Food Journal - Desert Valley Pediatric Therapy

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Comfort Feeding Clinic
Food Journal
Date
Examples of Meal Types:
Examples of Reactions:
Time
Meal Type
Type of Food / Liquid
How much Food – Liquids in oz
Food in approx. tablespoons
How long was the
meal?
Breakfast, Lunch, Dinner, Snack, Drink, Dessert
Gagging, Coughing, Choking, Refusal, Touched food with hands, Touched food to lips, Vomiting, Crying and any general comments about the meal
Comments/Reactions
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