IF YOUR CHILD EATS BY MOUTH, PLEASE ANSWER THE FOLLOWING QUESTIONS:
Describe your child’s mealtime:Who typically feeds your child? Who typically eats with your child? What type of chair is used? Are child's feet supported? How long do meals typically last?
Would you describe your child’s weight as: Ideal Underweight Overweight
Select any problems that your child has encountered: Dental Frequent constipation Frequent diarrhea Vomiting Choking Gagging Coughing Refuses to eat in school Refuses to eat outside the house