Food Diary Example
Date: Day
| Breakfast | Snack | Lunch | Snack | Dinner/Supper | Snack | |
| Fruit | ||||||
| Vegtetable Starches | ||||||
| Green Vegetables | ||||||
| Animal Protein and Alternatives | ||||||
| Milk Products | ||||||
| Grain Products | ||||||
| Other Foods |
Urges and Behaviors
| Intensity of Urges out of 10 | Number of Behaviors | Intensity of Urges out of 10 | Number of Behaviors | ||
| Restricting | /10 | Exercise | /10 | ||
| Binging | /10 | Laxatives | /10 | ||
| Vomiting | /10 | Others | /10 |
| Behavior I successfully resisted | How I did it: |
| Behavior I successfully resisted | How I did it: |
Dr. Charles Emmrys 