3 Day Food Record printable pdf download

3 Day Food Record

Day

Time

Food Item

Amount of food or serving size

EXAMPLE EXAMPLE EXAMPLE

EXAMPLE

Thursday

8:00AM

Cheerios Cereal - dry

1 cup

Breakfast

1% Milk in Cheerios

1 cup

Orange Juice

½ cup

12:00

Turkey Sandwich (white bread,

1 slices bread, 2 oz turkey, 1

turkey, cheddar cheese,

slice cheddar cheese, 1 Tbsp

mayonnaise, lettuce)

mayonnaise, ¼ cup lettuce

Lunch

Apple - green

1 medium

Carrots

½ cup

Ranch dressing for carrots

2 Tablespoon

5:00PM

Grilled chicken breast

3oz (deck of cards)

Dinner

Mixed green salad (spinach,

2 cups

lettuce, tomatoes, carrots)

Ranch Salad Dressing

1 Tablespoon

Whole Grain dinner roll

Size of fist

Strawberry Jam

1 Tablespoon

6:00PM

Vanilla Frozen Yogurt

½ cup

Dessert

Raspberries

5 medium size

Instructions:

Write down all meals, snacks, & drinks that you have eaten on a typical day of the week.

Choose 2 days during the week & 1 weekend day for a total of 3 days worth of

meals.

Be detailed & specific. Write down how you prepared & cooked the food (breaded,

soaked, drizzled, etc.) & (steamed, fried, boiled, etc.).

Include all condiments (mayonnaise, mustard, sour cream, butter, etc.) & seasonings,

sauces, toppings, etc.

Amount – how many, size (small, medium, large), volume (ounces or cups), tablespoons,

teaspoons, &/or comparisons (size of a tennis ball, deck of cards etc.).

3 Day Food Record

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