FOOD DIARY

FOOD DIARY
Please submit a Five Day Food Diary when you come in for your Appointment:
This should include the Time of day; The Meal; With Type and Amount of each Food. This will get easier after the first day.     
Try to keep a pad with you and jot down your foods as you consume them. Only record what you consumed. The following menu is just "off the cuff" - It is not to signify what I eat or think you should be eating.

Breakfast
Type of Food or Liquid                 Amount/Measured Approximately
8AM
Oatmeal                                        1 Cup
Milk                                                1 Cup
Orange Juice                                  1/2 Cup
Coffee- I cup with creamer

Snack 10 AM 2 oz bag Corn Chips

Lunch 12 PM
Salad of Lettuce/Tomatoes/ Carrots -1 Cup  With Italian Dressing 1 Tablespoon
1/4 pound Hamburger with bun / Slice of Onion/ Slice of Cheese/ 1/2 teaspoon Ketchup
Lemonade/ Sugar                      12 oz.

Snack 4 PM Banana and 1oz. Peanut Butter

Dinner 7PM
4 oz Chicken Fried
1/2 Cup Mashed Potatoes with Gravy
1/2 Cup Green Beans in bacon fat
1 Slice Lemon Meringue Pie
Coffee - I Cup with Creamer

Bedtime Snack 10 PM
Cookies -4 oreos and 8oz Milk