Day Three Worksheet

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Observation	Breakfast	Lunch	Dinner
I ate when my body was hungry.	Yes/No	Yes/No	Yes/No
I ate in a calm environment by reducing distractions.	Yes/No	Yes/No	Yes/No
I ate when I was sitting.	Yes/No	Yes/No	Yes/No
I ate when my body and mind were relaxed.	Yes/No	Yes/No	Yes/No
I ate and drank the things my body enjoyed.	Yes/No	Yes/No	Yes/No
I paid attention to my food while eating.	Yes/No	Yes/No	Yes/No
I ate slowly, savoring each bite.	Yes/No	Yes/No	Yes/No
I stopped before my body was full.	Yes/No	Yes/No	Yes/No