Diet / Exercise Summary
Name 
Date 

Food Group Serving / Calorie Guide
Starch / Bread  - 1 slice bread, 1/3 cup pasta or cereal (50 cal)
Vegetables - 1/2 cup cooked, 1 cup raw, 3/4 cup juice (25 cal)
Fruits - 1 medium sized fruit, 1 cup cut-up fruit, 3/4 cup juice (60 cal)
Milk - 1 cup non-fat milk, 1 ounce cheddar cheese (90 cal)
Meat - 2 ounces lean beef, 1/2 cup dried beans, 1 egg (150 cal)
Fat - 1 tsp. butter, 2 tsp. cooking oil (45 cal)
Time Eaten Food Servings Calories
Physical Activity