Make an extra copy or save the following Reports: Nutrients Report, Food Groups and Calories Report, (they can saved as a Word document, the information on these reports will be needed for future labs and these forms will need to be turned in through UBlearns)FOOD RECORD: Day 1 (Weekday)FOOD RECORD: Day 2 (Weekend)FOOD RECORD: Day 3 (Weekend)Choose My Plate AnalysisS17 JHDietary Analysis (S-17) JH- Make an extra copy or save the following Reports: NutrientsReport, Food Groups and Calories Report, (they can saved asa Word document, the information on these reports will beneeded for future labs and these forms will need to be turned inthrough UBlearns)- Need choosemyplate.gov for this lab (will use the SuperTrackerprogram on ChooseMyPlate)Turn in reports with this lab: 1. Nutrients Report (3 Day Average)2. Food Groups, and Calories Report (3 day average)© Department of Exercise and Nutrition Sciences, University at Buffalo. All rights reserved.S17 JHHow to fill out the Diet Record FormThe diet record form is designed to assist you in recalling what foods you have eaten over a givenperiod of time. There is also a space for you to specify how much of each food you have eaten.List the food name and portion size on the diet record form. Remember to be as detailed aspossible about each food so that the form can be processed properly and easily. Below is a list oftips for filling out the Form to make it easier and more accurate. Helpful tips on filling out the Form:1. Record what you have eaten as detailed as possible, including brand names right aftermeals. This makes it much easier to remember what you ate. Foods that are unusual,save the package label and attach it to the diet record.2. For foods that you eat more than once a day, you can combine the amounts and enterthe total amount for the day. For instance, if you have a cup of milk in the morning onyour cereal and a cup at night with our dinner, you can enter milk only once on the form,but put 2 cups as the portion size.3. When you are listing the foods you have eaten, it is important to use the specific type offood you had. Remember to specify the following:A. Preparation: How did you cook the food? Or did you? Was it Fresh? Or was it frozenor canned? Did you fry, steam, bake, boil or broil it? If you prepared a mix, did you addmilk or water? Did you substitute ingredients? If so, include the information in thedescription of the food.B. Canned foods: If you had a canned product, was it packed in water, its own juice, orwas syrup added to it? Include the brand name of canned foods. Also, did you serve thejuice or syrup that was in the can, or did you drain it before eating?C. Portion Size: Indicate how much you had of each food using standard measures –ounces, cups, teaspoons, tablespoons, slices, etc.D. Condiments: If you added condiments or spices to your food, include these and howmuch of each you had. For example: mustard, mayonnaise, catsup, salt, pepper, steaksauce, etc.4. If you had bread, was it white or French? If it was wheat bread, was it whole wheat orcracked wheat? Was your milk 1% milk fat, 2% milk fat, or whole milk? If you had coffeeor tea, was it decaffeinated? Was the coffee or tea brewed or instant?5. Break down recipes into specific foods. For example, a peanut butter and jelly sandwichmust be broken into certain amounts of peanut butter, jelly, and bread. Do the same forsalads and casseroles.6. Indicate the time that the food was eaten in the column.1-© Department of Exercise and Nutrition Sciences, University at Buffalo. All rights reserved.S17 JHName: Date:FOOD RECORD: Day 1 (Weekday)“Use this form to list the foods and beverages you have eaten during a 24-hour period. Writedown the foods and beverages as you eat and drink them (record the size of the portion andmethod of preparation (include the amount of fat, if used) and don’t forget to list any spreads usedon bread, etc.)”Time Place HungerScale*(1 – 10)Type ofMeal**Food & Beverages HowPreparedAmountEXAMPLE 11:00 PMHome 5 L Potatoes Fried ½ cupOil 1 tsp. Salt Sprinkle10 :00 AM Home 7 B Oatmeal Boiled 1 cup Banana Sliced 7 ozSoy Beverage (regular) 1 cup 1 :00 PM UB Commons 6 L Fried rice with pork White rice Fried 1 cup Eggs Fried 2.5 oz Pork Fried 6 ozOnions Fried 4 oz Green Tea (sweetened) Bottle 16.9 fl oz 6 :30 PM Restaurant 5 D Salmon Broiled 10 oz White rice Fried ½ cup Broccoli Fried ½ cup Carrort Fried ½ cup *Hunger Scale: 1 = Not hungry at all…10 = Extremely hungry!** Breakfast (B), Lunch (L), Dinner (D), Snack (S) 2Name: Date:© Department of Exercise and Nutrition Sciences, University at Buffalo. All rights reserved.S17 JHFOOD RECORD: Day 2 (Weekend)“Use this form to list the foods and beverages you have eaten during a 24-hour period. Writedown the foods and beverages as you eat and drink them (record the size of the portion andmethod of preparation (include the amount of fat, if used) and don’t forget to list any spreads usedon bread, etc.)”Time Place HungerScale*(1 – 10)Type ofMeal**Food & Beverages HowPreparedAmountEXAMPLE 10:00 PMHome 5 L Potatoes Fried ½ cupOil 1 tsp. Salt Sprinkle9 :30 AM Home 7 B Red beans and rice Red beans Boiled 2/3 cup Black rice Boiled ½ cup Banana nut Bread Sliced 1 slice Soy beverage (regular) 1 cup 12 :30 PM Restaurant 8 L Beef rice noodle soup Beef slice Boiled 2 oz Rice noodle Boiled 2 oz Onions Boiled 0.8 oz Bean sprouts Boiled ¼ cup Water 1 bottle 3 :00 PM Home 3 S Strawberries raw 1 cup Green tea ice cream 3.6 oz 7 :00 PM Whole Food 4 D Caesar Salad with dressing Letture raw 1 ½ cup Parmesan cheese ¾ cup Dressing 1.5 oz 3© Department of Exercise and Nutrition Sciences, University at Buffalo. All rights reserved.S17 JHName: Date:FOOD RECORD: Day 3 (Weekend)“Use this form to list the foods and beverages you have eaten during a 24-hour period. Writedown the foods and beverages as you eat and drink them (record the size of the portion andmethod of preparation (include the amount of fat, if used) and don’t forget to list any spreads usedon bread, etc.)”Time Place HungerScale*(1 – 10)Type ofMeal**Food & Beverages HowPreparedAmountEXAMPLE 11:00 AMHome 5 L Potatoes Fried ½ cupOil 1 tsp. Salt Sprinkle10 :30 AM Home 7 B Ham & Egg sandwich Ham (prepackaged) Fried 1 slice=1.75 ozEgg Fried 2 oz2 slices whole wheat bread 2 ozAlmond milk (sweetened) 1 cup 2 :40 PM