Diet and Bowel Movement Report

Dear client,
In an ongoing effort to support you and provide better service, I have made this on-line form for you to complete after which I will provide my feedback.

It is best if you can complete a whole day, but necessary.  Also include an supplements, vitamins, herbal products, coffee, snacks and alcohol that you have as well. For each box, morning, afternoon and evening, please put the approx time of the meal and any snacks.

Please put all the details that you wish, such as the size of the meal, how full you felt, how hungry you were, how you felt afterwards i.e. tiered, sleepy, full of energy etc., and any other details about the ingredients of what you are eating. I don't know the ingredients  of processed foods so it would be best if you added those details.  Just do you best and submit it to me so I can assist you more. Khabir