FOOD LOG Template
FOOD LOG Template
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
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
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
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
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