Nutrinest Gut Health Food Diary & Daily Experience Form Welcome to your daily food diary and gut health reflection. Tracking your meals and how you feel afterward will help us better understand your digestive health. Please complete this form daily to monitor patterns and improve your gut health journey. Section 1: Personal Information Name Date Section 2: Meal Tracking Breakfast Time of Meal What Did You Eat? Portion Size SmallMediumLarge How Did You Feel After Eating? EnergizedBloatedFullNeutralTired Any Symptoms After Eating? BloatingGasNauseaStomach PainHeartburnNoneOther Lunch Time of Meal What Did You Eat? Portion Size SmallMediumLarge How Did You Feel After Eating? EnergizedBloatedFullNeutralTired Any Symptoms After Eating? BloatingGasNauseaStomach PainHeartburnNoneOther Dinner Time of Meal What Did You Eat? Portion Size SmallMediumLarge How Did You Feel After Eating? EnergizedBloatedFullNeutralTired Any Symptoms After Eating? BloatingGasNauseaStomach PainHeartburnNoneOther Snacks Time of Snack What Did You Eat? How Did You Feel After Eating? EnergizedBloatedFullNeutralTired Any Symptoms After Eating? BloatingGasNauseaStomach PainHeartburnNoneOther Section 3: Hydration Water Intake Today Less than 1L1-2L2-3LMore than 3L Other Drinks Section 4: Physical Activity Did You Exercise Today? YesNo Type of Exercise and Duration Energy Levels Before Exercise HighModerateLow Energy Levels After Exercise HighModerateLow Section 5: Bowel Movements Bowel Movements Today NoneConstipatedNormalLooseOther Stool Consistency (Optional) HardSoftWateryOther Section 6: Daily Reflections Mood Throughout the Day CalmStressedEnergeticTiredNeutral Overall Feelings Today GoodOkayTiredBloatedOther Additional Notes on Gut Health or Well-being Today Section 7: General Comments Any Other Observations/Comments
