Diet diary

This diet diary has been produced to help you keep a record of your eating pattern over a three day period.

Diet Diary

We would like you to keep a record of your eating pattern over a three day period (try to include a weekend).

What and when you eat or drink can greatly affect your oral (mouth) health.


Remember to record everything you eat or drink. Include the time of meal, drink or snack, and record if sugar has been added.


Please bring the completed diet diary with you to your next appointment.


Try not to alter your eating habits in any way while completing the diary.


We will discuss the findings with you and try to find ways to improve your oral health.

Contact details

You can reach the patient administrator on 0117 374 6647.