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Important points:

1. Please be specific when you mention the foods and beverages.


- For e.g. Mirinda, pepsi, coke etc instead of soft drinks
- For e.g. Whisky, beer etc instead of alcohol
- For e.g. aloo palak, mixed veg gravy instead of sabji/vegetable
- For e.g. chana masala, dal makhni instead of daal
- For e.g. apple, orange etc instead of fruits
2. Please mention if the coffee/tea is light or strong, contains milk or is it black coffee/tea.
Dietary Recall for a weekday
Meal and timings
(please enter the time)

What did you


eat/drink?

Quantity in terms of
glass, cup, bowl, no,
plate etc

Early Morning

water

1 glass

Breakfast

2 egg whites, 1 bowl of


museli with milk, 1 toast
sandwich with

Mid morning

1 cup green tea


1 apple/ orange (not
regularly)/ 1 cup coffee

Other snacks

Lunch

2 small rotis/ rice, dal,


cur, vegetable, salad

Tea time

Whatever is prepaered
in cafeteria- sweet corn/
chaat.

Pre-dinner or evening
snack/ beverages
(alcohol etc)
Dinner

Bed time

Additional Snacks/
Beverages

No of glasses of water taken in a day:

For beverages
please mention the
no of tsps of sugar
per cup/glass

spoon sugar in
coffee

Dietary Recall for a weekend (Saturday/Sunday)


Meal and timings
(please enter the time)

What did you


eat/drink?

Breakfast

Mid morning

Other snacks

Lunch

Tea time

Pre-dinner or evening
snack/ beverages
(alcohol etc)
Dinner

Bed time

Additional Snacks/
Beverages

No of glasses of water taken in a day:

Quantity in terms of
glass, cup, bowl, no,
plate etc

For beverages
please mention the
no of tsps of sugar
per cup/glass

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