Introduction

Symbols Explanation Amount

Drinks / Coffee / Tea Please note sugar / sweetener or milk in the defined column

Approx. deciliter

Specific fruits raw or cooked Please define the cooking process

Approx. grams dry or cooked Piece/handful/small cup

Specific vegetables raw or cooked Please define the cooking process

Approx. grams dry or cooked Piece/ handful/small cup/

Protein intake cold or cooked meat/fish/cheese/milk/yogurt/eggs Please define the cooking process

Approx. grams dry or cooked/ pieces/portions

Carbohydrate intake, cold or cooked Bread/Rice/Noodles/Cereals/Lentils /Potatos

Approx. grams dry or cooked/ pieces/bowls/

Oil & Fats, including Avocado, Nuts cold or heated Please define the cooking process

Approx. deciliter for liquid oils, grams for hardened fats

Cake/Sugar/Sweetener/Chocolate/ Pastry/Pudding etc.

Approx. grams / table spoons/cubes/pieces/servings

Daily Food Diary How to use the “Daily Food Diary” and why?

Please note everything you eat and drink during 4 days. Try to separate into the specified categories and amounts as accurate as possible. If you are not sure, don’t worry, just write a remark.

The times, the amount and the quality of the nutrient you eat can directly determine:

1. how you feel 2. how your body is processing food 3. if your body is getting what it needs to function and

adjust to your lifestyle 4. if your body is able to build resources to fight viruses

and free radicals

Please chose 4 just normal days for your food diary and send the filled out forms to:

nutrition@bkk-health.com

We will analyze your eating habits and get back to you within 48 hours to make an appointment for a 1 hour consulting session.

“The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease

with nutrition.”~ Thomas Edison