Track Your Current Behavior Page 2

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Worksheet 1
Food and Activity Log
Date: _____________________
Estimated
Time
Time
Description of Food and
Quantity of Food and
Calories
Spent on
of Day
Beverages Consumed
Beverages Consumed
Consumed
Activity
Activity
7:00 am
Treadmill-
20 mins
7:20 am
Plain small bagel with
1 bagel/1 tbsp. spread
340 cals
cream cheese
From the 132-page book Small Steps to Health and Wealth™, NRAES-182
Available from PALS Publishing, , Ph: 607-255-7654

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