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Food Diary Form

This document provides information and templates for keeping a food diary. It explains that keeping a food diary can help identify triggers for eating, eating and activity patterns, and areas for change. It provides instructions on how to complete the food diary, such as recording all food and drinks consumed along with details like preparation, and using notes to record feelings, activities, and more. The food diary templates include sections for recording meals, snacks, drinks, and related comments each day for at least 3-7 days.

Uploaded by

Rabisha Ashraf
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
212 views

Food Diary Form

This document provides information and templates for keeping a food diary. It explains that keeping a food diary can help identify triggers for eating, eating and activity patterns, and areas for change. It provides instructions on how to complete the food diary, such as recording all food and drinks consumed along with details like preparation, and using notes to record feelings, activities, and more. The food diary templates include sections for recording meals, snacks, drinks, and related comments each day for at least 3-7 days.

Uploaded by

Rabisha Ashraf
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Food diary

Service: Dietetic Weight Management


Telephone:01282 804700

Why keep a diary?


Recording what, when and why can help you understand a lot about your eating and
activity patterns, and areas for change.

It will help you:

• Identify your triggers for eating.

• Realise patterns in your eating or activity that you may not have noticed before

• Find which changes to your lifestyle are likely to be most useful

• See what you’ve achieved once you’ve made changes

• Monitor whether you have achieved your healthy lifestyle objectives.

How to complete Your Food Diary:


• Complete your diary for at least 3 or ideally 7 consecutive days including at least 1
weekend day prior to your appointment.

• Record as you go and the time that it happens, to improve accuracy.

• Write down everything you eat and drink in household measures, for example,
3 tablespoons cereal, 2 slices of bread, 1 teaspoon of spreading fat, 1 large mug of
milky tea.

• Describe how your food was prepared or cooked, for example, 3 egg-sized new
potatoes boiled, 1 chicken breast grilled, 1 egg fried in vegetable oil, 3 florets broccoli
steamed.

• Use the “Notes” section to record hunger and fullness levels, why you are eating, your
mood, physical activity and exercise undertaken.

Complete your food diary and send to: [email protected]


(please state your name, date of birth and/or NHS number in the email subject
title)
Food diary
Outcomes
What do you want achieve? E.g. lose 1lb per week, increase energy levels

1. _______________________________________________

2. _______________________________________________

Behaviour Goals
What changes can you make/control? E.g. portion size, consume less sweets

1. _______________________________________________

2. _______________________________________________

3. _______________________________________________

4. _______________________________________________

Visit Date Weight (kg)


Food diary
Name:____________________________________ DOB / NHS number:_________________
Use this planner to record all meals, snacks and drinks (all nutrition that passes your lips)
Breakfast Lunch Dinner Snacks Comments
7am 2 weetabix skimmed 12.30pm 400g tin lentil soup 6pm 3 egg -sized new 11am 1 medium apple Hunger / Fullness level
Examples of how milk (125ml) 1 large wholemeal bread roll potatoes boiled 1 chicken 3pm 1 packet crisps (25g) Craving / Stress / Bored
to record your diary 1 small banana fruit yogurt (125g pot) coffee breast grilled 3 coffees (skimmed milk) Mood (sad content happy)
pure orange juice (200ml) (skimmed milk) 3 florets broccoli steamed Water (750ml bottle) 7pm Hoovering / Exercise
1 teaspoon low fat spread class / Walk (45 mins)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please email or bring completed diary to your next appointment

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