Asheville Integrative Medicine

Diet Journal for:                                                                                                                               Beginning Date:                               

The purpose of this diary is to provide you and your doctor with an honest record of your normal eating habits.  Simply eat your typical diet for 3 days in succession and record it.  Under breakfast, lunch and dinner columns list food and drink, ingredients and amounts.  Under BM, list bowel movements.  Under Notes, list times of symptoms such as mood swings, indigestion, headaches, fatigue, etc.  Remember to include snacks.