Nutrition Assignment

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DailyFoodRecordJune27thru29.doc

Daily Food Record

Name (print):__Eduardo Delgado______________ Day/Date of Intake: June 27 thru June 29

Male__x____ Female ______ Age _25______

Meal

Date

Time

Of Day

Food Item

Amount

Description

(Brand or restaurant)

How Prepared

(if applicable)

Breakfast

6/27

7:00 am

Naval Orange

1

Low-fat milk

½ a cup

A-2

eggs

2

Hard Boiled

Black coffee

1 cup

Sugar

1 tbs

Whole grain bread

2

Ezekiel 4:9 Sesame

toasted

Water

16 ounce

6/28

7:30 a.m.

Bran muffin

1 medium

Chicken sausage

1 serving

Jim Dean

Skillet

mango

1 small

Low-fat milk

1/3 cup

Black coffee

1 cup

Water

16 ounce

6/29

8:30 a.m.

Whole Wheat English Muffin

1

Thomas

Almond Butter

2 tbsp

Justin

Banana

1

Low-fat milk

8 ounces

A-2

Water

16 ounce

Lunch

6/27

12:30 p.m.

A chicken sandwich with

Chicken breast meat

3 ounces

Valley Fresh

canned

Low-sodium vegetable soup

1 cup

Healthy Choice

Spinach leaves

¼ cup

Raw

tomato

2 slices

Raw

mustard

Light spread

Whole grain bread

2 slices

Ezekiel 4:9 Sesame

Water

16 ounce

6/28

1:00 p.m.

Chicken breast

5.5 ounce

Baked

Salad mix

1.5 cup

Dole

Tossed

Cherry tomatoes

5

red onions

6 slicd

croutons

8-10 small

Italian Dressing

2 tsp

Newman

water

16 ounce

6/29

12:40 p.m.

chicken noodle soup

1 cup

Subway

Saltine crackers

6

Zesta

Turkey Sub whole wheat

6”

Subway

Water

16 ounce

Pear

1 medium

Dinner

Dinner

6/27

7:00 p.m.

Chicken breast

6 ounce

Baked

Peas

1/2 cup

Steamed

Potatoes

1 medium

Baked

Wine Red

5.5 ounce

Josh

Water

8 ounces

6/28

7:30 p.m

Halibut with lemon

6 ounce

Baked

Broccoli Florets

2 cups

Wild rice

4 ounces

Uncle Ben

White Wine

5.5 ounces

Robert Mondavi

Water

8 ounces

6/29

7:15 p.m.

Sirloin steak

6 ounce

Grilled

red potatoes

½ a cup

Mashed

Asparagus

1 cup

Baked

Water

16 ounces

Snacks

6/27

10:00 p.m.

Milano Cookie

2pk

Pepperidge Farm

Water

8 ounce

6/28

3:10 p.m.

Banana

1

Water

8 ounce

6/29

8:10 p.m.

Cashews

10-15

Planters

Water

8 ounce

· Record food items as completely as possible, listing separate ingredients when indicated (e.g., don’t just write “sandwich”, but include type of bread, filling, vegetables added, sauces and condiments).

· Don’t forget beverages, including alcoholic beverages, sodas, and water.

· Estimate the amounts or serving size you consume as closely as possible in units, such as cups, ounces, teaspoons, and teaspoons. (NOTE: “one serving”, “one bowl”, or “one piece” are not acceptable units as they are subjective measures and don’t relay quantifiable amounts.) You may want to measure foods to obtain a more accurate estimate of quantity.

· When indicated, include preparation method or other details that may help describe the food, for example: indicate whether a chicken breast is baked, grilled, breaded, fried, etc. or whether vegetables are raw, steamed, “Southern style”, sautéed, fried, etc.