Servings Calories Total Fat (g) Saturated Fat (g)

Breakfast
Pancakes 3 1/2 953 18.3 1.8
3 Sausage 1 180 16 4
1 Ham 1 57 3.7 1.3
Orange Jucie 1 119 0.3 0

Snacks
Apple pie 1 250 13 7
cheese cake 1/4 78 5.5 0
Lunch

Dinner
shrimp 6 26 0.4 0.1
potato 1 161 0.2 0.1
broccoli 2 60 0.7 0.2
lemonade 1 5/8 244 0 0

TOTAL CALORIC INTAKE 2128 58.1 14.5

DAILY VALUE (you fill in!) 2710 91 30

Subtract Calorie exercise 53

NET CALORIC INTAKE 2075

Amount of water (Ounces) 54

Amount of sleep (hours) 6 2/3

Cholesterol (mg) Sodium (mg) Potassium Carbohydrates (g) Fiber (g) Sugar (g) Protein (g)

36.7 2126.7 366.7 176 7.3 40.3 22

35 700 0 2 0 1 10
19.5 80.2 73.3 0 0 0 5.6
0 5 441.4 28.4 0.7 20.6 1.7

0 170 0 32 4 13 2
0 0 0 4.2 0 0 1

45.5 203.8 40.7 0.3 0 0 4.9

0 17 926 37 3.8 2 4.3
0 58.1 556.2 11.7 4.6 3 5
0 16.2 0 42.2 0 16.2 0

136.7 3377 2404.3 333.8 20.4 96.1 56.5

300 2300 3500 341 38 103 136

Reflection notes:
Notate sickness, stay up late, etc.
Vit A % Vit C % Calcium % Iron % Food Groups

91.7 0 36.7 91.7

0 0 0 2
0 0.1 0.3 1.2
0 138 13.9 1.8

4 25 2 6
0 0 0 0

4.3 0 1.9 0.4

0 27 2 10
0 261.7 8.3 7.1
0 0 0 0

100 451.8 65.1 120.2

100 100 100 100
Comments: