Personal Food Log

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Personal Log
Name:__________________________________________
Email: ________________
Phone:__________________ Date: ____________ County: ____________________
Log daily servings
Eat Variety for
down columns
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Better Nutrition!
1st
Serving
of the day
Try to eat at least one serving from
every category, every week
2nd
Fruit (F) fresh, cooked, or canned
Serving
(1 medium piece or ½ cup chopped)
of the day
Vegetable (V) raw or cooked, fresh,
3rd
canned or frozen (1/2 cup)
Serving
Leafy vegetables (L) raw lettuce,
of the day
spinach, etc. (1 cup)
4th
Juice (J) 100% fruit or veg. (3/4 cup)
Serving
Dry beans or peas (B) cooked kidney
of the day
beans, white beans, chick peas,
lentils, split peas, etc. (1/2 cup)
5th
Dried fruit (D) raisins, prunes, dried
Serving
apricots, etc. (1/4 cup)
of the day
Ready to go
for serving
#6-7-8-9?
Week_____ : Dates______________________
Information courtesy of Tompkins County Health Department. (n.d). 5 A Day Challenge, Retrieved July 23, 2009,
from

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