Child & Caregiver Food Record
Instructions: For each day, record everything your child and primary caregiver(s) eat and drink. Only record the amount of each food or beverages that are actually consumed. Be honest! I’ve seen everything!!
Keep each day’s food record starting with the first thing consumed after waking and make sure to include snacks and beverages until bedtime, and throughout the night. Be as detailed as possible, including all condiments. For example, if you have spaghetti, estimate how many cups pasta, sauce, and ounces meat. If you have salad, estimate cups, types of veggies, and amount/type of salad dressing.
Some helpful serving size comparisons:
- 3 ounces of meat is about the size and thickness of a deck of playing cards or audio cassette.
- A medium piece of fruit is about the size of a tennis ball.
- 1 ounce of cheese is about the size of 4 stacked dice.
- ½ cup of ice cream is about the size of a tennis ball.
- 1 cup of mashed potatoes or broccoli is about the size your fist.
- 1 teaspoon of butter or peanut butter is about the size of the tip of your thumb.
- 1 ounce of nuts or small candies equals one small handful.
DAY 1 – Child
Time / What? Food and/or Beverage Consumed / How Much? / Where?Some days are better than others. Today, our eating is… (circle one):
Normal day Good day Great day
Bad day Horrible day
DAY 1 – Parent(s)
Time / What? Food and/or Beverage Consumed / How Much? / Where?Some days are better than others. Today, our eating is… (circle one):
Normal day Good day Great day
Bad day Horrible day
DAY 2 – Child
Time / What? Food and/or Beverage Consumed / How Much? / Where?Some days are better than others. Today, our eating is… (circle one):
Normal day Good day Great day
Bad day Horrible day
DAY 2 – Parent(s)
Time / What? Food and/or Beverage Consumed / How Much? / Where?Some days are better than others. Today, our eating is… (circle one):
Normal day Good day Great day
Bad day Horrible day
DAY 3 – Child
Time / What? Food and/or Beverage Consumed / How Much? / Where?Some days are better than others. Today, our eating is… (circle one):
Normal day Good day Great day
Bad day Horrible day
DAY 3 – Parent(s)
Time / What? Food and/or Beverage Consumed / How Much? / Where?Some days are better than others. Today, our eating is… (circle one):
Normal day Good day Great day
Bad day Horrible day