Cathy Wang
Registered Dietitian, MB-EAT Instructor
www.mindfulnutrition.co
[email protected]
Food Diary: Please record what you eat and drink during one typical day (24-hour period). Include all snacks, beverages (including water),
as well as added sweeteners, sauces, and condiments. List brand names of packaged foods and ingredients of combination foods (such as
pizza or casseroles) when possible.
Time
Food or drink item
Amount (e.g. cups,
Dining location (e.g. home, Reasons for food choice (e.g.
tsp, grams, etc.)
restaurant, café, etc.)
convenience, taste, price, etc.)
Cathy Wang
Registered Dietitian, MB-EAT Instructor
www.mindfulnutrition.co
[email protected]
Time
Food or drink item
Amount (e.g. cups,
tsp, grams, etc.)
Dining location (e.g. home,
restaurant, café, etc.)
Reasons for food choice (e.g.
convenience, taste, price, etc.)