Today's date and time
Location (Where did you eat this?):
With whom? (Were you alone, with family, friends, colleagues?)
What did you eat/drink? (Be specific! Include brand names if relevant. Quantify as much as possible - e.g., "1 cup of brown rice," "4 oz grilled chicken breast," "1 medium apple.")
Ingredients (If you made the food, list the main ingredients. This is helpful for identifying potential allergens or triggers.):
Preparation Method (How was the food cooked? E.g., baked, fried, grilled, raw.):
Portion Size (Estimate or measure if possible. E.g., small, medium, large, or specific measurements like cups, ounces, grams.):
Why did you choose this food/drink? (Were you craving it? Was it convenient? Was it the only option?)
How hungry were you before eating?
Not hungry at all (feeling completely full)
Slightly hungry (stomach may be growling lightly)
Moderately hungry (you're starting to think about food)
Hungry (stomach is growling, you're ready to eat)
Very hungry (you're feeling some discomfort from hunger)
Ravenous (you're feeling weak or shaky from hunger)
Extremely hungry (you may be experiencing a headache or nausea)
Starving (you're feeling desperate for food)
Famished (you're feeling lightheaded or dizzy)
Extremely famished (you may be experiencing significant physical symptoms)
How full were you after eating?
Not full at all (empty, hungry)
Slightly full (no longer hungry, but could eat more)
Comfortably full (satisfied, but not stuffed)
Moderately full (feeling the fullness, but still comfortable)
Full (pleasantly full, satisfied)
Very full (a little too much, but still okay)
Stuffed (uncomfortably full, maybe a little bloated)
Very stuffed (uncomfortably full, maybe a little nauseous)
Overly full (very uncomfortable, maybe in pain)
Extremely full (sick, maybe vomiting)
How did you feel while eating? (Happy? Stressed? Rushed? Enjoying it?)
How did you feel after eating? (Satisfied? Tired? Guilty? Energetic?)
Did you experience any physical symptoms after eating? (Bloating, gas, headache, stomachache, etc.)
Did anything trigger your eating? (Stress, boredom, emotions, specific time of day?)
How Food Journal helps you
Please update this section according to your customization before publishing this form.
Tips for Using Your Food Journal:
Tips for the question "How hungry were you before eating?":
Here are some tips for using the fullness scale effectively:
Basic Information (Context of Eating):
Food and Drink Details (What You're Eating):
Reflections and Feelings (Why and How You're Eating):
To configure an element, select it on the form.