Infant Complementary Feeding Questionnaire
Please complete this questionnaire to help us understand your infant's complementary feeding practices and experiences.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Infant's Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Infant's Gender
*
Male
Female
Other / Prefer not to say
At what age did you start introducing complementary foods to your infant?
*
Please Select
Before 4 months
4-5 months
6 months
7-8 months
After 8 months
Which of the following foods have you introduced to your infant? (Select all that apply)
*
Pureed fruits
Pureed vegetables
Infant cereal
Meat or fish
Yogurt or cheese
Eggs
Other
How often does your infant receive complementary foods each day?
*
Once a day
Twice a day
Three or more times a day
Please indicate your level of agreement with the following statements about complementary feeding.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel confident about preparing complementary foods.
1
2
3
4
5
I have enough information about infant nutrition.
6
7
8
9
10
My infant enjoys trying new foods.
11
12
13
14
15
I am concerned about possible allergies.
16
17
18
19
20
What challenges have you faced when introducing complementary foods? (Select all that apply)
Infant refuses new foods
Concerns about choking
Uncertainty about what foods to offer
Expense of special foods
Lack of time to prepare foods
Other
How would you rate your overall experience with complementary feeding so far?
*
1
2
3
4
5
Please share any additional comments or concerns about your infant's complementary feeding experience.
Submit
Should be Empty: