Data Chart--pre-group

         Name:         Date:        

At the beginning of each hour, pause for a few seconds and notice:

  • Am I hungry? (Stomach empty or blood sugar low)
  • Do I have an appetite? (Wanting food, craving food, or focused on food)
  • How strong is my appetite?
  • How hungry am I?

Then, in the column below that time of day, check if you've eaten something that hour, and put a dot in the box that describes your degree of hunger and appetite.

Make every effort to eat as you ordinarily do. Remember, don't change anything about your eating until you've completed 1 week of charts. You'll use this chart for 1 or 2 days.
 
Timeline Circle Wake-up time 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 00 01 02 03 04
Category Divisions              
(pm)
1
2
3
4
5
6
7
8
9
10
11
12
        
Food Check each time you eat                                                
Hunger
Dot correct square		 Starved                                                
Really hungry                                                
Mildly hungry                                                
Not hungry                                                

Appetite

Dot
appropriate
square

 Gimme more                                                
Craving food                                                
Food focused                                                
Quiet                                                
Stress  Dot if stressed                                                
C/T Impulse  Dot if impulse to caretake                                                
                                    copyright, Anne Katherine, 2004   
                           permission to copy for your personal use only