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Time: Meal 2 time: Meal 3 time: Snacks: time: Snacks: yes 1. Was this a typical day's intake for you? If no, explain: 2. Do you eat differently on weekends? If yes, explain: time: Snacks: time: no yes no 3. How often do you eat out? When you eat out, what and where do you typically eat? 4. Do you ever skip meals, fast, go on fad diets, or use diet pills to control your weight? 5. Do you ever vomit or use laxatives or diuretics to control your weight? 6. Do.

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