Food Intake
List all foods & drinks consumed

Fine Tune Your Diet

Today's Date: Place a check to the left of all descriptions that describe your experience 1-2 hours after each meal

Meal:

Breakfast
Lunch
Dinner

(circle one)

Appetite
Satiety
Cravings
      Feel full, satisfied       Feel physically full, but still hungry
      Do NOT have sweet cravings       Have desire for something sweet
      Do NOT desire more food       Not satisfied, felt like something was missing
      Do NOT feel hungry       Already hungry
Foods Consumed:       Do NOT need to snack before next meal       Feel the need for a snack
Energy
Levels
  Energy feels renewed   Meal gave too much or too little energy
  Have good lasting "normal" sense of energy   Became hyper, jittery, shaky, nervous or speedy
  Energy tanked from meal-exhaustion, sleepiness, drowsiness, listlessness or lethargy   Felt hyper but exhausted underneath
Mind
Emotions
Well-Being
  Improved well-being   Mentally slow
  Sense of feeling refueled, renewed
and restored
  Inability to think quickly or clearly
  Some emotional upliftment   Hyper, overly rapid thoughts
  Improved mental clarity and sharpness   Inability to focus or concentrate
  Normalization of thought process   Apathy, depression, withdrawal or sadness
      Anxious, obsessive, fearful angry or irritable