Sample Food/mood Observation Chart
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1Sample Food/Mood Observation Chart
Select key tracking words so you remember what to observe. These might include:
alertness, anxiety, depression, concentration, sleep, memory, cravings, energy, mood,
productivity, etc.
Example:
Time of Day
Ate/Drank
Observations
Morning
8:00
coffee, dry bagel
10:30
sleepy, fuzzy head
10:45
coffee, chocolate bar
feel better
noon
really hungry
12:15
big salad
not satisfied, moody
Afternoon
2:00
coffee
hard to focus
feel unproductive
4:00
thinking about a drink
5:15
foul mood, irritated
hard to stay alert
driving home
Evening
6:00
two drinks
relief
salty nuts
7:15
steak, salad, potatoes
energy low, feel OK
10:30
big glass of water
exhausted
slept pretty well
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Parent category: Medical