Child'S Food Diary Template (With Instructions) printable pdf download

Child'S Food Diary Template (With Instructions)

How to keep a food diary

What is a food diary?

A food diary is a complete record of the food your child has eaten during a certain period of time. This

record will help the health care team know your child’s needs.

How do I complete a food diary?

•

Write down every food or beverage that your child eats and drinks each day.

•

Write down how much of the food or beverage your child actually ate or drank. Avoid using words

such as “bites” or “sips.” Use standard sizes and weights when you can (tsps., cups, ounces, etc.)

•

Write down brand names of items.

•

Write down cooking methods of food, such as baked, broiled, fried, stewed or microwaved.

•

Keep these records close to wherever your child eats and drinks. This will help you keep an accu-

rate record.

•

Return the completed record to your child’s health care team.

Sample daily food and drink diary

Name: ________________________________________ Date: ____________________

Time

Food or beverage

Type and/or how prepared

Amount

(am/pm)

Quaker instant, apples and

7 am

Oatmeal

1 package

cinnamon

1 tbsp margarine added

Milk

Whole

¼ c

12 pm

Hamburger

McDonald’s regular

French fries

McDonald’s small

¾ order

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Child'S Food Diary Template (With Instructions)