Author: Chacon, Liliana

Food Diary

Name:
Start Date:
End Date:

City of Berkeley Chronic Disease Prevention Program
510-981-5332
BerkeleyBeFit@ci.berkeley.ca.us

Food Diary
This Food Diary will help you and your counselor learn about your eating habits. You and your counselor will be able to identify areas where you can make changes to improve your health and still fit your lifestyle.
Use this booklet to track what you eat for the next week. Bring the booklet with you when you meet with your counselor.
Follow these directions when filling it out.
· Eat the way you usually do. Write down everything that you eat and drink on your food diary sheets. Use one sheet for each day.
· Remember the little things like butter, margarine, jelly, sugar, sauces, salad dressing)
· Remember to include snacks and beverages between meals and before bed.

Day 7:

Time/Meal	Description of Foods

SAMPLE ** SAMPLE ** SAMPLE

Day 1: Monday, September 7th

Time/Meal	Description of Foods
8:00am	Coffee with 1% milk (8
At home	oz coffee cup)
8:00am	1 bowl of cereal with 1%
At work	milk (med or 1 cup)
9:30am	Peach yogurt (8 oz)
At work
12:15pm	1 turkey sandwich: 2
At work	pieces whole wheat
	bread, mustard, mayo,
	Tomato, 2 slices Swiss
	cheese
3:00pm	1 bag potato chips
At work	1 can diet soda

Day 5:

Time/Meal	Description of Foods

Day 2:

Time/Meal	Description of Foods

Day 3:

Time/Meal	Description of Foods

Day 4:

Time/Meal	Description of Foods

Day 1:

Time/Meal	Description of Foods

Day 6:

Time/Meal	Description of Foods

How to use the food diary
Include the time of day and location where you ate. (Examples: at work, restaurant name, home, kitchen, TV room, etc.)
Use measuring cups and spoons to describe most foods. (Examples: 1 cup cereal, ½ cup 2% milk, 1 teaspoon sugar)
Use size or shape to describe foods that don’t fit into a cup or spoon. (Examples: 8 inch corn tortilla, 3 inch chocolate cake, 1 medium chicken breast)
Note what is in mixed food. (Example: stew [1/4 cup meat, ¼ cup potato, ¼ cup carrots, ¼ cup gravy])
Describe how a food was prepared. (Example: 1 chicken breast fried with 1 Tablespoon oil)

Congratulations
on a week well done!!

Division of Public Health
Chronic Disease Prevention Program
1947 Center Street, 2nd Floor
Berkeley, California 94704

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