FOOD PREFERENCE INVENTORY AND WORKSHEET

Food Preference Inventory

Circle about how often your child eats at least a portion of this food (the portion is listed after the food); No = a portion of this food is
never eaten; Week = at least once per week; Day = once per day, Many = more than once per day. If the child eats other foods not
included here, write them in the blanks below.
Food How often is food Is this Food How often is food Is this
eaten by your child? food eaten by your child? food
eaten by eaten by
the the
family? family?
Apple No Week Day Many Yes Crackers No Week Day Many Yes
Apple Juice No Week Day Many Yes Fruit Roll-up/Snacks No Week Day Many Yes
Applesauce No Week Day Many Yes Other Candy No Week Day Many Yes
Apricots No Week Day Many Yes Pie No Week Day Many Yes
Avocado No Week Day Many Yes Potato Chips No Week Day Many Yes
Banana No Week Day Many Yes Pretzels No Week Day Many Yes
Banana Chips No Week Day Many Yes Bacon No Week Day Many Yes
Berries No Week Day Many Yes Baked Beans No Week Day Many Yes
Cantaloupe No Week Day Many Yes Chicken No Week Day Many Yes
Cherries No Week Day Many Yes Chicken Nugget No Week Day Many Yes
Cranberry Sauce No Week Day Many Yes Chicken salad No Week Day Many Yes
Cranberry Juice No Week Day Many Yes Clams/oysters No Week Day Many Yes
Fruit Cocktail No Week Day Many Yes Crab/lobster No Week Day Many Yes
Grapefruit No Week Day Many Yes Eggs No Week Day Many Yes
Grapefruit Juice No Week Day Many Yes Fish No Week Day Many Yes
Grapes No Week Day Many Yes Fish Stick No Week Day Many Yes
Grape Juice No Week Day Many Yes Ham No Week Day Many Yes
Honeydew No Week Day Many Yes Ham salad No Week Day Many Yes
Kiwi No Week Day Many Yes Hamburger No Week Day Many Yes
Lemonade No Week Day Many Yes Hot Dog No Week Day Many Yes
Mango No Week Day Many Yes Lamb No Week Day Many Yes
Nectarine No Week Day Many Yes Lentils No Week Day Many Yes
Oranges No Week Day Many Yes Liver No Week Day Many Yes
Orange Juice No Week Day Many Yes Lunchmeat No Week Day Many Yes
Peaches No Week Day Many Yes Meatloaf No Week Day Many Yes
Pear No Week Day Many Yes Other Beans No Week Day Many Yes
Pineapple No Week Day Many Yes Other nuts/seeds No Week Day Many Yes
Plums No Week Day Many Yes Peanut Butter No Week Day Many Yes
Prunes No Week Day Many Yes Peanuts No Week Day Many Yes
Prune Juice No Week Day Many Yes Popcorn No Week Day Many Yes
Strawberry No Week Day Many Yes Pork No Week Day Many Yes
Raisins No Week Day Many Yes Roast Beef No Week Day Many Yes
Watermelon No Week Day Many Yes Sausage No Week Day Many Yes
American Cheese No Week Day Many Yes Shrimp No Week Day Many Yes
Cheese Spread No Week Day Many Yes Steak No Week Day Many Yes
Chocolate Milk No Week Day Many Yes Tuna salad No Week Day Many Yes
Cottage Cheese No Week Day Many Yes Turkey No Week Day Many Yes
Cream Cheese No Week Day Many Yes Veal No Week Day Many Yes
Hot Chocolate No Week Day Many Yes Venison No Week Day Many Yes
Ice Cream No Week Day Many Yes Chili No Week Day Many Yes
Milk No Week Day Many Yes Pot Pie No Week Day Many Yes
Milk Shake No Week Day Many Yes Soup No Week Day Many Yes
Other Cheese(s) No Week Day Many Yes Stew No Week Day Many Yes
Pudding No Week Day Many Yes Stuffing No Week Day Many Yes
Sherbet No Week Day Many Yes Bagel No Week Day Many Yes
Sour Cream No Week Day Many Yes Breakfast Bars No Week Day Many Yes
Tofu No Week Day Many Yes Cereal (cold) No Week Day Many Yes
Yogurt No Week Day Many Yes Corn Bread No Week Day Many Yes
Asparagus No Week Day Many Yes Cream of Wheat No Week Day Many Yes
Beets No Week Day Many Yes Donut/pastry No Week Day Many Yes
Broccoli No Week Day Many Yes Egg Noodles No Week Day Many Yes
Cabbage No Week Day Many Yes Farina No Week Day Many Yes
Carrots No Week Day Many Yes French Fries No Week Day Many Yes
Cauliflower No Week Day Many Yes French Toast No Week Day Many Yes
 FOOD PREFERENCE INVENTORY AND WORKSHEET

