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Staying healthy is hard! We love sharing information with you. Here is our original food journal template.

Date:__________________________________

Eating Habits:

Food Item

Time Eaten

Portion Size (op- tional)

Preparation (raw, cooked, sautéed)

Recipe

Bathroom Habits:

BM or Urination

1

2

3

4

Other details: (looked like, difficult to begin or pass, odor, urgency)

Today, I feel: Stressed Happy Sad Overwhelmed Angry/ Frustrated Distracted Tired Other: __________________________________________________________

Today, my body feels: Tired Achy Itchy Toned Energized Strong Other: ___________________________________________________________

Today, my stomach feels: Full Bloated Flat Bad Good Uneasy Gurgly Other: ___________________________________________________________

Today, my skin feels: Oily Dry Many Blemishes Clear Rashes Itchy Other: ___________________________________________________________

Today, it was hard to: _________________________________________________________________________ _____________________________________________________________________________________________

I can solve this problem(s) by: _________________________________________________________________ _________________________________________________________________________________________

Last Night, I slept:

<4 hours 5-6 hours 7-8 hours 9-10 hours >10 hours