Weight Loss Food Diary Helps Keep Your Focus on Your Goals
Daily Food and Activity Diary
Please feel free to print this page to record your daily food and activities.
Instructions
Record all foods and beverages, amount consumed, hunger level and feelings.
Hunger Level
0 = Full, 1 = Comfortable, 2 = Slight, 3 = Moderate, 4 = Significant, 5 = Famished
| Breakfast/Morning Snacks | | | | Food & Feelings | Serving Amount | Hunger Level | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | Lunch/Afternoon Snacks | | | | Food & Feelings | Serving Amount | Hunger Level | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | Dinner/Evening Snacks | | | | Food & Feelings | Serving Amount | Hunger Level | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | Activities | | | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | Reflections | | | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * | | * | * | * |
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