Weekly Food Log printable pdf download

Weekly Food Log

Name: _______________________________________________________________________________________________

Program/Number Meal ___________________ Week of: _____________________________________________

Meal/Time

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Breakfast

Morning Snack

Lunch

Afternoon Snack

Dinner

Evening Snack

Meal Replacement

Water Intake1

Exercise Activity2

For patients on meal plans using food, record specific portion sizes (e.g. 1/2 cup of peas, 4 oz white skinless turkey, 1 teaspoon fat free salad dressing, 4 oz skim milk)

1 To help facilitate weight loss, water intake is very important. Drinking EIGHT 8-oz glasses of water/day is required. Check off on chart.

2 Write in the description of exercise including duration, intensity and activity. (i.e. walking for 20 minutes at a slow speed—5 blocks or 1/2 mile )

NOTE: Do not skip supplements, as this will rob you of vital nutrition that your body needs on a daily basis. Skipping the supplements will not help you lose

weight faster! The meal plans and products have been designed for safe, effective weight loss. Remember that the program works if you work the program.

Weekly Food Log

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