Form C : Analysis of Average Daily Amounts of Protein and KCalories using the 7 Day Food Intake Record

General Instructions:   (Click for more detailed description of calculations)

  1. Using the 7 Day Food Intake Record, and referring to the Food Equivalent Chart, enter the TOTAL ounces or servings for each day for each food, as indicated in the list below. If a food is not eaten on a particular day, leave the square blank. Skip a row where the listed food was not eaten at all during that week. Click the calculate buttons after each 7 day row is entered.
    (Note: you may need to scroll to the right in order to read the calculated results.)

  2. When you have finished entering all of the foods eaten, click on the TOTAL button at the bottom of the list to calculate the Total Daily Average of Protein and KCalories for the week.
    (Note: again, you may need to scroll to the right in order to read the TOTAL calculated results.)

Sample:
 Day Total Ave/Day Protein, gms Kcal 
 1234567         (ave/day) (ave/day) 
Milk, whole (oz):          



PLEASE ENTER YOUR NAME: 
(Press the "TAB" button after entering)

START RECORD:Day Total Ave/Day Protein, gms Kcal 
 1234567         (ave/day) (ave/day) 
Milk, whole (oz):          
Milk, 2 % (oz) :          
Milk, skim / 1% (oz) :          
Milk, evaporated (oz) :          
Milk, yogurt (oz) :          
Milk, half & half (oz) :          
Milk, light table cream (oz) :          
Milk, whipping cream (oz) :          
Citrus, Fruits or Juice (NOT "Ades") (sv) :          
Fruit/Juice (sv) :          
Potatoes (sv) :          
Pasta (cooked amount) (sv) :          
Rice (cooked amount) (sv) :          
Vegetables/Salads/Soups/Stews (sv) :          
Breads, (all types) (sv) :          
Cereals, Whole Grain (cooked/uncooked),
  include Shredded Wheat/Granola (sv) :
         
Cereals, Refined (all varieties) (sv) :          
Butter/Fats , (all types) (sv) :          
Meat/Fish/Liver/Poultry, A.P.,
   (specify amount as purchased) (sv):
         
Meat/Fish/Liver/Poultry, A.P. 6:1,
   (specify amount as purchased) (sv) :
         
Meat/Fish/Liver/Poultry, A.P. 5:1:1,
   (specify amount as purchased) (sv) :
         
Meat/Fish/Liver/Poultry, A.P. lean,
    (specify amount as purchased) (sv) :
         
Protein Sandwich Fill, (all types) (sv) :          
Egg (sv) :          
Cheese (all kinds) (sv) :          
Cheese, Cottage Cheese (sv) :          
Peanut Butter/Nut/Seeds (sv) :          
Other Protein, Beans (baked) (sv) :          
Other Protein, Legumes (sv) :          
Other Protein, Pizza (part of # inch) (sv) :          
Sugar/Hard Candies (sv) :          
Other Sweets, (sv)
  Jello/Jams/Jellies/Honey/Syrup/etc.:
         
Pastry/Cake/Cookie/Donut/etc. (sv) :          
Milk Dessert, Pudding, Ice Cream (sv) :          
Chocolate Bars (sv) :          
Beverage,
  Soft Drinks, Fruit "Ades", Beer (oz) :
         
Beverage, Wine(oz) :          
Beverage, Alcohol (oz) :          
Popcorn, Popped (sv) :          
Gravy (sv) :          
Other (sv) :                      
Other (sv) :                      
Other (sv) :                      

       Protein, gms Kcal 
                 (ave/day) (ave/day) 
CALCULATE ALL TOTALS :          

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