Food: ______________
Portion: _________
Calories: _______
Food: ______________
Portion: _________
Calories: ______
Food: ______________
Portion: _________
Calories: ______
Beverage: ____________
Portion: __________
Calories: ______
REFLECT ON YOUR DAY
- Did you eat something today only because of a habit? Y/N
- Did you skip any meals today? Y/N
- Did you go longer than four to five hours without eating? Y/N
- Did you eat to little in the morning? Y/N
- Did you eat more at night than any other time? Y/N
- Did you eat a lot of high-fat foods, such as whole dairy, fried foods, and desserts? Y/N
- Did you eat the same foods as you do every other day? Y/N
- Did you eat according to mood rather than hunger today? Y/N
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