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Please print three copies of this form and fill out one per day. Include every teaspoon, tablespoon of sugar, oil, ketchup, mustard, every drop of milk, pinch of salt, and any other foods, herbs, spices. Please include all supplements, protein powders, vitamins, or other added nutrients at the bottom of the page. Please email the completed forms to joanna@joannalynn.com |
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Name: Age: Sex: Contact Info:
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Sedentary Active Very Active Athletic |
Time |
First
Beverage
Portion Size
Ingredients
Extras/Condiments |
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First
Meal/Snack
Portion
Size
Ingredients
Extras/Condiments |
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Second Beverage
Portion Size
Ingredients
Extras/Condiments
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Second
Meal/Snack
Portion
Size
Ingredients
Extras/Condiments |
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Third
Beverage
Portion
Size
Ingredients
Extras/Condiments |
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Third
Meal/Snack
Portion Size
Ingredients
Extras/Condiments |
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Fourth
Beverage
Portion
Size
Ingredients
Extras/Condiments
|
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Fourth
Meal/Snack
Portion Size
Ingredients
Extras/Condiments |
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Fifth
Beverage
Portion
Size
Ingredients
Extras/Condiments |
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Fifth
Meal/Snack
Portion Size
Ingredients
Extras/Condiments |
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Sixth
Beverage
Portion
Size
Ingredients
Extras/Condiments |
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Sixth
Meal/Snack
Portion
Size
Ingredients
Extras/Condiments |
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Seventh
Beverage
Portion
Size
Ingredients
Extras/Condiments |
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Seventh
Meal/Snack
Portion Size
Ingredients
Extras/Condiments |
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Additional Snacks
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Additional Beverages
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All physical movement and activity
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Supplements, vitamins, protein powders and bars, energy drinks, etc.. Please include amounts (i.e. 2 scoops, 3 cans, 2 bottles, etc..)
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Additional Information
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