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Food Journal Ii Time Food and Quantity: Exercise

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NAME: ________________________________________

DATE: ______________ DAY: M T W Th F Sa Su

TIME

FOOD AND QUANTITY

TODAYS GOAL AND/OR AFFIRMATION:


______________________________________

FOOD JOURNAL II
B/ F/
DP MP V G O

HUNGER SCALE

SELF-TALK, MOOD, AND/OR FEELINGS

0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10
0 1 2 3 4 5 6 7 8 9 10

DP = Dairy Protein
B/MP = Bean / Meat Protein
F/V = Fruit / Vegetable
G = Grain
O = Others

TOTALS
RECOMMENDED

0 = Empty
5 = Neutral
10 = Stuffed

Graph hunger level


from start to end
of meal

Copyright 1993 Karin Kratina, PhD, RD


For copies, visit www.NourishingConnections.com

EXERCISE:

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