Daily Food & Activity Diary

By Kathleen Goodwin, RD

Feel free to print or reproduce this chart to record your daily food and activities.
Instructions:
Record all foods and beverages, amount eaten, hunger level and feelings.

Hunger level:
0 = full, 1= comfortable, 2 = slight , 3 = moderate,
4 = significant, 5= famished

Breakfast/Morning Snacks
Food & Feelings Amount Hunger

 

 

 

 

 

 

 

 

Lunch/Afternoon Snacks
Food & Feelings Amount Hunger

 

 

 

 

 

 

 

 

Dinner/Evening Snacks
Food & Feelings Amount Hunger

 

 

 

 

 

 

 

 

Activity

 

 

 

 

 

 

 

Reflections