"Food Inventory Template"

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Child’s Name:
Date:
FOOD INVENTORY
Instructions: Check off any food that your child would easily accept to eat if it was served at the specified mealtime. Several items
are listed under lunch and supper. Only check off the items in both places if your child would be served these foods at both meals.
For example, if your child would eat peaches at lunch but it would not be served a part of supper, then check off peaches only under
lunch. The “Seasonings and Condiments” section describes flavors your child would eat at any meal.
Breakfast
__cereal, cold
__English muffin
__jelly
__home fries
__cereal, hot
__bagels
__eggs
__ketchup
__milk
__muffins
__bacon
__pancakes
__juice
__Danish, donuts
__sausage
__waffles
__water
__cream cheese
__ham
__French toast
__breakfast drink
__jam
__toast
List specific types of foods, (e.g., oatmeal, cheerios, apple juice, strawberry milk)
List specific brands if your child will eat one kind of a specific food
List any items your child prefers that are not listed above
Lunch
__pasta w/butter
__sandwich, cheese
__orange
__cucumber
__pasta w/ cheese
__peanut butter & jelly
__peaches
__peas
__pasta w/tomato sauce
__peanut butter & fluff
__fruit rollup
__tomato
__nachos
__peanut butter
__pineapple
__corn
__chili
__French fries
__fruit cocktail
__pickles
__pizza
__potato salad
__applesauce
__milk
__hot dogs
__coleslaw
__yogurt
__juice
__hamburgers
__pretzels
__cottage cheese
__soda
__chicken nuggets
__chips
__pudding
__water
__tuna fish
__cookies
__jello
__bologna
__crackers
__carrots
__soups, stews
__apples
__celery
__sandwich, deli
__banana
__lettuce
List specific types of foods (e.g., ham sandwich, saltines, chicken soup)
List specific brands if your child will eat only one kind of a specific food
List any items your child prefers that are not listed above
©Marcy Goldsmith, OTR/L BCP 10/97
all rights reserved
Child’s Name:
Date:
FOOD INVENTORY
Instructions: Check off any food that your child would easily accept to eat if it was served at the specified mealtime. Several items
are listed under lunch and supper. Only check off the items in both places if your child would be served these foods at both meals.
For example, if your child would eat peaches at lunch but it would not be served a part of supper, then check off peaches only under
lunch. The “Seasonings and Condiments” section describes flavors your child would eat at any meal.
Breakfast
__cereal, cold
__English muffin
__jelly
__home fries
__cereal, hot
__bagels
__eggs
__ketchup
__milk
__muffins
__bacon
__pancakes
__juice
__Danish, donuts
__sausage
__waffles
__water
__cream cheese
__ham
__French toast
__breakfast drink
__jam
__toast
List specific types of foods, (e.g., oatmeal, cheerios, apple juice, strawberry milk)
List specific brands if your child will eat one kind of a specific food
List any items your child prefers that are not listed above
Lunch
__pasta w/butter
__sandwich, cheese
__orange
__cucumber
__pasta w/ cheese
__peanut butter & jelly
__peaches
__peas
__pasta w/tomato sauce
__peanut butter & fluff
__fruit rollup
__tomato
__nachos
__peanut butter
__pineapple
__corn
__chili
__French fries
__fruit cocktail
__pickles
__pizza
__potato salad
__applesauce
__milk
__hot dogs
__coleslaw
__yogurt
__juice
__hamburgers
__pretzels
__cottage cheese
__soda
__chicken nuggets
__chips
__pudding
__water
__tuna fish
__cookies
__jello
__bologna
__crackers
__carrots
__soups, stews
__apples
__celery
__sandwich, deli
__banana
__lettuce
List specific types of foods (e.g., ham sandwich, saltines, chicken soup)
List specific brands if your child will eat only one kind of a specific food
List any items your child prefers that are not listed above
©Marcy Goldsmith, OTR/L BCP 10/97
all rights reserved
Are there smells of certain foods that bother your child?
Does your child have a preference for food temperatures?
Supper
__steak
__pasta w/ cheese
__celery
__banana
__roast beef
__pasta w/ tom sauce
__lettuce
__juice
__pork roast
__lasagna
__tomato
__milk
__lamb
__rice
__green beans
__soda
__hotdogs
__couscous
__sweet peppers
__water
__hamburgers
__beans
__mushrooms
__cake
__ground beef
__French fries
__spinach
__pie
__chicken nuggets
__mashed potatoes
__peas
__pudding
__chicken
__baked potatoes
__summer squash
__jello
__fish
__tater tots
__winter squash
__yogurt
__nachos
__cheese
__applesauce
__cookies
__soup, stews
__cottage cheese
__fruit cocktail
__ice cream
__pasta w/ butter
__carrots
__peaches
List specific types of foods (e.g., brown rice, swordfish, pepperoni pizza, Coca-Cola)
List specific brands if your child will eat only one kind of a specific food
List any item your child prefers that are not listed above
Snacks
__corn chips
__popcorn
__yogurt
__milk
__potato chips
__fresh fruit
__cheese
__juice
__pretzels
__fruit rollups
__ice cream
__soda
__crackers
__fresh vegetables
__sour candy
__nuts
__chocolate
__sweet candy
List specific types of foods, e.g., tortilla chips, goldfish, fudgecicle, etc.
List specific brands if your child will eat only one kind of a specific food
List any items your child prefers that are not listed above
Seasonings and Condiments
__ketchup
__lime juice
__paprika
__hot pepper
__mustard
__vinegar
__basil
__horseradish
__soy sauce
__salad dressing
__curry
__salt
__barbecue sauce
__mayonnaise
__ginger
__salsa
__olives
__cinnamon
__Worcestershire
__pickles
__onion
__relish
__parsley
__garlic
__lemon juice
__oregano
__black pepper
Other
©Marcy Goldsmith, OTR/L BCP 10/97
all rights reserved
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