Food Diary

3-Day Food Record Instructions:

-Please complete a food record for 3 days prior to your first appointment.
-The 3 days do not need to be consecutive. The food record will allow me to assess your eating patterns and food choices.
-Record all foods and beverages consumed, even if they are not consumed at a structured meal or snack time. Please also note the time of day everything is consumed.
-Include portion sizes for all foods and beverages consumed. You may estimate portion sizes based on standard portion sizes or use every day objects such as the descriptions listed below.
2 Tbsp= 1 golf ball
1 piece of fruit or ½ cup vegetables= 1 light bulb
1 tsp=1 dice
3 oz meat= 1 deck of cards
4 oz fish=1 checkbook
1 cup of rice, pasta, oatmeal=1 baseball
½ cup= 1 computer mouse
-Include condiments, cooking methods and ingredients for food you prepare at home.
-Please indicate if the day is typical day for you and explain why or why not.
-Be as specific as possible when writing down food choices, cooking methods, times and portions. The more information I have, the more effectively I will be able to help you achieve your nutrition goals. 😊

Rather download & print?Download
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Please indicate what you drank throughout the day, including the number of ounces of water.
Explain if this record shows your typical eating patterns.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Please indicate what you drank throughout the day, including the number of ounces of water.
Explain if this record shows your typical eating patterns.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Indicate foods, amounts, cooking methods and time of day eaten.
Please indicate what you drank throughout the day, including the number of ounces of water.
Explain if this record shows your typical eating patterns.