Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Food Diary Template Form

Track your eating habits with this user-friendly template

Struggling to keep tabs on your eating habits and weight loss journey? This Food Diary Template Form is designed to help you track what you eat, making it easier to achieve your health goals. Whether you're monitoring daily meals, assessing portion sizes, or reflecting on your diet choices, this template guides you to a healthier lifestyle. Easily log your food intake, identify patterns, and make informed changes to your diet. Experience the convenience of using the live template today.

Use this Template (FREE) Live Preview
Full name
Email address
Date for this diary entry
Primary goal for tracking your food today
Weight loss
Weight gain
Maintain weight
Improve energy
Manage symptoms
Sports performance
General wellbeing
Prefer not to say
Other
Please Specify:
Dietary pattern or restrictions that apply to you
Please Specify:
Known allergies or intolerances
Please Specify:
Wake-up time (e.g., 6:45 AM)
Bedtime last night (e.g., 11:15 PM)
Did you exercise today?
Yes
No
If yes, note exercise type, duration, and intensity
Stress level today
Very low
Low
Moderate
High
Very high
Estimated water intake so far
<1 cup
1-2 cups
3-4 cups
5-7 cups
8+ cups
Prefer not to say
Time eaten (e.g., 8:00 AM)
Where did you eat?
Home
Work/School
Restaurant/Cafe
Takeaway/Delivery
In transit
Not applicable
Other
Please Specify:
Foods and drinks consumed
Notes or symptoms (e.g., appetite, cravings, digestive symptoms)
Estimated portion size
Small
Medium
Large
Unsure
Not applicable
Time eaten (e.g., 12:30 PM)
Where did you eat?
Home
Work/School
Restaurant/Cafe
Takeaway/Delivery
In transit
Not applicable
Other
Please Specify:
Foods and drinks consumed
Notes or symptoms (e.g., appetite, cravings, digestive symptoms)
Estimated portion size
Small
Medium
Large
Unsure
Not applicable
Time eaten (e.g., 7:00 PM)
Where did you eat?
Home
Work/School
Restaurant/Cafe
Takeaway/Delivery
In transit
Not applicable
Other
Please Specify:
Foods and drinks consumed
Notes or symptoms (e.g., appetite, cravings, digestive symptoms)
Estimated portion size
Small
Medium
Large
Unsure
Not applicable
Time range or times (e.g., 3:00 PM, 9:30 PM)
Snacks and beverages consumed
Estimated portion sizes
Small
Medium
Large
Mixed
Unsure
Not applicable
Notes or symptoms (e.g., hunger, cravings, energy, digestion)
Caffeine or alcohol consumed
Please Specify:
Supplements taken today
Please Specify:
Overall mood today
Very unhappy
Unhappy
Neutral
Happy
Very happy
Would you like to share this diary with a coach or clinician?
Yes
No
Type your full name to confirm
Confirmation date
I understand this diary is for informational tracking and is not medical advice.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Email address, Date for this diary entry","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration features a food diary template with sections for meals, snacks, and notes for tracking nutrition.

When to use this form

Use this simple diet diary template when you need a clear daily record of meals, snacks, and drinks. It is helpful for weight management, diabetes, digestive issues, migraines, or training goals. Log times, portions, and mood to find patterns over a week and decide what to change first. Bring your log to appointments or attach it to a Health risk assessment questionnaire form so your clinician sees the full picture. If you are tracking reactions like bloating or nausea, pair entries with the Symptom screening form to connect foods with symptoms. Parents, athletes, and patients can all use this to prepare for coaching, nutrition visits, or follow-ups.

Must Ask Food Diary Questions

  1. What did you eat and drink, including ingredients and preparation?

    Specific foods, ingredients, and cooking methods reveal triggers like added sugars, sodium, and oils. Clear detail also makes it easy to swap smarter options without guesswork.

  2. What time did you eat, and where were you?

    Timing and setting affect appetite, blood sugar, and sleep; location shows habits like desk snacking or late-night meals. This context helps you target one small change at the right moment.

  3. How much did you have (portion size)?

    Rough measures (cups, handfuls, ounces) enable consistent tracking and better calorie or carb estimates. Portion patterns show whether plates, packages, or distractions drive overeating.

  4. How hungry were you before, and how satisfied after?

    A simple 1-10 scale ties hunger cues to choices and reduces mindless eating. Over time, aim to start meals around 3-4 and finish around 6-7 for steadier energy.

  5. Did you notice any symptoms, mood changes, or energy shifts within 2 hours?

    Noting reactions such as bloating, headache, or fatigue highlights food-symptom links to review. If you plan a checkup, pairing notes with the Nursing assessment form helps clinicians act faster.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel