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    Date: - : Food Intake Record

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    Date: - : Food Intake Record

    Uploaded by

    jr221
    NUTR3362+DA+project+intake+sheet+Spring13.docxNUTR3362+DA+project+intake+sheet+Spring13.docxNUTR3362+DA+project+intake+sheet+Spring13.docx

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    Date:________________________

    FOOD INTAKE RECORD


    Record your food intake for a 24-hr period. Include ALL items consumed: meals, snacks, condiments, beverages,
    supplements, etc. (use a separate form for EACH of your three days)
    Day of week: SUN MON TUES WED THURS FRI

    Time
    of Day

    SAT

    Food Description
    Meal

    Dietary Analysis Project

    (Include method of preparation, ex. Chicken


    breast, fried, skin on)

    Day:

    Amount in
    Common Units
    (ex. cups, oz,
    tbsp)

    Eating
    Motivation
    (ex. Taste, hunger,
    convenience,
    social, emotional,
    attitudes)

    Date:________________________

    Was this a typical day? YES

    NO

    Why or why not?


    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________

    Dietary Analysis Project

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