Calorie Count Form
Full Name
First Name
Last Name
Gender
Please Select
Female
Male
Age
Weight (pounds)
Height (feet)
Activity Level
Please Select
Sedentary (office job)
Light exercise (1-2 days/week)
Moderate exercise (3-5 days/week)
Heavy exercise (6-7 days/week)
Athlete (2x per day)
Body Fat (%)
MEAL 1
Time:
Hour Minutes
AM
PM
AM/PM Option
The First Meal Description:
Protein (g):
Carbs (g):
Fat (g):
Calories (kcal):
MEAL 2
Time:
Hour Minutes
AM
PM
AM/PM Option
The Second Meal Description:
Protein (g):
Carbs (g):
Fat (g):
Calories (kcal):
MEAL 3
Time:
Hour Minutes
AM
PM
AM/PM Option
The Third Meal Description:
Protein (g):
Carbs (g):
Fat (g):
Calories (kcal):
MEAL 4
Time:
Hour Minutes
AM
PM
AM/PM Option
The Fourth Meal Description:
Protein (g):
Carbs (g):
Fat (g):
Calories (kcal):
SNACK 1
Time:
Hour Minutes
AM
PM
AM/PM Option
Description:
Protein (g):
Carbs (g):
Fat (g):
Calories (kcal):
SNACK 2
Time:
Hour Minutes
AM
PM
AM/PM Option
Description:
Protein (g):
Carbs (g):
Fat (g):
Calories (kcal):
OVERALL
Protein (g):
Carbs (g):
Fat (g):
Calories (kcal):
Submit
Should be Empty: