Food Journal

Please record everything that goes into your body—meals, snacks, water, coffee, tea, alcohol, medicines, supplements, etc. Ideally, you will fill out a form several times each day.

Please note, this form is not to assess whether your diet is healthy or unhealthy! I am looking for any reactions your body has to foods, and am in no way judging or condemning your choices. The more honest you are, the better I will be able to assess this!

Date
Date
Symptoms
Meals/Snacks Contained