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www.kalenaspire.com Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Bloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com
The KalenaSpire digestive formula is simple but powerful:
IDENTIFY causes.
COMMIT to changes.
EXPERIENCE the freedom of pure wellness.
Bloat Journal
Christine E. CherpakIntegrative Nutrition Health Coach (INHC)
Certified International Health Coach (CIHC)
Functional Nutrition & Wellness Expert
Yoga Instructor
Kalena Spire, Inc.
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com
Copyright © 2015 by Christine E. Cherpak
All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher or author, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission request, E-mail the author at [email protected] or write in your request to Kalena Spire, Inc., PO Box 28, Kings Park, NY 11754.
Published by Kalena Spire, Inc.
Printed in the United States of America
Kalena Spire, Inc.PO Box 28Kings Park, NY 11754
To contact the publisher, visitwww.kalenaspire.com
To contact the author, visitwww.kalenaspire.com
CAUTIONARY DISCLAIMER:
The content of this publication is for general instruction and educational purposes only. Each person’s physical, emotional, and spiritual condition is unique. The instruction in this book is not intended to replace or interrupt the reader’s relationship with a physician or other professional, nor is it intended to treat or diagnose any health condition. Please consult your doctor for matters pertaining to your specific health and diet.
The publisher, author, and distributor are not responsible for any adverse effects or consequences resulting from the use of any information or procedures described in this book.
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page
Introduction
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Journaling is an invaluable tool for identifying digestive disturbances that contribute to belly bloat. It assists you with making connections among food and lifestyle factors so that you can pinpoint causes of belly bloat and use that information to implement positive changes in your daily routine. The Bye Bye Belly Bloat Journal will enable you to track your progress so that you can create an individualized plan for long-term success. Embrace daily and weekly journaling as an unexpected way to get more out of life as you monitor and learn from your journey towards optimal wellness.
Journaling need not be time consuming or overwhelming. I’ve carefully constructed a critical roadmap for you based on years of research and experience. The strategic journal questions and prompts are easily laid out for you to minimize your time and maximize your results. With pen or pencil in hand, all you need are a few moments to be present with yourself as you develop your relationship with your body. Let your body’s feedback answer the questions.
To begin using the Bye Bye Belly Bloat Journal, complete the Wheel of Digestive Balance (see next page for instructions). This is your baseline. Each day, fill in the daily Bye Bye Belly Bloat Journal page and take a few moments at the end of each day to synthesize the information that your body has offered you. After you’ve succeeded through one week of using the Bye Bye Belly Bloat Journal, complete the Weekly Check-In and the Wheel of Digestive Balance. Spend a few moments comparing your daily journal entries to your Weekly Check-In. Do you notice any patterns? Do you need to tweak your daily food intake or lifestyle factors? Maybe you need to eat smaller meals, or perhaps you need to take a few breaks throughout the day to breathe deeply. You may have even noticed that your belly bloat occurs if you eat two different foods together, but you don’t experience symptoms if you consume those two foods separately. Whatever it is, become a detective in your healing journey and don’t overlook seemingly small associations. You are a scientist and your body is your laboratory.
Once you’ve completed four weeks of the Bye Bye Belly Bloat Journal, repeat the above evaluative process to notice how your belly bloat has improved. Utilize the information your body taught you to refine your customized Bye Bye Belly Bloat plan for food choices and lifestyle factors. As you learn which foods and supplements work best for you, add them to the My Belly Supporting Foods List at the end of the journal.
Your relationship with your body is dynamic and will change at different points in your life. The Bye Bye Belly Bloat Journal will assist you with making the adjustments requested by your body well after four weeks. You may find that you want to continue using the Bye Bye Belly Bloat Journal on a daily basis. Or, you may find that you revisit it every few months. Discover what supports your individual needs. When you learn to tune in to your body, you will say Bye Bye Belly Bloat and move into a state of optimal wellness!
www.kalenaspire.com • Page 1
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Pagewww.kalenaspire.com • Page 2
Energy Bloating
Gas
Bo
wel
Movem
ent
Dig
estio
n
StressSleep
Dee
pB
reat
hing
Moo
d
1
2
3
4
5
1
2
3
4
5
12
34
5
15 4 3 25
4 3
2
1
5
4
3
2
1
543
2
1
54321
54
32
1
5
4
32
1
Body
Movem
ent
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
This exercise will help you discover physical and lifestyle factors affecting your digestion. Each of the ten sections has a scale 1-5, where 1 indicates optimal well-being and 5 corresponds to dissatisfaction. For each section, place a dot on the number that reflects how satisfied you are with that area of your health. A dot placed at the center of the circle conveys imbalance, while a dot placed on the periphery exhibits optimized wellness. Then, connect the dots to visually assess your Wheel of Digestive Balance. This will highlight areas of digestive imbalance, allowing you to determine where you may want to focus your attention to optimize digestion. I suggest you perform this assessment when you first start using the Bye Bye Belly Bloat Journal, at the end of each week for four weeks, and periodically after completing the Bye Bye Belly Bloat Journal. Make sure you date each Wheel of Digestive Balance to monitor your progress. The more digestive balance you achieve, the closer to the periphery your circle will lay, and the more circular and brighter your Wheel of Digestive Balance will be. Like the colors of the spectrum, the Wheel of Digestive Balance points to the pure light of digestive wellness when the components are maximized by synchronicity.
