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Food intake record

Disclaimer: This fact sheet is for education purposes only. Please consult with your doctor or other health professional to make sure this information is right for your child.

Instructions

  • Eat as you normally would.
  • Write down everything that your child eats and drinks over one day from waking to going to sleep. This includes snacks, water, medications, vitamin and mineral supplements.
  • Use a new line for each food or drink.
  • Record each food individually, for eg. a tuna sandwich might be two slices of bread, two teaspoons of margarine and half a cup of tuna (canned in brine).
  • Always record cooking methods such as boiling, frying etc.
  • Give a detailed description of the food or drink and include brand names where possible. For eg. Arnott's Milk Arrowroot® biscuit.
  • Don't forget to include any sauces, mayonnaise or gravies that are used.
Name:
Date:Day:
TimeAmountFood / Drinks
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

Kids Health (CHW) Sydney Children's Hospital, Randwick
The Children's Hospital at Westmead
Tel: (02) 9845 3585
Fax: (02) 9845 3562
http://www.chw.edu.au/
Sydney Children's Hospital, Randwick
Tel: (02) 9382 1688
Fax: (02) 9382 1451
http://www.sch.edu.au/

© The Children's Hospital at Westmead & Sydney Children's Hospital, Randwick - 1997-2010.

This document was reviewed on Tuesday, 1 July 2003.

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