Your name
Your email
Date
AM Resting Heart Rate
Your wake time
Did you take lemon and oil? YesNo
Time and Food Item (5am-8am) Record the time, food item, and if you had water
Time and Food Item (9am-11am) Record the time, food item, and if you had water
Time and Food Item (12pm-2pm) Record the time, food item ,and if you had water
Time and Food Item (3pm-5pm) Record the time, food item, and if you had water
Time and Food Item (6pm-8pm) Record the time, food item, and if you had water
Time and Food Item (9pm-11pm) Record the time, food item, and if you had water
What time did you exercise?
For How Long?
What time did you go to sleep?
Reflection
How many cups of water did I drink?
Did I eat any fried foods? YesNo
Did I eat any simple sugars? i.e. chocolate, sweets... YesNo
# of Carb portions today
# of Protein portions today
# of Fat portions today
Did you have your Greens supplement? YesNo
Did you have your Omega 3 supplement? YesNo
