Human Growth and Development Discussions

Menu Record Form

Food Item	Amount	Description (brand or restaurant)	How prepared (if applicable)	grams of fiber	mg of cholesterol	kilocalories
Breakfast				x	x	x
Lunch				x	x	x
Dinner				x	x	x
Snack				x	x	x
Total for the day				X g	Y mg	Z kcal

· 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. Don't skip small items such as salad dressing or coffee creamer.

· 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.