Daily Food and Activity Log
Daily Food and Activity Log
Name: Date:
Foods You Ate Dairy Vegetables Fruit Grains Protein Empty Calories
(Include the amounts you ate) Milk, Cheese, Tomatoes, Orange, Bread, Pasta, Meat, Beans, Bacon, Jam, Fries
Yogurt Carrots, Salad Apple, Kiwi Tortilla, Rice Nuts Sports drinks
Example: Bean, cheese and rice burrito, small bag chips,
X X XX X X
salsa, guacamole
none
Lunch
none
Snack
none
Snack
Time Intensity
Activities You Did (Minutes) Low Moderate Vigorous