Healthful Pursuit Food Log
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1Date: ____________
Mon Tues Wed Thurs Fri Sat Sun
Weight:____________
Time
Food/Beverage & Quantity
Food type
Symptoms
Hours of sleep
Physical activity type:
________________________
4
5
6
7
8
9
10
_____________________________________________
_____________________________________________
Glasses of water (each cup = 500mL)
Energy level
_____________________________________________
_____________________________________________
Total consumption
eggs
veg
veg
fish
fats
starch
red
poultry
fruit
protein
Summary of my day (cravings, situations, timing of meals, etc)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Lessons
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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Parent category: Miscellaneous