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Cornell University Wellness Program Food Record Name: Age: Gender: Address: Height: ft. in. City: State: Zip: Weight: Desired weight: Phone: Activity: Light×Moderate×Heavy Email: What type? The
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How to fill out a wellness food record?

01
Start by obtaining a blank wellness food record form from your healthcare provider or download one from a reputable source online.
02
Begin by documenting the date and time at the top of the form. This will provide a clear timeline of your dietary intake.
03
Proceed to write down everything you consume throughout the day. This includes meals, snacks, beverages, and even condiments. Be as specific as possible in describing each item and its portion size.
04
Note the source of each food item, whether it was prepared at home, purchased from a restaurant, or obtained from a cafeteria, for instance.
05
Indicate your level of hunger and fullness before and after each meal or snack. This will help you understand your eating patterns and identify any emotional or mindless eating triggers.
06
Include any relevant notes about how you felt physically, emotionally, or mentally after consuming certain foods. This can help you identify any potential food sensitivities or allergies.
07
If you are tracking specific nutrients, such as calories, carbohydrates, protein, or fat intake, make sure to include those values for each food item. This can be done through online tools, food labels, or smartphone apps that provide nutritional information.

Who needs a wellness food record?

01
Individuals looking to make dietary changes or improve their overall well-being can benefit from keeping a wellness food record. By tracking food intake, one can gain insights into eating patterns, nutrient deficiencies, and areas for improvement.
02
People with specific health conditions, such as diabetes, obesity, high blood pressure, or food allergies, may be required to keep a wellness food record as part of their treatment plan. This can help healthcare providers identify trigger foods, potential nutrient imbalances, or ways to better manage their condition through diet.
03
Athletes or individuals following a specific dietary regimen, such as a weight loss program, may find it helpful to keep a wellness food record to monitor their progress and stay accountable to their goals. It can provide valuable information on portion sizes, nutrient intake, and areas of improvement in their eating habits.
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Wellness food record is a document used to track the food consumption and nutritional intake of an individual or a group of individuals.
Individuals who are participating in a wellness program or researchers conducting studies on nutrition and health may be required to file wellness food records.
Wellness food records can be filled out by recording the types and amounts of food consumed throughout the day, as well as any relevant nutritional information.
The purpose of a wellness food record is to provide insight into an individual's eating habits and nutritional intake, which can help identify areas for improvement or track progress towards health goals.
Information such as the type of food consumed, portion sizes, time of consumption, and nutritional content should be reported on a wellness food record.
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