Happy Tummies of TLC - Food Journal
Please record everything you eat and drink for the day and the time of day for each meal. Also note any noticeable mood or digestive changes throughout the day. If you have nothing to record for a meal or snack you can just type NA into the answer field. There is extra space at the end of this form for additional notes or comments. Please submit one food journal per day for at least 3 days total so I can get a snapshot of what your dietary habits look like. Please be honest! I won't judge you...I promise:)
Name *
Your answer
Date *
MM
/
DD
/
YYYY
Breakfast
Your answer
Drinks
Your answer
How do you feel? How's your digestion, energy and mood?
Your answer
Snack
Your answer
Drinks
Your answer
How do you feel? How's your digestion, energy and mood?
Your answer
Lunch
Your answer
Drinks
Your answer
How do you feel? How's your digestion, energy and mood?
Your answer
Snacks
Your answer
Drinks
Your answer
How do you feel? How's your digestion, energy and mood?
Your answer
Dinner
Your answer
Drinks
Your answer
Snacks / Dessert
Your answer
Mood / Digestive Notes
Your answer
Any other notes or comments for the day?
Your answer
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