Get Child Diet Questionnaire - Kansas Wic Program - Kdheks

The Child Diet Questionnaire is an essential tool for the Kansas WIC Program that helps assess the dietary habits of children aged between 2 to 5 years. This guide provides clear, step-by-step instructions on how to complete the questionnaire online to ensure accurate information is gathered.

Follow the steps to successfully complete the questionnaire.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred document editor.
2. Enter your child's name and birth date clearly in the designated fields to ensure accurate identification.
3. Indicate your available cooking appliances by checking all applicable options in the first section of the form.
4. For beverages, check all the options your child usually consumes. This includes milk, juice, and other drinks listed. Be specific about preferences and the types of containers used.
5. Respond to the questions regarding how often your child drinks milk, water, and juice, providing specific amounts and types where required.
6. Detail your child's eating habits during meals, ensuring to indicate whether they typically eat the same foods as the family.
7. In the section about snacks, check all the foods your child usually eats and note any specific foods not listed.
8. Complete the sections on fruits, vegetables, and protein intake, indicating how often these foods are consumed and any variations.
9. Answer questions about your child's health, medications, and any dietary concerns you may have, providing thorough explanations as needed.
10. Finally, review all your responses for accuracy before submitting. You may save changes, download, print, or share the form if necessary.

Complete your Child Diet Questionnaire online today to support your child's nutritional assessment!