Name:___________________________________

MY FOOD DIARY
Starting a food diary is a great way to discover patterns that are holding you back. Write this diary for at least three days and bring it to you doctor for review.. Try to
make one day be a weekend day and two days during the week. See below for an example of what your entries might look like.

Date/Time Thoughts/Mood Location Food/Beverage

Start time and stop Are you hungry? Tired? Stressed? At the table, in the car, Include the portion size, preparation method, brand name, all condiments,
time Happy? Bored? in front of TV, restaurant and specify low-fat, sugar-free, etc.

10/25 Thursday 3 slices white bread, 2 eggs cooked in 1 Tbs oil, 1 slice yellow cheese,
Bored and a little hungry Living room couch
9:00 to 9:30 am 12 oz coffee, 2 Tbs creamer, 1 packet sugar

26 | TBHC’S WEIGHT LOSS CENTER, 718.250.8920