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PE Number:______40___________ PE SCHEDULE: ___9:10-11;10am________________

NAME: ____YANGA, JAIRA G.___________________________

PERSONAL FOOD LOG

DAY: Sunday DATE: January, 12 2020

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

AM Snacks / ____________ SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED

Lunch / 11:00am Chowking Im hungry 1 pc. Chicken with Chicharap 1 piece


Regular Coke 1 Glass

PM Snacks / ____________ 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________________

NAME: ____YANGA, JAIRA G.___________________________

PERSONAL FOOD LOG

DAY: _Thursday___________ DATE: __January 9, 2020_________________

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

AM Snacks / ____________ SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED

Lunch / 12:00 Home Im hungry Ramen and Water 1 bowl


1 Glass

PM Snacks / ______ 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________________

NAME: ____YANGA, JAIRA G.___________________________

PERSONAL FOOD LOG

DAY: ___Friday________________ DATE: ___January 10, 2020________________

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

AM Snacks / ____________ 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

PM Snacks / ____________ SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED

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________________

NAME: ____YANGA, JAIRA G.___________________________

PERSONAL FOOD LOG

DAY: ___Saturday_____________ DATE: __January 11, 2020_________________

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

AM Snacks / ____________ SKIPPED SKIPPED SKIPPED SKIPPED SKIPPED

Lunch / 11:30 Home Im hungry Sinangag with egg, onions, hotdog,


ham, and rice.

PM Snacks / 5:00 SnR I really love pizza 1 slice of Pepperoni pizza 1 slice

Dinner / 10:00 Home I need hot noodles, at cold Lomi 1 bowl


nights.
RUBRIC ON
Personal Food Log (40 points)

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

  Excellent Very Good Good Fair Poor  


  30 25 20 15 10 0
Level of Achievement Achieved what is Accomplished below Accomplished below Accomplished below Did not accomplish Non participation
expected what is expected what is expected what is expected dietary goal
(dietary goal showed (dietary goal showed (dietary goal showed (dietary goal was not
once in 4 days) 2 to 3 times in 4 days) 4 to 5 times in 4 days) followed)

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