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Diet Journal Form Template

Track Your Meals Effortlessly with This Journal Template

Struggling to keep track of your meals and nutrition? Our Diet Journal Form Template is designed for anyone looking to gain insight into their eating habits. By using this template, you can easily record daily food intake, note portion sizes, and identify patterns in your diet. Experience benefits like improved meal planning, better awareness of your nutritional choices, and motivation for healthier eating. If you're ready to take control of your dietary journey, try our live template now.

Date of entry
Full name
Sleep duration last night
Less than 5 hours
5-6 hours
6-7 hours
7-8 hours
8-9 hours
More than 9 hours
Prefer not to say
Sleep quality
Poor
Below average
Average
Good
Exceptional
Physical activity today
None
Light up to 30 min
Moderate 31-60 min
Vigorous 61-90 min
Vigorous 90+ min
Stress level today
Very low
Low
Moderate
High
Very high
Prefer not to say
Dietary pattern followed today (select all that apply)
Please Specify:
Total water intake today (enter amount and unit, e.g., 8 cups or 2 L)
Caffeinated drinks consumed today
0
1
2
3
4
5 or more
Prefer not to say
Alcoholic drinks consumed today
0
1
2
3
4
5 or more
Prefer not to say
Breakfast time
Breakfast items and amounts
Hunger before breakfast
Not hungry
Slightly hungry
Moderately hungry
Very hungry
Extremely hungry
Lunch time
Lunch items and amounts
Hunger before lunch
Not hungry
Slightly hungry
Moderately hungry
Very hungry
Extremely hungry
Dinner time
Dinner items and amounts
Snacks and beverages between meals (list items and times)
Hunger before dinner
Not hungry
Slightly hungry
Moderately hungry
Very hungry
Extremely hungry
Overall mood today
Very unhappy
Unhappy
Neutral
Happy
Very happy
Energy level today
Very low
Low
Moderate
High
Very high
Prefer not to say
Digestive symptoms today (select all that apply)
Please Specify:
Notes or reflections (triggers, wins, challenges)
Craving intensity today
None
Mild
Moderate
Strong
Very strong
One goal for tomorrow
How closely did you follow your eating plan today?
Not at all
Partly
Mostly
Completely
Not following a plan
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Colorful paper art illustration featuring a diet journal form template design for a health-focused article.

When to use this form

Use this form when you want a clear record of what you eat and how it affects you. It helps you prepare for a first meeting with a dietitian, start a weight-loss plan, or spot triggers for bloating, headaches, or low energy. Log meals, snacks, drinks, portions, and notes across a week. If you are meeting a clinician, pair it with the Nutritional assessment questionnaire form to give fuller context. Athletes can track fueling around workouts. If sleep or late-night snacking is an issue, connect patterns with the Sleep tracker form. People managing diabetes or digestive issues can share the log to adjust portions, timing, and choices, and leave with a specific, realistic next step.

Must Ask Diet Journal Questions

  1. What did you eat and drink, and how much (portion size)?

    Specific items and amounts turn vague notes into data you can act on. Clear portions help you and your clinician estimate calories, macros, and potential allergens.

  2. What time did you eat, and how hungry or full were you (110)?

    Meal timing and satiety levels reveal patterns like grazing, long gaps, or rebound hunger. This lets you test tweaks such as a protein-rich breakfast or adjusted snack times.

  3. Where were you, and what else were you doing while eating?

    Location and multitasking often drive mindless eating (TV, desk, car). Seeing these cues helps you set small changes, like plating food and pausing screens.

  4. How did you feel before and after (energy, mood, GI symptoms)?

    Capturing energy, mood, and GI feedback links foods to how you feel. If symptoms are broad, pair with the Health checklist form to track details.

  5. Did you take any medications or supplements, and did you exercise around this meal?

    Medications, supplements, and activity can change appetite, glucose, and blood pressure. If you track blood pressure, the Home blood pressure report form helps you see how meals impact readings.

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