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Nutrition

Food and symptom Template

A record to take to an appointment, with the delay column that makes it worth reading.

3 sections14 rowsEditable headingPDF · SVG
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Four steps

How to print a food and symptom

  1. 1

    Start from this form

    Opens on the food and symptom: Date, a table, a note and the rest.

  2. 2

    Put your own heading on it

    Replace "Food and Symptom Journal" with a name, a business or a date range.

  3. 3

    Set the row height

    14 rows at 6 mm fits more in; 14 mm suits a form filled in by hand.

  4. 4

    Print or save as PDF

    The time, for the food and for the symptom both is the line to get right.

Who prints this

Anyone asked by a clinician to keep a diary before an appointment, and anyone trying to give a dietitian something better than recollection.

The field that decides whether it works

The time, for the food and for the symptom both. Without the two of them the delay cannot be worked out, and the delay is the part a clinician reads first.

Why it is laid out this way

How long after eating gets a column of its own rather than being buried in a note, because the gap between eating and a symptom is what narrows the list down. Nothing on the sheet interprets anything: it is a record for someone qualified to read.

What is on the sheet

3 sections, in this order: Date; a table; a note. Set the row height anywhere between 6 and 14 mm across its 14 ruled rows, put your own heading at the top, and find the food and symptom alongside 3 other forms on the food journal page.

Answers

Frequently asked questions

Anyone asked by a clinician to keep a diary before an appointment, and anyone trying to give a dietitian something better than recollection.

The time, for the food and for the symptom both. Without the two of them the delay cannot be worked out, and the delay is the part a clinician reads first.

How long after eating gets a column of its own rather than being buried in a note, because the gap between eating and a symptom is what narrows the list down. Nothing on the sheet interprets anything: it is a record for someone qualified to read.

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