PE Number: 2 PE SCHEDULE: Tuesday / 9:10 am– 11:10am

NAME: Anzaldo, Aldrin John P.

PERSONAL FOOD LOG

DAY: 1 DATE: January 7, 2019

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:15AM skipped skipped skipped skipped skipped

AM Snacks / skipped skipped skipped skipped skipped

Lunch / 11:30am
School (yellow canteen) Hungry, exhausted Chicken Hotshots 6 pcs
Gulaman 12 oz
Rice 2

PM Snacks / 6:00pm DAU Burger 4 slices

softdrinks 1 cup

Dinner /8:00pm Home (at table) Burger Patties 2 pcs

water 3glasses
PE Number: 2 PE SCHEDULE: Tuesday / 9:10 am– 11:10am

NAME: Anzaldo, Aldrin John P.

PERSONAL FOOD LOG

DAY: 2 DATE: January 8, 2020

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:15AM skipped skipped skipped skipped skipped

AM Snacks / ____________ skipped skipped skipped skipped skipped

Lunch /11:00am home Hungry/sleepy San Marino (Spicy) 1 can

Water 2 glasses

PM Snacks / ____________ skipped skipped skipped skipped skipped

Dinner / 9:30pm home Hungry/ Happy Egg 2 pcs

Torta 1 cup
PE Number: 2 PE SCHEDULE: Tuesday / 9:10 am– 11:10am

NAME: Anzaldo, Aldrin John P.

PERSONAL FOOD LOG

DAY: 3 DATE: January 9, 2020

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:15AM skipped skipped skipped skipped skipped

AM Snacks / ____________ skipped skipped skipped skipped skipped

Lunch / ____________ skipped skipped skipped skipped skipped

PM Snacks / 5:00 Classmate’s House Hungry/happy Streetfoods 20 sticks

Ramen 1 bowl
Water 2 glasses

Dinner / 9:00 Front of computer Hungry/ busy Chicken 1 pc

water 3 glasses
PE Number: 2 PE SCHEDULE: Tuesday / 9:10 am– 11:10am

NAME: Anzaldo, Aldrin John P.

PERSONAL FOOD LOG

DAY: 4 DATE: January 10, 2020

Meal and Time Place Thoughts/Feelings Food and Beverages Amount/ Food (Photo)
(And how prepared) serving size
Breakfast / 8:00AM Home Hungry, in a hurry Fries 1 serving
Softdrinks 1 glass
Burger 1 pc

AM Snacks / ____________ skipped skipped skipped skipped skipped

Lunch / ____________ skipped skipped skipped skipped skipped

PM Snacks / 5:30pm home Craving/ happy Frosting Biscuit 50 grams

Fingersticks (choco) 1 pack
Water 3 glasses

Dinner /9:30 pm home Hungry/Tired Chicken Fillet 5 pcs

Water 2 Glasses
 RUBRIC ON
Personal Food Log (40 points)

Requirements:
 The student should record his food intake for 4 consecutive days.
 The personal food log has to be submitted a week after the log to the instructor.
 The students will be graded based on the following standards:

.
10 points 8 points 6 points 4 points 0 points
Complete information was Insufficient information was Insufficient information was Insufficient information was None submission
provided by the student. provided by the student. Lacks 1 provided by the student. Lack 2 provided by the student. Lack 3
- kind of food/beverage, out of 4 required information out of 4 required information out of 4 required information
- serving size - serving size - serving size - serving size
- evidence/photo - evidence/photo - evaluation
- evaluation - evaluation

RUBRIC ON
ACHIEVEMENT OF DIETARY GOAL
30 points

  Excellent Very Good Good Fair Poor  

  30 25 20 15 10 0
Level of Achievement Achieved what is Accomplished below Accomplished below Accomplished below Did not accomplish Non participation
expected what is expected what is expected what is expected dietary goal
(dietary goal showed (dietary goal showed (dietary goal showed (dietary goal was not
once in 4 days) 2 to 3 times in 4 days) 4 to 5 times in 4 days) followed)