urban Meadow “ 2 slices “
Adobo Marinated Chicken Pan-fried then 4 oz “
Thigh baked
Mozzarella Cheese (nonfat) Shredded Baked 0.2 cup “
Tomato Sauce Homemade Simmered 0.2 cup “
then baked
Pizza Bread Homemade Kneaded then 2 slices “
baked
DINNER
White Rice, cooked Jasmine Boiled 1 cup 7:45pm
Spare Ribs Pork Marinated 6 oz “
then steamed
Chinese Lettuce Leaves Fresh Boiled 150 grams “
Smoothie:
Apple (medium) Fresh Blended 0.5 cup “
Banana (medium) “ “ 0.8 cup “
Golden Kiwi “, without skin “ 2 tbsp “
SNACKS
Dark Chocolate Acai and Brookside 30 grams 1:30pm
Blueberry
Green Tea Brewed 1 cup “
Iced Cappuccino Dunkin’ Donuts Brewed 10 oz 4:15pm
WATER throughout day 6 cups

FOOD RECORD INTAKE FORM (DAY 3)

Day of week (circle) S M T W TH F SA

Name _______Sayra Feng Wu_________ Date: _______10/12/2021________

*** Use one form per day. Place each food item on a separate line. ***

Time
Food Type Preparation Amount
Consumed
BREAKFAST
Chocolate Filled Croissant Paris Baguette Baked 0.5 cup 11:00am
Tapioca Bread Korean “ “ “
LUNCH
Buckwheat Noodles Boiled 150 grams 12:30pm
Egg Fresh Hard-boiled 1 large (60 “
grams)
DINNER
White Rice, cooked Jasmine Boiled 1 cup 7:45pm
Cauliflower Fresh “ 1.5 cups “
Broccoli “ “ 0.3 cup “
Bitter gourd Sliced Pan-fried 0.5 cup “
Lean Beef Sliced “ 0.5 cup “
Spare Ribs Pork Marinated 1 oz “
then steamed
Smoothie:
Apple (Large) Fresh Blended 0.5 cup “
Banana (medium) “ “ 1.5 cup “
Golden Kiwi “, without skin “ 2 tbsp “
SNACKS
Iced Coffee Milk Tea Gong Cha Blended then 16 oz 4:20pm
shaked
Sour Cream & Onion Chips Pringles Fried 28 grams “

WATER throughout day 7 cups