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FOOD LOG Template

The document contains a personal food log for Joanna Bianca C. Dela Peña from February 9-12, 2020. For each day, she recorded the time and place of each meal and snack, along with her thoughts, the foods and beverages consumed and serving sizes. She documented breakfast, lunch, dinner and two daily snacks. On some afternoons she was unable to have snacks due to being full or in class. The log will be graded based on completeness of information and achievement of dietary goals.

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Karl Owen
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0% found this document useful (0 votes)
633 views10 pages

FOOD LOG Template

The document contains a personal food log for Joanna Bianca C. Dela Peña from February 9-12, 2020. For each day, she recorded the time and place of each meal and snack, along with her thoughts, the foods and beverages consumed and serving sizes. She documented breakfast, lunch, dinner and two daily snacks. On some afternoons she was unable to have snacks due to being full or in class. The log will be graded based on completeness of information and achievement of dietary goals.

Uploaded by

Karl Owen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PE Number: 09 PE SCHEDULE: Thursday 2:05 – 4:05 PM

NAME: Dela Peña, Joanna Bianca C.

PERSONAL FOOD LOG

DAY: Sunday DATE: February 9, 2020

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:30AM Dorm Hungry Bacon & Tapa 1 serving
Egg 1
Rice 1 cup

AM Snacks / 10:30 AM Dorm Snacky Chocolate Chip cookie 1 pack


Chuckie 1
Lunch / 12:30 PM Dorm Hungry Chicken Inasal 1 piece
Rice 1 cup
Egg 1
Soup 1 serving

PM Snacks / 4:00 PM Dorm Snacky Pizza 1 slice


Dinner / 7:00 PM Toll House Hungry Lasagna 1 serving
DAY: Monday DATE: February 10, 2020

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:00AM Dorm Hungry Bacon & Tapa 1 serving
Rice 1 cup
Water

AM Snacks / 10:00 AM Dorm Snacky Mamon 1


DutchMill 1
Lunch / 12:00 PM Dormitory Canteen Hungry Honey Glaze Chicken 1 Serving
Rice 1 cup
Sinigang soup 1 bowl
Water 1 bottle

PM Snacks / 4:00 PM School Full I am not able to have my pm snacks I am not able to I am not able to have my pm snacks
because I am still full and I have have my pm because I am still full and I have class.
class. snacks because
I am still full
and I have
class.
Dinner / 7:00 PM Hungry Corned Beef ½ serving
Tapa ½ serving
Egg 1
Rice 1 cup
Chips 3 pieces
Water 1 glass
DAY: Tuesday DATE: February 11, 2020

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:00AM Dorm Hungry Pork Barbecue 1 serving
Hotdog 1 piece
Rice 1 cup

AM Snacks / 10:00 AM Dorm Snacky Mamon 1


DutchMill 1
Lunch / 12:00 PM Dormitory Canteen Hungry Chicken adobo 1 Serving
Rice 1 cup

PM Snacks / 4:00 PM School Full I am not able to have my pm snacks I am not able to I am not able to have my pm snacks
because I am still full and my class is have my pm because I am still full and my class is
ongoing. snacks because ongoing.
I am still full
and my class is
ongoing.
Dinner / 7:00 PM Canteen Hungry Bistek 1 serving
Rice 1 ½ cup
DAY: Wednesday DATE: February 12, 2020

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:30AM Dorm Hungry Honey glazed chicken 1 serving

AM Snacks / 10:30 AM Dorm Happy Chocolate chip cookie 1


Chuckie 1
Lunch / 12:30 PM APS Canteen Hungry Fried Chicken 1 piece
Rice 1 cup

PM Snacks / 4:00 PM School Full I am not able to have my pm snacks I am not able to I am not able to have my pm snacks
because I am still full and my class is have my pm because I am still full and my class is
ongoing. snacks because ongoing.
I am still full
and my class is
ongoing.
Dinner / 7:00 PM Toll House Hungry Burger Steak 1 serving
Rice 1 cup
Milk shake 1 glasss
RUBRIC ON
Personal Food Log (40 points)

Requirements:
 The student should record his food intake for 4 consecutive days.
 The personal food log has to be submitted a week after the log to the instructor.
 The students will be graded based on the following standards:

.
10 points 8 points 6 points 4 points 0 points
Complete information was Insufficient information was Insufficient information was Insufficient information was None submission
provided by the student. provided by the student. Lacks 1 provided by the student. Lack 2 provided by the student. Lack 3
- kind of food/beverage, out of 4 required information out of 4 required information out of 4 required information
- serving size - serving size - serving size - serving size
- evidence/photo - evidence/photo - evaluation
- evaluation - evaluation

RUBRIC ON
ACHIEVEMENT OF DIETARY GOAL
30 points

Excellent Very Good Good Fair Poor


30 25 20 15 10 0
Level of Achievement Achieved what is Accomplished below Accomplished below Accomplished below Did not accomplish Non participation
expected what is expected what is expected what is expected dietary goal
(dietary goal showed (dietary goal showed (dietary goal showed (dietary goal was not
once in 4 days) 2 to 3 times in 4 days) 4 to 5 times in 4 days) followed)

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