This log records what you eat alongside your digestion, so we can see how specific foods affect you. Fill it in as the day goes — your entries save automatically, so you can close this page and come back. Submit once at the end.
A few details before we begin.
Completed once, at the start.
Your practitioner will tell you which to choose.
Fill in as the day goes. Saves automatically.
On Waking
1 = hard/constipated · 3–4 = ideal · 7 = liquid
| Type 1 | Severe constipation — separate hard lumps |
| Type 2 | Mild constipation — lumpy, sausage-like |
| Type 3 | Ideal — sausage shape with cracks |
| Type 4 | Ideal — smooth, soft sausage |
| Type 5 | Lacking fiber — soft blobs, clear edges |
| Type 6 | Mild diarrhea — mushy consistency |
| Type 7 | Severe diarrhea — liquid consistency |
Breakfast
Protein / Carbs / Fruit / Veg / Beverage — approx oz.
1 = hard/constipated · 3–4 = ideal · 7 = liquid
Protein / Carbs / Fruit / Veg / Beverage — approx oz.
Lunch
Protein / Carbs / Fruit / Veg / Beverage — approx oz.
1 = hard/constipated · 3–4 = ideal · 7 = liquid
Protein / Carbs / Fruit / Veg / Beverage — approx oz.
Dinner
Protein / Carbs / Fruit / Veg / Beverage — approx oz.
Protein / Carbs / Fruit / Veg / Beverage — approx oz.
1 = hard/constipated · 3–4 = ideal · 7 = liquid
Thank you — your practitioner will review this before your next appointment.
You may now close this page.