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Infant and Child Feeding Questionnaire Screening Tool

(Traumatic, Anoxia)

Infant and Child Feeding Questionnaire Screening Tool

"*" indicates required fields

DD slash MM slash YYYY
DD slash MM slash YYYY

6 question subset

Does your baby/child let you know when he is hungry?*
Do you think your baby/child eats enough?*
How many minutes does it usually take to feed your baby/child?*
Do you have to do anything special to help your baby/child eat?*
Does your baby/child let you know when he is full?*
Based on the questions above, do you have concerns about your baby/child's feeding?*
Red flag answers are in orange. If two or more of your answers are orange please contact your pediatrician
This field is for validation purposes and should be left unchanged.

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