8 Weeks to Vibrant Health

Daily Food-Mood-Supplement-Activity Record

This work sheet will help you develop a clear picture of your lifestyle: eating habits, exercise, sleep, mood, and supplements. For this process to be effective, keep your journal sheet with you and fill it out promptly every time you eat or drink anything, including water. For the “Hunger” column, use a scale from 0 to 5: 0 = not hungry and 5 = very hungry.

Date: _________________

Exercise: What ________________ When ______________ How long _____________

Feeling before / after: ____________________________________________________

Sleep: Got up ________ A.M. Went to bed: ________P.M. Total sleep: ________hours

 

TIME
FOOD/BEVERAGE
AMOUNT
HUNGER
CIRCUMSTANCES
MOOD BEFORE
MOOD AFTER
SUPPLEMENTS
               
               
               
               
               
               
               
               
               
               
               
               
               
               

 

How I felt today: ______________________________________________