Name :__________________ Date:

Da ________________

My Health Diary How many glasses of water

ter did you drink?

Breakfast

___________________________________________________
_____________________________________________________

_____________________________________________________
_____________________________________ How many of your “5-a-day
day” did you eat?

Lunch

_________________________________________
_____________________________________________________

_____________________________________________________
____________________________________

How many hours of sleep did you sleep?

Dinner

_____________________________________________________

_________________________________________________
__________________

Snacks How did you feel overall?

_____________________________________________________ GREAT GOOD OK NOT WELL BAD

_____________________________________________________
_________________

Drinks

_____________________________________________________

____________________________________________
___________________________