Meal Planner Form
|
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
|
|
Date |
h |
h |
h |
h |
h |
h |
h |
|
Nonfat Dairy |
h |
h |
h |
h |
h |
h |
h |
|
Lean Protein |
h |
h |
h |
h |
h |
h |
h |
|
Vegetable |
h |
h |
h |
h |
h |
h |
h |
|
Fruit |
h |
h |
h |
h |
h |
h |
h |
|
Starch |
h |
h |
h |
h |
h |
h |
h |
|
Extra Calories |
h |
h |
h |
h |
h |
h |
h |
|
Pedometer
Distance |
h |
h |
h |
h |
h |
h |
h |
Directions: Each day, plan your meal and snacks according to the number of food exchanges allotted for this particular week, and record them with a tally mark (e.g. I 11) each meal. Make sure to ingest the exact volume specified for each food exchange. At the end of each day, record the distance of your pedometer. Turn this form in each Tuesday at noon.