|
Food Intake
List
all foods & drinks consumed
|
Fine
Tune Your Diet
|
| Today's
Date: |
Place
a check to the left of all descriptions that describe your experience 1-2
hours after each meal |
|
Meal:
Breakfast
Lunch
Dinner
(circle
one)
|
Appetite
Satiety
Cravings |
|
Feel
full, satisfied |
|
Feel
physically full, but still hungry |
| |
Do
NOT have sweet cravings |
|
Have
desire for something sweet |
| |
Do
NOT desire more food |
|
Not
satisfied, felt like something was missing |
| |
Do
NOT feel hungry |
|
Already
hungry |
| Foods
Consumed: |
|
Do
NOT need to snack before next meal |
|
Feel
the need for a snack |
Energy
Levels |
|
Energy
feels renewed |
|
Meal
gave too much or too little energy |
| |
Have
good lasting "normal" sense of energy |
|
Became
hyper, jittery, shaky, nervous or speedy |
| |
Energy
tanked from meal-exhaustion, sleepiness, drowsiness, listlessness or lethargy |
|
Felt
hyper but exhausted underneath |
Mind
Emotions
Well-Being |
|
Improved
well-being |
|
Mentally
slow |
| |
Sense
of feeling refueled, renewed
and restored |
|
Inability
to think quickly or clearly |
| |
Some
emotional upliftment |
|
Hyper,
overly rapid thoughts |
| |
Improved
mental clarity and sharpness |
|
Inability
to focus or concentrate |
| |
Normalization
of thought process |
|
Apathy,
depression, withdrawal or sadness |
|
|
|
|
Anxious,
obsessive, fearful angry or irritable |
