FOOD DIARY
Keeping track of what you eat on a daily basis can help you become aware of what foods you need to eat more of and what foods you should be eating less of. Use this worksheet to write down everything you eat (yes, everything!). Then begin to analyze, either on your own or with your doctor, trainer, or other dietary consultant, how you can improve your diet.
Day and Date Tuesday, August 6
Food/Quantity	Fat Grams	Grams of Protein	Grams of Carbs	Total Calories
Cereal 1 cup	1.5	3	24	120
Skim milk 1/2 cup	0	4.5	6	45
Orange juice 8 ounces	0	2	26	110
1 piece whole wheat toast	1	2	12	69
coffee (black)	0	0	0	0
Grilled chicken sandwich (from Wendy's)	7	24	36	300
Iced tea	0	0	0	0
Apple 1 small	0	0	18	70
Water (two glasses)	0	0	0	0
Cookies (4)	9	1	20	160
coffee (black)	0	0	0	0
Chicken breast (broiled w/out skin)	1.9	23.4	0	117
broccolli (1 cup)w/1teaspoon margerine	6	6	8	90
carrots (1 cup)	0	1.3	10.4	45
2% Milk (1cup)	5	8	11	120
Mango 1 medium	0	1	23	90
Total	31.4	76.2	194.4	1336
The purpose of this worksheet is to help you decide if you may want to seek additional information or help in this area. It is not designed to give you a diagnosis. Only a qualified physician or mental health professional can give a diagnosis after a comprehensive evaluation. If you have any immediate concerns about yourself or someone you know, contact your Employee Assistance Professional, Family Doctor or other trusted professional.
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