Connect food and symptoms with less guesswork.

Log meals, timing, symptoms, and notes so food-related patterns can be reviewed more clearly.

Food symptoms are easy to over-attribute from memory. A structured log helps separate patterns from single events.

Download the PDF (A4)US Letter versionFree · one page · black and white, prints on anything · no email needed
Food symptom log worksheet, page one

What it helps you do

  • Log every meal for three days, not just the suspicious ones
  • Record the delay before symptoms appear
  • Count how often a food is eaten without any reaction
  • Avoid cutting out food groups on a hunch

How to use it

  1. 1

    Log each meal or drink with its main ingredients.

  2. 2

    When symptoms follow, note the delay and severity.

  3. 3

    Tally suspected foods: reactions and non-reactions.

  4. 4

    Bring the sheet to a dietitian or clinician before changing your diet.

What is on the sheet

  • Three days of meals with main ingredients
  • Symptoms, delay and severity 0–3
  • Suspected foods tally: reactions vs no reaction
  • Notes for a dietitian
A woman speaking to Juno on her phone

Prefer not to use paper?

Tell Juno what happened in a sentence and it goes onto your timeline, ready to review before an appointment.

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Free to download. Juno is a health assistant, not a medical provider, and never replaces advice from your own clinician.

Questions

What is the food symptom log for?

It gives you a structured way to record health context consistently, so patterns are easier to review later.

Can I print it?

Yes. The PDF is designed to be printed or saved digitally.

Can I use it for any condition?

Yes. It is condition-agnostic and can be used alongside chronic illness, recurring symptoms, flares, mood changes, fatigue, pain, or treatment notes.

Is this medical advice?

No. This worksheet is for tracking and appointment preparation. It does not diagnose, treat, or replace advice from a clinician.

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