Coleslaw No Week Day Many Yes Grits No Week Day Many Yes
Celery No Week Day Many Yes Lasagna/ravioli No Week Day Many Yes
Corn No Week Day Many Yes Macaroni No Week Day Many Yes
Creamed Corn No Week Day Many Yes Muffins/rolls No Week Day Many Yes
Cucumbers No Week Day Many Yes Noodles No Week Day Many Yes
Greens No Week Day Many Yes Oatmeal No Week Day Many Yes
Green or Wax Beans No Week Day Many Yes Pancake No Week Day Many Yes
Lettuce (salad) No Week Day Many Yes Pita No Week Day Many Yes
Lima beans No Week Day Many Yes Pizza No Week Day Many Yes
Onion No Week Day Many Yes Poptart No Week Day Many Yes
Peas No Week Day Many Yes Potato(mashed/baked) No Week Day Many Yes
Green Pepper No Week Day Many Yes Potato salad No Week Day Many Yes
Pickles No Week Day Many Yes Ramen Noodles No Week Day Many Yes
Radish No Week Day Many Yes Rice No Week Day Many Yes
Sauerkraut No Week Day Many Yes Spaghetti No Week Day Many Yes
Spinach No Week Day Many Yes Spaghettios No Week Day Many Yes
Squash No Week Day Many Yes Stuffing/filling No Week Day Many Yes
Sweet Potato No Week Day Many Yes Taco/burrito No Week Day Many Yes
Tomato No Week Day Many Yes Waffle No Week Day Many Yes
Turnip No Week Day Many Yes Wheat/grain Bread No Week Day Many Yes
Cake (any type) No Week Day Many Yes White Bread No Week Day Many Yes
Cheese Puffs/Curls No Week Day Many Yes No Week Day Many Yes
Chocolate Candy No Week Day Many Yes No Week Day Many Yes
Cookies No Week Day Many Yes No Week Day Many Yes
Corn/tortilla Chips No Week Day Many Yes No Week Day Many Yes

Drinking Preference Inventory (circle or fill-in the blank; 1 cup = 8 ounces)

Does your child drink a supplement (e.g. Pediasure, Boost, etc.)? Yes No

If yes, which one? _________________________________ How much/ day?__________________

What kind of milk does your child usually drink? Whole 2% 1% Skim Soy Rice

How much/day? ___________

Is your child’s milk usually flavored? Yes No

If yes, what is used? Chocolate/strawberry syrup Flavored powder Instant Breakfast Ovaltine Other__________

Does your child drink? Hot chocolate Milkshake Drinkable yogurt

How many ounces of these drinks does your child drink per day? _______ ounces

How much 100% juice does your child drink per day? _______ ounces

How much other fruit drinks (Hi-C, Kool Aid, etc.) does your child drink per day? ______ounces

How much soda or iced tea does your child drink per day? _______ ounces

Does it usually have caffeine? Yes No What type is it usually? Regular Diet

How much water does your child drink per day? _______ounces
 FOOD PREFERENCE INVENTORY AND WORKSHEET

Protein sources Textures Carbohydrates

Vegetables Fruits Specific Food Brands

Meal Quality Flavors and Condiments Temperatures

Recommendations for expanding diet:

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Source: Marcy Goldsmith, OTR/L (1997)