I’ve included a completed Wheel of Digestive Balance as a sample for you. Use it as a springboard for your own journaling experience in your pursuit of optimal wellness. This is a rare special occasion, presenting you with the opportunity to master digestive wellness and get more out of life. IDENTIFY causes. COMMIT to changes. EXPERIENCE the freedom of pure wellness.
Instructions for Use
Wheel ofDigestive Balance
Wheel Of
Digestive BalanceEnergy Bloating
Gas
Bo
wel
Movem
ent
Dig
estio
n
StressSleep
Dee
pB
reat
hing
Moo
d
1
2
3
4
5
1
2
3
4
5
12
34
5
15 4 3 25
4 3
2
1
5
4
3
2
1
543
2
1
54321
54
32
1
5
4
32
1
Body
Movem
ent
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 3
Date:
Bristol Stool Chart
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 4
By Cabot Health, Bristol Stool Chart (http://cdn.intechopen.com/pdfs-wm/46082.pdf) [CC BY-SA 3.0 (http://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Date:_______Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
www.kalenaspire.com • Page 5
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Date:_______Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
www.kalenaspire.com • Page 6
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Date:_______Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
www.kalenaspire.com • Page 7
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Date:_______Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
www.kalenaspire.com • Page 8
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Date:_______Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
www.kalenaspire.com • Page 9
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Date:_______Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
www.kalenaspire.com • Page 10
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Date:_______Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
www.kalenaspire.com • Page 11
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page
Overall Digestion: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bloating: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Gas: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bowel Movements: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Energy and Vitality: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Mood: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Stress: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Foods that supported digestion: ____________________________________________________
_______________________________________________________________________________
Potential food reactions (were symptoms dependent on serving size, interactions with other
foods, and/or preparation methods?) ____________________________________________________
______________________________________________________________________________________
Biggest challenge: _______________________________________________________________________
______________________________________________________________________________________
Greatest accomplishment: ________________________________________________________________
______________________________________________________________________________________
Three inspirational words to strengthen your commitment to the Bye Bye Belly Bloat Journal:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Week 1:Weekly Check-In
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 12
Bye Bye BellyBloat Journal
Energy Bloating
Gas
Bo
wel
Movem
ent
Dig
estio
n
StressSleep
Dee
pB
reat
hing
Moo
d
1
2
3
4
5
1
2
3
4
5
12
34
5
15 4 3 25
4 3
2
1
5
4
3
2
1
543
2
1
54321
54
32
1
5
4
32
1
Body
Movem
ent
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 13
Date:
Wheel Of
Digestive Balance
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 14
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 15
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 16
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 17
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 18
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 19
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 20
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page
Overall Digestion: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bloating: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Gas: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bowel Movements: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Energy and Vitality: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Mood: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Stress: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Foods that supported digestion: ____________________________________________________
_______________________________________________________________________________
Potential food reactions (were symptoms dependent on serving size, interactions with other
foods, and/or preparation methods?) ____________________________________________________
______________________________________________________________________________________
Biggest challenge: _______________________________________________________________________
______________________________________________________________________________________
Greatest accomplishment: ________________________________________________________________
______________________________________________________________________________________
Three inspirational words to strengthen your commitment to the Bye Bye Belly Bloat Journal:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Week 2:Weekly Check-In
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 21
Bye Bye BellyBloat Journal
Energy Bloating
Gas
Bo
wel
Movem
ent
Dig
estio
n
StressSleep
Dee
pB
reat
hing
Moo
d
1
2
3
4
5
1
2
3
4
5
12
34
5
15 4 3 25
4 3
2
1
5
4
3
2
1
543
2
1
54321
54
32
1
5
4
32
1
Body
Movem
ent
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 22
Date:
Wheel Of
Digestive Balance
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 23
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 24
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 25
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 26
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 27
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 28
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Date:_______
www.kalenaspire.com • Page 29
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page
Overall Digestion: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bloating: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Gas: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bowel Movements: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Energy and Vitality: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Mood: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Stress: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Foods that supported digestion: ____________________________________________________
_______________________________________________________________________________
Potential food reactions (were symptoms dependent on serving size, interactions with other
foods, and/or preparation methods?) ____________________________________________________
