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Food Intake Record

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Food Intake Record
HUN1201 Human Nutrition
Name: ________________ Date:______________
Day of the week: (Circle one) Mon Tue Wed Thu Fri Sat Sun
Time of
day
Food-Individual
(include condiments)
Amounts*
How
Cooked**
Added
Fat?***
*Amounts=
Cups-dry loose items ie cereal
Ounces (oz) =liquid or some dry loose items – milk, juice etc.
Tablespoon- Larger spoon- measure mayo, mustard, oil etc
Teaspoon- spices, ingredients, mayo, butter etc.
**How Cooked: Baked, broiled, boiled, fried, sautéed, grilled
*** Added fat: food cooked in butter, oil, oil added to pasta or rice etc…
One sheet per day.
Physical activity
Type duration in
time
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