SAMPLE MATRIX FOR MIDTERM FOOD LOG
(Good for One week)
Date: _March 17-23_______________
MEAL TIME FOOD & WATER SERVING SIZE/QUANTITY
OR MEASUREMENT
Breakfast Rice 2 Cups,
Egg 2
Banana 1
Orange Juice 1
Pancit Canton 1 cup
Sardines ½ cup
Hotdog 2 pieces
Vegetable soup 2 cups
Fried Chicken 500 grams
Cold Water 2 cups
Coffee 2 cups
Sauteed vegetables 1 cup
Snacks Fried Lumpia 3 pieces
Bread 800 grams
Candy 5 pieces
Calamansi Juice 1 cup
Cake 1 slice
Coffee 2 cups
Burger 2 servings
Siopao 1 serving
Lunch Fish Soup 1 cup
Fried Fish 2 pieces
Rice 2 cups
Chicken Adobo 2 servings
Chicken Teriyaki 2 servings
Instant Noodles 1 pack
Dinner Sauteed Mongo 1 cup
Chicken soup
Fried Fish 1 cup
Mango Graham 2 piece
Water 2 servings
Orange Juice 2 cups
2 cups
SAMPLE MATRIX FOR FINALS FOOD LOG
(Good for One week)
Date: _April 15-21_______________
MEAL TIME FOOD & WATER SERVING SIZE/QUANTITY
OR MEASUREMENT
Breakfast Sauteed Mongo 1 cup
Chicken soup 1 cup
Fried Fish 2 piece
Mango Graham 2 servings
Water 2 cups
Orange Juice 2 cups
Snacks Cupcake 1 serving
Toast 2 pieces
Dalandan 2
Orange 1 large
Mango 2 small
Boiled Corn 3 cobs
Boiled Potatoes 3 pieces
Rice Krispies 1 pack
Lunch Rice 2 Cups,
Egg 2
Banana 1
Orange Juice 1
Pancit Canton 1 cup
Sardines ½ cup
Hotdog 2 pieces
Vegetable soup 2 cups
Fried Chicken 500 grams
Cold Water 2 cups
Coffee 2 cups
Sauteed vegetables 1 cup
Dinner Fish Soup 1 cup
Fried Fish 2 pieces
Rice 2 cups
Chicken Adobo 2 servings
Chicken Teriyaki 2 servings
Instant Noodles 1 pack
SAMPLE MATRIX FOR PHYSICAL ACTIVITY LOG
*2 consecutive weeks per month (September to December 2021)
*4 consecutive days per week
Date/Day: _September 10-14, December 15-19_______
NAME OR TYPE OF PHYSICAL FREQUENCY/INTENSITY/TIME/DISTANCE
ACTIVITY
Zumba 2 hours each day
Jogging 1 hour per day
Biking 3 hours per 3 days (alternate)
Hiking 5 hours a month
Jumping Jacks 30 repeats