| Today's Date:__________ |
| 6AM to Noon |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| Noon to 6PM |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| 6PM to Midnight |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| Midnight to 6AM |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Food___________________________ Calories_________ ____________ |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| Beverage_______________________ Calories_________ ____________ ounces |
| Today's Totals |
| Calories__________ |
| Servings of fruits and/or vegetables__________ (5 to 9 servings per day) |
| Servings of whole grains or cereals__________ (at least 3 servings per day) |
| Servings of dairy or calcium foods__________ (3 servings per day) |
| Servings of proteins__________ (2 to 3 servings per day) |
| Servings of healthy fats__________ (for example, omega-3 EFAs, Olive Oil) |
| Ounces of water or fluids__________ (goal_________ ounces per day) |
| Notes: |
Resource: MyPyramid.gov