______________________________________________________________________________________
Biggest challenge: _______________________________________________________________________
______________________________________________________________________________________
Greatest accomplishment: ________________________________________________________________
______________________________________________________________________________________
Three inspirational words to strengthen your commitment to the Bye Bye Belly Bloat Journal:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Week 3:Weekly Check-In
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 30
Bye Bye BellyBloat Journal
Energy Bloating
Gas
Bo
wel
Movem
ent
Dig
estio
n
StressSleep
Dee
pB
reat
hing
Moo
d
1
2
3
4
5
1
2
3
4
5
12
34
5
15 4 3 25
4 3
2
1
5
4
3
2
1
543
2
1
54321
54
32
1
5
4
32
1
Body
Movem
ent
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 31
Date:
Wheel Of
Digestive Balance
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Date:_______
www.kalenaspire.com • Page 32
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Date:_______
www.kalenaspire.com • Page 33
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Date:_______
www.kalenaspire.com • Page 34
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Date:_______
www.kalenaspire.com • Page 35
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Date:_______
www.kalenaspire.com • Page 36
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Date:_______
www.kalenaspire.com • Page 37
Time settled to sleep last night: _______________________________________________________
Time arose in the morning: ___________________________________________________________
Quality of sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Number times woken up at night: _____________________________________________________
Amount of body movement: _________ min. Type of body movement: _______________________
Water/hydrating liquids (oz): Morning: ________ Mid-Day: _________ Evening: ________
Caffeine Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Alcohol Intake (oz): Morning: ________ Mid-Day: _________ Evening: ________
Energy (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Mood (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Bloating (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Gas (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Digestion (Excellent/Good/Fair/Poor): Morning: ________ Mid-Day: _________ Evening: ________
Meal Food/LiquidInclude quantity
SymptomsInclude times. Include
severity (mild/moderate/severe). Include any
symptoms, not just digestive (i.e. eczema, joint pain,
headache, mood, brain fog)
SupplementsNote if taken before/after symptoms & if helpful
Did You Have a Bowel Movement?
Include Bristol type (see Bristol Stool Chart on page 4)
Breakfast Time: _________
YES / NO Time: ________________Bristol Type: ___________
Mid-Morning Time: _________
YES / NO Time: ________________Bristol Type: ___________
Lunch Time: _________
YES / NO Time: ________________Bristol Type: ___________
Afternoon Time: _________
YES / NO Time: ________________Bristol Type: ___________
Dinner Time: _________
YES / NO Time: ________________Bristol Type: ___________
Evening Time: _________
YES / NO Time: ________________Bristol Type: ___________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
Date:_______
www.kalenaspire.com • Page 38
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page
Overall Digestion: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bloating: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Gas: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Bowel Movements: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Energy and Vitality: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Mood: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Sleep: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Stress: ¨ Excellent ¨ Good ¨ Fair ¨ Poor
Foods that supported digestion: ____________________________________________________
_______________________________________________________________________________
Potential food reactions (were symptoms dependent on serving size, interactions with other
foods, and/or preparation methods?) ____________________________________________________
______________________________________________________________________________________
Biggest challenge: _______________________________________________________________________
______________________________________________________________________________________
Greatest accomplishment: ________________________________________________________________
______________________________________________________________________________________
Three inspirational words to strengthen your commitment to the Bye Bye Belly Bloat Journal:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Week 4:Weekly Check-In
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 39
Bye Bye BellyBloat Journal
Energy Bloating
Gas
Bo
wel
Movem
ent
Dig
estio
n
StressSleep
Dee
pB
reat
hing
Moo
d
1
2
3
4
5
1
2
3
4
5
12
34
5
15 4 3 25
4 3
2
1
5
4
3
2
1
543
2
1
54321
54
32
1
5
4
32
1
Body
Movem
ent
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 40
Date:
Wheel Of
Digestive Balance
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 41
My Belly Supporting Foods List
Protein:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Vegetables:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Fruits:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Fats:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Dairy/Non-Dairy Substitutes:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Grocery:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Beverages:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Spices/Herbs:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Grains (If not Paleo/Grain-Free)
• ____________________
• ____________________
• ____________________
Sweeteners:
• ____________________
• ____________________
Condiments:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Favorite Go-To Meals:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Supplements:
• ____________________
• ____________________
• ____________________
• ____________________
• ____________________
Notes: _______________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Bye Bye BellyBloat Journal
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.www.kalenaspire.com • Page 42
Notes: _________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Bye Bye BellyBloat Journal My Discoveries
Copyright © 2015 Kalena Spire, Inc. All Rights Reserved.
About The Author:Christine Cherpak is a Functional Nutrition & Wellness Expert, and the founder of KalenaSpire, a holistic health coaching and private yoga practice that specializes in freeing people from chronic digestive discomfort. Christine supports her clients in understanding the root cause of their digestive discomfort, creates a custom plan to put them on the road to healing, and shows them how to make sustainable lifestyle changes so they can finally enjoy and elevate their lives.
Learn more at www.kalenaspire.com