← Food diary for your doctor

One-day food diary template

Print one page for each day. In the print dialog you can choose “Save as PDF”. Write things down right after eating, not in the evening.

Download PDF

There are two sheets: a detailed one for a single day and a week at a glance — for when your doctor wants the overall picture rather than every spoonful.

Food diary

Name Date Day of the week
TimeWhat you ate and drank (food, dish, brand)How much (g, ml, pieces, spoons)How it was preparedHow you felt, symptoms
Water and calorie-free drinks today Supplements and medicines
Activity (what and for how long) Was it a typical day?

Write everything down as you go: snacks, sauces, sugar in tea, cooking oil. Template by Calories Not Count, caloriesnotcount.com/food-diary-for-doctor/template

Food diary: week at a glance

Name Week starting
DayBreakfastLunchDinnerSnacks and drinksHow you felt, notes
Mon
Tue
Wed
Thu
Fri
Sat
Sun

Note what and roughly how much: “oatmeal — a bowl, banana, coffee with milk”. Template by Calories Not Count, caloriesnotcount.com/food-diary-for-doctor

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