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DAILY RECORD OF FOOD INTAKE Date: Each day, record all the items you eat and drink. Be sure to include the approximate amount of each item. Return completed form to Excel Family Chiropractic for evaluation.
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How to fill out daily record of food

How to fill out a daily record of food:
01
Start by recording the date at the top of the page or form.
02
Write down all the meals and snacks you consume throughout the day. Be as specific as possible, including portion sizes and any condiments or ingredients used.
03
Note the time or approximate time when you consumed each item. This will help you track your eating patterns and identify any habits or routines.
04
Record any beverages you drink, including water, coffee, tea, and sodas.
05
Include any additional information you find relevant, such as the location where you ate or the people you shared the meal with.
06
Make sure to note any changes in your eating habits, such as skipping a meal or eating out instead of cooking at home.
07
If you are tracking specific dietary goals or restrictions, such as counting calories or monitoring your intake of certain nutrients, include that information as well.
08
At the end of the day, review your record and reflect on your eating choices. This can help you identify patterns or areas for improvement in your diet.
Who needs a daily record of food:
01
Individuals trying to lose weight or manage their weight. Keeping a record of food intake can help create awareness of eating habits and identify areas for improvement.
02
People with specific dietary requirements or restrictions, such as individuals with diabetes or food allergies. Tracking food intake can help monitor compliance with dietary guidelines.
03
Athletes or individuals engaged in rigorous training programs. A daily food record can be useful in tracking nutrient intake and ensuring adequate fuel for physical activity.
04
Individuals with certain medical conditions, such as gastrointestinal disorders or metabolic disorders. Recording food consumption can help identify potential triggers or problem foods.
05
Individuals on a journey of self-discovery or self-improvement. Maintaining a daily record of food can provide insights into emotional eating or triggers for unhealthy eating habits.
Note: It is always advisable to consult with a healthcare professional or a registered dietitian before making any significant changes to your diet or using a daily record of food for dietary management purposes.
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