BORANG INGATAN DIET 24 JAM

24 hour Diet Recall

Nama/Name : LAI WENG HONG

Telefon/Telephone : 019-2979581

Jantina/Gender : MALE

Umur/Age : 22 Berat/Weight (kg) : 60 Tinggi/Height (m) : 1.75

Makanan Tambahan / Supplement : ___________________ (jika ada/if any)

Tarikh/Date : 29/3/22 Hari/Day : WEEK DAY (Hari bekerja / Hari Minggu)

(Weekdays/Weekend)

Masa Sumber Perincian Jenis Saiz Remarks

Makan/Time of makanan/Food Makanan / Minuman Hidangan/Serving
Eating source (Bahan utama size
sahaja) (scoop, piece,
Details of spoon, glass, cup,
Food/Beverages etc)
(Main ingredient
only)
Sarapan/Breakfast HOMEMADE FRIED MIHUN 1 BOWL
____________ FRIED EGG 2 SERVING
SARDIN BREAD 1 PIECE
MILK 250ML
Minum
Pagi/Morning Tea
____________
Makan RESTAURANT ROASTED CHICKEN 1 SERVING
Tengahari/Lunch RICE
____________ -SOY SAUCE
-CUCUMBER
-RICE
-ROASTED
CHICKEN BREAST
-ROASTED PORK

Minum RESTAURANT CAKE 1 PIECE

Petang/Evening
Tea

Makan HOMEMADE RICE 3 SCOOPS

Malam/Dinner TOFU 5 SPOONS
____________ EGG 1 SERVING
SHRIMPS 5 PIECES
 VEGETABLE 3 SPOONS
SALMON 1 SPOONS
LONGAN 10 SERVINGS
DURIAN 1 PIECE

Minum
Malam/Supper
____________

Ps: Sila rujuk pengukuran isi rumah seperti tertera atau anggarkan mengikut saiz tangan anda.

CONTOH

Hari : Isnin_______ (Hari bekerja / Hari Minggu)

Masa Makan Sumber Perincian Jenis Makanan / Saiz Hidangan Remarks
makanan Minuman (Bahan utama
sahaja)

Sarapan Bekal 1. Nasi goreng -

____________ rumah - Nasi putih 2 senduk
- Telur 1 biji
- Ikan bilis 2 TBsp.
- Minyak masak 3 tsp. (Cap
murni)
- Bwang merah 1 biji
- Bawang putih 2 ulas
- Lada hijau 1 batang
- Kicap 1 TBsp.
- Sos cili 1 TBsp.

2. Nescafe Panas 1 cawan (200ml)

- 3in1 (latte)

Minum Pagi Beli Energy booster

____________ kedai Brand: Herbalife
Dosage: 1 sachet(100ml)

Makan Tengah Bekal 1. Nasi putih 2 senduk

Hari rumah 2. Ayam masak kicap
____________ - Ayam 2 ketul (paha,
dada)
- Kicap lemak 3 TBsp. (Cap
manis Jalen)
- Minyak masak 4 TBsp.
- Bwang merah 1 biji
- Bawang putih 2 ulas
- Lada merah 1 batang
 3. Kubis goring 1 cawan
- Sayur kubis 2 tsp.
- Minyak masak 1 TBsp.
- Ikan bilis
Minum Petang Beli 1. Donut gula putih 1 biji
____________ kedai 2. Biskut chipsmore 3 keping
Makan Malam Beli 1. McDonals
____________ kedai - BigMac 1 biji (medium)
- Fries 1 kotak (large)
2. 100plus 1 cawan
(medium)
Minum Malam Bancuh 1. Milo panas 2 TBsp. milo
____________ rumah 3 TBsp. susu
pekat manis

Ps: Sila rujuk pengukuran isi rumah seperti tertera atau anggarkan mengikut saiz tangan anda.