On the following pages, you will be able to enter the three-day food record that you kept for your child. To the best of your ability, please record your child's food and beverage intake for 3 days. This includes breakfast, lunch, dinner, and snacks.  Please be as specific as possible, record approximate times, and list portion sizes (e.g. ½ cup blueberry yogurt; 4 oz apple juice; 10 skittles; 5 crackers).

Once you have all this information, please click "Next" to fill out the questionnaire.

If you have not yet filled out our general feeding questionnaire, you can find it here. Please make sure these two questionnaires are filled out and submitted to our office at least 24 hours in advance of your appointment. Thank you!