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Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:15AM SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED
Dinner / 9:00pm Yellow Cab Im so excited to eat, because Large pizza with 4 flavors, 1 large box
I love pizza. Hawaian, Garlic and Shrimp,
Pepperoni and Four Cheese.
PE Number:______40___________ PE SCHEDULE: ___9:10-11;10am________________
Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:15AM SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED
Dinner / 8:00 Chicken Avenue Chicken fulfill my tummy Carbonara with garlic bread 8 pcs of chicken
Chicken wings 1 bowl of
Service water carbonara
PE Number:______40___________ PE SCHEDULE: ___9:10-11;10am________________
Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:15AM SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED
Lunch / 11:00 J Manukan I don’t like the taste, but its Pecho chicken with Rice 1 pc
okay. Atleast im full. Serving water 1 glass
Dinner / 9:00 Starbucks Coffee now, palpitate later. 1 venti of Java Chip 2 large cup of
1 venti of Chocolate Chip coffee
1 Banoffee Pie 1 slice
1 Flat Bread 1 small bowl
PE Number:______40___________ PE SCHEDULE: ___9:10-11;10am________________
Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:15AM SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED
PM Snacks / 5:00 SnR I really love pizza 1 slice of Pepperoni pizza 1 slice
Requirements:
The student should record his food intake for 4 consecutive days.
The personal food log has to be submitted a week after the log to the instructor.
The students will be graded based on the following standards:
.
10 points 8 points 6 points 4 points 0 points
Complete information was Insufficient information was Insufficient information was Insufficient information was None submission
provided by the student. provided by the student. Lacks 1 provided by the student. Lack 2 provided by the student. Lack 3
- kind of food/beverage, out of 4 required information out of 4 required information out of 4 required information
- serving size - serving size - serving size - serving size
- evidence/photo - evidence/photo - evaluation
- evaluation - evaluation
RUBRIC ON
ACHIEVEMENT OF DIETARY GOAL
30 points