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2-DAY FOOD RECORD

Ministry of Science, Technology and

Innovation

ENGLISH VERSION

The Malaysian Cohort

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 All rights reserved. No part of article, illustration and content from this food
record may be reproduced, stored in a retrieval system, or transmitted in any
form or by any means,electronic,mechanical,photocopying, recording, or
otherwise without the prior permission of The Malaysian Cohort project leader

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Please fill in the details below

A. Personal detail

Name : _________________________________

Address : _________________________________
_________________________________
_________________________________

B. Close relative personal details (not live together)

1.Name : _________________________

2. Address (Home) : _________________________________

_________________________________
_________________________________

3. Date of the begining of insurance :

(if related)
4. List of medication intake and the dosage (if related)
Medications (long term usage) Period
year/s
year/s
year/s
year/s
year/s

Telephone no : _________________________________

Mobile no :______________________________________

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Important Instruction

We would like you to keep this diary of everything you eat and drink over the
next two (2) days (1 weekday day and 1 weekend day*).
It is important that you do not adjust what you eat and drink just because you
are keeping a record. Please continue to eat what ever you wish.
(* weekend for Kedah, Kelantan dan Terengganu : Friday and Saturday; Selangor,
Johor,Perak, Pahang, Sabah,Penang : Saturday and Sunday)

General Instruction
1. Please eat at your habitual consumption.
2. Record everything you eat and drink including snack .
3. Complete the Meal and Place Prepared columns for each meal or snack.
Please write in name of restaurant if you know it.
4. Please record all the food taken right after each meal, NOT based on one
day recall.
5. It is necessary to jot down the brand of instant or processed food.
6. Please give a clear and brief description regarding on the measurement
used.
Example: 1 teaspoon level of oil or 1 dessert spoon heap of sugar

7. Describe briefly and accordingly all the food taken for each meal.
Example: Chicken - fried or roasted
- how many pieces?
- with/out skin
Butter - how many tea spoons?
- purpose (bread spread, )
- brand

8. Start each new day on a new page.

9. Please write CLEARLY and BRIEFLY with pen.

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 How to Record Each Food

Describe each food and beverage in detail, as best you can.

1.Placed prepared: Where it is prepared ; home or restaurant/stall?

3.Food & beverage: Record food and beverage for each meal (a) breakfast (b)
Morning tea, (c) lunch, (d) tea ,(e) dinner or (f) supper
Type of food and beverage taken. Please record type of food
and beverage taken according to space given(please refer to
the picture as indication).
Give a brief explaination on the content s for composite dish.
Example : Nasi lemak
1 cup of nasi lemak
2 dessert spoons of sambal tumis
2 slices of cucumber
boiled egg
1 dessert spoon of fried anchovies.
Please state the brand for the processed food.
Example : Sardin ( King or Ayam Brand ), instant noodle (
Maggi or Mamee)

4. Description & Explain the method of food preparation (fried,roasted,

preparation: steamed,boiled). Please state type of oil or fat used for cooking.
5. Portion size: For food portion or size estimation, use the following as guide:
i. Refer to example given (page 7)
ii. Refer to guideline to record description and
preparation and portion size (page 5) and
iii. Refer mini food album

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 GUIDLINE TO RECORD DESCRIPTION AND PREPARATION AND
PORTION SIZE

Please refer to mini food album for food portion size determination

Food and beverage Description and Preparation Portion size

Rice Brown or white; boiled or fried Cup, scoop
Fruits (fresh) -what sort and variety, cored; with or Slices, whole
without skin.

Vegetables Type or variety, fresh or frozen; how Dessert spoon, cup

cooked: fried, boiled, steamed
Biscuit Plain cracker, cheese, Piece
sweet/sugared, wafer (state the
brand if possible); home made
biscuits (state the ingredients).
Fish What sort; fried, boiled, grilled, Food album, weight
salted, breadcrumbs; tin with oil or on the label
tomato sauce, give brand.
Meat What sort : lean or fatty, fried, Slices
roasted, with or without gravy.
Bread/bun Wholemeal, white bread; current or Slices
fruits. State the brand.

