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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
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Lunch/Afternoon Snacks
Food & Feelings Serving Amount Hunger Level
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Dinner/Evening Snacks
Food & Feelings Serving Amount Hunger Level
* * *
* * *
* * *
* * *
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* * *
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Activities
* * *
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Reflections
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