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Name : ________________________________________________________ Day: ____________________________ Date: ______________________________

FOOD & MOOD JOURNAL

1. Use as many sheets as you need per day, and include amounts of foods eaten, supplements, medications, and note time of day. 2. Record the feelings you have before and after the meals, such as drowsy, irritable, energized. Be simply curious without self-judgment. Time

9:00am

Feelings/Energy Before Meal

Awake and hungry, worried about work week

Food / Drink / Supplements

2 eggs scrambled in 1 T of Olive Oil, 1 Multi-vitamin 1 piece of white toast with 1 T of butter, 1 cup of decaf coffee

Location

Dining room table, at home

Feelings/ Energy After

Bloated and full, gassy, guilty

Name : ________________________________________________________ Day: ____________________________ Date: ______________________________

FOOD & MOOD JOURNAL

1. Use as many sheets as you need per day, and include amounts of foods eaten, supplements, medications, and note time of day. 2. Record the feelings you have before and after the meals, such as drowsy, irritable, energized. Be simply curious without self-judgment.

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Food&Mood_Journal.wps

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