Three Day Food Log for Child Nutrition Assessment

Three Day Food Log
Please complete this food log for 3 days. This will allow the team to better assess your child’s nutritional
status and identify areas for treatment. Please record everything that is consumed within and outside of
structured meals (i.e., include snacks).
Serving size estimator to record amounts:
Fist ( ) = 1 cup of grains
Baseball ( ) = 1 cup of fruit or vegetable
Deck of cards ( ) = 3 oz of fish or meat
Client: Date:
Time
Amount
Description
Was your child’s intake today typical? _____ YES _____ No
If No, explain:

Three Day Food Log
Serving size estimator to record amounts:
Fist ( ) = 1 cup of grains
Baseball ( ) = 1 cup of fruit or vegetable
Deck of cards ( ) = 3 oz of fish or meat
Patient: Date:
Time
Amount
Description
Was your child’s intake today typical? _____ YES _____ No
If No, explain:

Three Day Food Log
Serving size estimator to record amounts:
Fist ( ) = 1 cup of grains
Baseball ( ) = 1 cup of fruit or vegetable
Deck of cards ( ) = 3 oz of fish or meat
Patient: Date:
Time
Amount
Description
Was your child’s intake today typical? _____ YES _____ No
If No, explain: