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Food Journal Printout
April 22, 2003
FOOD JOURNAL
Date: _____________________
Time
Food
Quantity
Hunger Rating
Fullness Rating
Thoughts/Mood/Feelings
HUNGER SCALE
Empty
Starving
Hunger Pains
Hunger
Slight Hunger
Neutral
Contented
Slightly Full
Full
Overfed
Nausea
0
1
2
3
4
5
6
7
8
9
10
Directions: Write the time of day you are eating, and the foods and amounts you are eating. Then, rate your hunger using the above scale. Before a meal you will rate how hungry you are and after a meal you will rate how full you are. You should eat when your hunger is at about a three, and you should stop eating when your fullness is at about an eight. Also record any thoughts or feelings or record your food. This can give insite on what is driving you to eat.
These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.