Diet Diary

Please take the time to complete the following table carefully and accurately. List in detail the quantity and nature of all food consumed (ie. frozen, canned, etc.) Include any condiments.

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Day 1
Breakfast
Snack
Lunch
Snack
Dinner
Water (cups per day)
Exercise/ Meditation (type, duration)
Bowel movements
Sleep (hours per day)
Energy (on a scale of 1 to 5)
Digestion (bloating, cramps, nausea, other)
Day 2
Breakfast
Snack
Lunch
Snack
Dinner
Water (cups per day)
Exercise/ Meditation (type, duration)
Bowel movements
Sleep (hours per day)
Energy (on a scale of 1 to 5)
Digestion (bloating, cramps, nausea, other)
Day 3
Breakfast
Snack
Lunch
Snack
Dinner
Water (cups per day)
Exercise/ Meditation (type, duration)
Bowel movements
Sleep (hours per day)
Energy (on a scale of 1 to 5)
Digestion (bloating, cramps, nausea, other)
Day 4
Breakfast
Snack
Lunch
Snack
Dinner
Water (cups per day)
Exercise/ Meditation (type, duration)
Bowel movements
Sleep (hours per day)
Energy (on a scale of 1 to 5)
Digestion (bloating, cramps, nausea, other)
Day 5
Breakfast
Snack
Lunch
Snack
Dinner
Water (cups per day)
Exercise/ Meditation (type, duration)
Bowel movements
Sleep (hours per day)
Energy (on a scale of 1 to 5)
Digestion (bloating, cramps, nausea, other)
Day 6
Breakfast
Snack
Lunch
Snack
DInner
Water (cups per day)
Exercise/ Meditation (type, duration)
Bowel movements
Sleep (hours per day)
Energy (on a scale of 1 to 5)
Digestion (bloating, cramps, nausea, other)
Day 7
Breakfast
Snack
Lunch
Snack
Dinner
Water (cups per day)
Exercise/ Meditation (type, duration)
Bowel movements
Sleep (hours per day)
Energy (on a scale of 1 to 5)
Digestion (bloating, cramps, nausea, other)

Diet Diary

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7