FoodrecordblankformtoregisterDietaryintakeandPA12.pdf

Date: 2/3/2022

Time Place Meal Ingredients/Food Quantity

8:30 AM My house Brefakst Pineaple, Coffee with no suggar 1-cup

10:30 AM Work Snack 1 scoop protein in water 1- scoop

1:00 PM Work Lunch 1 cup of chickpea and vegetable soup 1- cup

4:30 PM Work Snack Banana 1

8:30 My house Dinner Mashed potato + of halibut 100 gr +4 OZ

Date: 2/6/2022

Time Place Meal

8:30 AM My house Breakfast

10:30 AM Work Snack

1:00 PM Work Lunch

4:30 PM Work Snack

8:30 PM Work Dinner

Ingredients/Food Quantity

2 boiled egg + 1 cup of beans 2 + 1 cup

Sunflower seeds 5

Grilled chicken + Quinoa salad 4 OZ + 1 cup

Orange 1

Broccoli + Grilled fish 1 cup + 4 oz

Date: 2/14/2022

Time Place Meal

8:30 AM My house Brefakst

10:30 AM Work Snack

1:00 PM Work Lunch

4:30 PM Work Snack

8:30 PM My house Dinner

Ingredients/Food Quantity

Oat pancake + Raspberry 2 + 5

Almond 5

Baked pork ribs + veggies 4 OZ+ 1 Cup

Yogurt 1 scoop

Taco salad 1 cup

Name: Josely Pena

Date: 2/21/2022

Time: Activity Time (Min)

Sunday 2/13/22

Cleaned the house 3 hours

DAY 1

Monday 2/14/22

Walk 1 hour

DAY 2 Cook 1 hour

Tuesday 2/15/22

Use the stairs at my job 8 tim30 minutes

DAY 3 Cook 1 hour

Wenesday 2/16/22

Did 8 loads laundry 2.5 hours

Use the stairs to do the

DAY 4 loundry

Cook 1 hour

Thrusday 2/17/22

Cook 1 hours

DAY 5 Move around at my job 30 minutes

Friday 2/18/22

Cook 1 hour

DAY 6 cleaned the house 2.5 hour

cleaned my boyfriend 3 hours

bussines

Satuday 2/19/22

When to the Gym 1 hour

DAY 7

  • Food record 1_ Weekday
  • Food record 2_ Weekday
  • Food record 3_ WEEKEND DAY
  • 7 Days PA

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