Click the button to print the current page.

Diary Date: July 27, 2024

Food and Fluid Intake Checklist

Daily Fuel Check
Item	Daily Total	Profile Needs
Calories	0	0
Protein (g) min/max	0	0/0
Fat (g)	0	0
Saturated Fat (g)	0	≤ 0
Cholesterol (mg)	0	≤ 300
Total Carb (g)	0	0
Fiber (g)	0	30
Sugars (g)	0	N/A
Sodium (mg)	0	2400
Calcium (mg)	0	1200
Iron (mg)	0	8
Water/Fluids		0 cups

Item	Recommended Servings
Starch/Carbohydrate
Fruit
Vegetable
Milk
Meat/Protein Equivalent
Fats

Breakfast

Nutritional Information

Foods

Amt

Cal

Protein

Tot Fat

Sat Fat

Chol

Tot Carb

Fiber

Sugars

Sodium

Calcium

Iron

Delete

Lunch

Nutritional Information

Foods

Amt

Cal

Protein

Tot Fat

Sat Fat

Chol

Tot Carb

Fiber

Sugars

Sodium

Calcium

Iron

Delete

Dinner

Nutritional Information

Foods

Amt

Cal

Protein

Tot Fat

Sat Fat

Chol

Tot Carb

Fiber

Sugars

Sodium

Calcium

Iron

Delete

Snacks

Nutritional Information

Foods

Amt

Cal

Protein

Tot Fat

Sat Fat

Chol

Tot Carb

Fiber

Sugars

Sodium

Calcium

Iron

Delete