Health & Wellness Centre
University of Toronto Scarborough
Date:________________________ Is this a usual day? _____________
Date:________________________ Is this a usual day? _____________
Time
Food/Beverage
Amount
Notes
Homemade
Packaged/processed
Outside
(take-out/delivery)
Homemade
Packaged
Outside
(take-out/delivery)
Homemade
Packaged/processed
Outside
(take-out/delivery)
Homemade
Packaged/processed
Outside
(take-out/delivery)
Homemade
Packaged/processed
Outside
(take-out/delivery)
Time
Food/Beverage
Amount
Notes
Homemade
Packaged/processed
Outside
(take-out/delivery)
Homemade
Packaged
Outside
(take-out/delivery)
Homemade
Packaged/processed
Outside
(take-out/delivery)
Homemade
Packaged/processed
Outside
(take-out/delivery)
Homemade
Packaged/processed
Outside
(take-out/delivery)
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