Instructions:

To help us best evaluate your child’s feeding needs, please record EVERYTHING your child eats and drinks for 3 days along with in and the TIME your child ate or drank each item. Please complete and submit within 48 hours of your child's evaluation.

Please include the EXACT description of the item entered and your best guess of the portion size/amount eaten. Write the brand name of formula and juice and any special recipes for drink mixtures your child uses (i.e., 24 calorie Isomil + 1 Tsp. Polycose). Add any additions to foods (e.g.,  ¼ cup mashed potatoes + 1 Tbsp. of margarine). Be sure to include dressings, sauces, gravies, and anything extra.

IMPORTANT: Please use measuring spoons and cups when serving your child for these 3 days if it will help you to report more accurately.