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Personal Trainer & Nutrition Transformation Coach
Ale Fiorini
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Meal Journal
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First name
Date you filled this form
Last name
Date of Birth
Which one you can't live without?
Any food alergies/intolerance?
Lactose
Gluten
Peanuts
Milk / Dairy
Other
How many times a day do you eat? (including any snacks)
Important reminders:
This is a journal for a regular week, not Hollidays or your Vacation.
Lime in
a Margarita doesn't count as fruit.
Celery in a cocktail doesn't count as vegetable.
Ice in a cowboy whisky doesn't count as water.
Breakfast
Snack
Lunch
Dessert
Afternoon Snack
Dinner
Dessert
How much of water do you drink? (only water)
1 glass
1 16oz bottle
2-4 16oz bottle
Come'on Ale, I drink gallons
Food Preferences
Foods I hate
Do you drink alcohol?
Yes
No
If yes, how many times a week and what days of the week?
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
I drink less than weekly
Email
Phone
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Thanks for submitting!
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