If you are taking the weight loss program, Wally Bishop C.N.C. needs this food journal form filled out for at least four days of anything you ingest including medication, condiments such as chewing gum and breath mints. Along with the food and drink you normally consume. To do four days, do one day at a time then click the submit button, then come back to this form and do another day. The answers you give for each day is automatically emailed to us. Put down exactly what you eat and drink, please do not try to make yourself look good here. It will throw off the food analysis Wally will be preparing for you. I am sure you do not want to do your food analysis in vain.

 

Use these measurements when describing the amount consumed:

1 apple, 1 orange , etc. = 1 serving

Fluid ounces of liquids consumed = fl. oz.

1/4 cup, 1/2 cup, 3/4 cup and 1 cup

teaspoon = tsp / tablespoon = tbsp

Bag = small, medium and large - what was in it

Burgers and sandwiches - small, medium and large - what was on it