Sample Food Logs

Your food log is a way to monitor your progress toward reaching your healthy diet goal for the week. It also helps remind you of your dietary goals. Including a rating of improvement in any symptoms or progress towards a health goal (e.g., increased energy level, decreased weight, smaller waist size) also encourages you to keep on track with your dietary goals.

Here are three types of food logs. We encourage you to use one or the other or even to modify them to best suit your health diet goals.

Sample 1 Food Log For Daily Healthy Diet Goals

Each day, record the following information in the space below:

• Time of day
• Dietary goal (e.g., Including more fruits and veggies on the plate)
• Success with daily dietary goal (e.g., rate success from 0 - no success, 1 = a little success, 2 = moderately successful, 3 = quite successful, 4 = very successful).
• Overall satisfaction with meeting your dietary goals (e.g., Fabulous, Great, Okay, Will do better tomorrow)
• Progress in a health goal – at the end of each week track changes in your personal health goal (e.g., body weight, waist size, energy level)
• Comments: Based upon your success at reaching your goal what you might do differently (e.g., try a fruit as a snack once in two days, then increase to once a day, and keep moving up!)

 Week Number: 1

 Comments - Changes to make to improve on my exercise plan:

Sample 2 Food Log For Weekly Healthy Diet Goals

Every week, record the following information in the space below:

• Time of day
• Dietary goal (e.g., Stopping fat food intake)
• Success with daily dietary goal (e.g., rate success from 0 - no success, 1 = a little success, 2 = moderately successful, 3 = quite successful, 4 = very successful).
• Overall satisfaction with meeting your dietary goals (e.g., Fabulous, Great, Okay, Will do better tomorrow)
• Progress in a health goal – at the end of each week track changes in your personal health goal (e.g., body weight, waist size, energy level)
• Comments: Based upon your success at reaching your goal what you might do differently (e.g., Reducing servings of fat food intake)

 Week Number: 1

Comments - Changes to make to improve on my exercise plan:

Sample 3 Food Log For Weekly Self-Monitoring

Every week, record the following information in the space below:

• Date of week (e.g., July 8th to July 14^th)
• Dietary goal (e.g., No more halwas and gulab jamun)
• Success with weekly dietary goal (e.g., rate success from 0 - no success, 1 = a little success, 2 = moderately successful, 3 = quite successful, 4 = very successful).
• Overall satisfaction with meeting your dietary goals (e.g., Fabulous, Great, Okay, Will do better next week).
• Progress in a health goal – at the end of each week track changes in your personal health goal (e.g., body weight, waist size, energy level).
• Comments: Based upon your success at reaching your goal what you might do differently (e.g., Restrict fatty desserts to once a week then try once in two weeks).

Comments - Changes to make to improve on my exercise plan: