Nutrition Questionnaires  

The age-specific Nutrition Questionnaires are developed by Bright Future and are recommended for use as  nutritional status assessment guides.  At a minimum, during a preventive care visit, the Healthy Kids Program requires review and documentation of current diet addressing all food groups, preventive dietary counseling, and education.
To open a document, click on the "X" sign.
 
  
  
  
Nutrition Questionnaire for Infants (0-12 months)X2014
Nutrition Questionnaire for Children (1-10 years)X2014
Nutrition Questionnaire for Adolescents (11-20 years)X2014