Form to monitor food intake over one week

This form can help you to monitor your food intake. Fill it in carefully every day, noting the amount you eat each time. List all the amounts of food you eat daily for every day of the week. Review the form or discuss it with your nutritionist, doctor, nurse, local health worker or counsellor after one week. Compare the sheets from week to week to see if you are eating less from one week to another. This will help you to see if your food intake is going down, even if you do not feel that you are eating less. If you find that you are eating less, identify the reasons (e.g. diarrhoea, sore mouth, feeling weak) and follow the guidelines provided to increase your food intake.