Meal Records

1 Dec

Written By Cathy Chan

Name

First Name

Last Name

Weight (kg)

Date

YYYY

Wake up Time

What time did you wake up?

Breakfast Time

Please put down the time when you had breakfast.

Breakfast

Please ensure you are eating the food as advised. - What food you ate - How much you ate

Lunch Time

Please put down the time when you had lunch.

Lunch

Please ensure you are eating the food as advised. - What food you ate - How much you ate

Snacks /Tea time

Please put down the time when you had Snacks /Tea time.

Snacks /Tea

- What food you ate - How much you ate

Dinner Time

Please put down the time when you had dinner.

Dinner

Please ensure you are eating the food as advised. - What food you ate - How much you ate

Sleep Time

What time did you sleep?

How much water did you drink today?

e.g. 2000ml before 6pm

Have you done any exercise?

If yes, please give details. e.g. 30 mins walking/swimming/dancing etc

How are you feeling today?

Anything you would like to share?

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