Butter, honey, jam Type of spread; butter : ordinary or Dessert spoon or

low fat diary spread; jam and honey teaspoon
:specify if low sugar. write in the
brand
Margarine State the brand Dessert spoon or
teaspoon
Breakfast cereal, barn, What sort: cornflakes, weetabix, Dessert spoon,
wheat germ muesli etc; give brand if possible. bowl
Coffee or tea with/ without sugar or milk (state the Cup or glass
amount of sugar, type and amount of
milk), instant (write in the name of
brand if possible, weight on the
packet).

Milk- for drinking on its full cream, skimmed, UHT, flavoured Cup or glass
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own or for cereals. (vanilla, chocolate, etc) , powdered,
soya.

Soup what sort; canned, packet, instant dessert spoon,

(give brand ) , home -made (state the bowl,
ingredients used).
Soft drinks/3 in 1/ What sort or variety, state the brand Glass, cp, can or
packet
Cake what sort : cream, fruit, sort of filling. Slices, food album
give name if possible.

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Place Prepared FIRST DAY (WEEKDAY )
H = Home
RS = Restaurant/stall Day: Wednesday Date: - -2 0
P = Party/special ocasion

Time Food, Beverage Description and Portion size Weight (g)

(office use
and snack Preparation
only)

H 6.30a.m Milk Anlene powder milk - 2 scoops

Hot water - 1 glass
Rs 9.00 a.m Pau Red bean filled 1 whole
Nasi lemak 1 cup nasi lemak, 2 1 cup nasi lemak
slices cucumber, 1
dessert spoon
anchovies sambal
Rs 1.00 p.m Rice White boiled rice 2 scoops
Spanish Asam pedas style 1 small piece
Mackerel mackerel, 2 dessert
spoon of gravy
Ladys fingers Raw 2 pieces
Rs 4.00 p.m Cake Plain chocolate cake 1 slice
H 8.00 p.m Nasi goreng - Fried rice - 2 cups
kampong - Buttercup butter - 1 dessert spoon
- Shrimps - 4 pieces shrimps
- Egg - 1 whole egg
- Carrot - cup carrot
(diced)
Cordial 3 dessert spoon of 1 glass
orange cordial + 2
dessert spoon of sugar
(1 jug)
H 9.00 p.m Bread - white bread - 2 slices
- Planta margarine - 2 dessert spoon level
Milo Milo 3 in 1 (packet) 1 glass

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Place Prepared FIRST DAY (WEEKDAY )
H = Home
RS = Restaurant/stall Day:__________ Date: - -2 0
P = Party/special ocasion

Time Food, Beverage Description and Preparation Portion Weight (g)

(office use
and snack size only)

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Place Prepared FIRST DAY (WEEKDAY )
H = Home
RS = Restaurant/stall Day:__________ Date: - -2 0
P = Party/special ocasion

Time Food, Beverage Description and Preparation Portion Weight (g)

(office use
and snack size only)

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Place Prepared FIRST DAY (WEEKDAY )
H = Home
RS = Restaurant/stall Day:__________ Date: - -2 0
P = Party/special ocasion

Time Food, Beverage Description and Preparation Portion Weight (g)

(office use
and snack size only)

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Place Prepared SECOND DAY (WEEKEND )
H = Home If the second day falls on weekday , keep the record
RS = Restaurant/stall until weekend arrive
P = Party/special ocasion
Day:__________ Date: - -2 0
Time Food, Beverage Description and Preparation Portion Weight (g)
(office use
and snack size only)

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Place Prepared SECOND DAY (WEEKEND )
H = Home
RS = Restaurant/stall Day:__________ Date: - -2 0
P = Party/special ocasion

Time Food, Beverage Description and Preparation Portion Weight (g)

(office use
and snack size only)

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Place Prepared SECOND DAY (WEEKEND )
H = Home
RS = Restaurant/stall Day:__________ Date: - -2 0
P = Party/special ocasion

Time Food, Beverage Description and Preparation Portion Weight (g)

(office use
and snack size only)

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 Project by:

Ministry of Science Technology and Innovation

Level 1-7, Block C5 Federal Governments of Administration Center
62662 Putrajaya

Secretariat:

Secretariat of The Malaysian Cohort

UKM Molecule Biology Medicine Institute
Level 7, Clinical block UKM Hospital
Jalan Yaacob Latif, Bandar Tun Razak
56000 Cheras Kuala Lumpur

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