Enter corresponding answers from Calculating Nutrient Intake for grams of CHO into the first yellow column for Days 1, 2, and 3 below. Repeat step for grams of PRO and FAT.
Add the CHO amounts entered for Day 1, 2, and 3 together and enter the amount in the yellow box marked TOTAL. Repeat step for PRO and FAT. Divide the total number of CHO by 3 to get the average intake of grams of CHO for the three days. Enter Day 1's average intake of CHO in yellow box. Repeat step for PRO and FAT.
Add together Day 1's numbers for CHO, PRO, and FAT and enter the total CALORIES consumed for Day 1 in the blue Day 1 box. Repeat for Day 2 and 3. Add together the CALORIE amounts entered in the blue boxes for Day 1, 2, and 3 and enter the amount in the blue box marked TOTAL.
Divide the total number of CALORIES by 3 to get the average CALORIE intake for the three days evaluated. Enter the Average intake of CALORIES in blue box.
Grams CHO
Day 1 Day 2 Day 3
TOTAL
Grams of CHO 3 Day Average
Grams PRO
Day 1 Day 2 Day 3 TOTAL
Grams of PRO 3 Day Average
Grams FAT
Day 1 Day 2 Day 3 TOTAL
Grams of FAT 3 Day Average
Total
CALORIES consumed
Day 1 Day 2 Day 3 TOTAL
CALORIES 3 Day Average
Chart Note: Calorie count completed 1/1/2025 – 1/3/2025. Client consumed an average of ______ total calories, ______ grams CHO, ______ gms PRO, and ______ gm FAT. RDN/NDTR will follow with an assessment of the client’s estimated needs to determine adequacy of nutrient intake.
Nutrition Fundamentals and Medical Nutrition Therapy