Caregiver Feeding Style Questionnaire Form
Use this form to describe caregiver feeding routines, feeding style, and mealtime practices. The exact title must remain Caregiver Feeding Style Questionnaire Form throughout the form.
Caregiver Background
Relationship to the Child/Dependent
*
Please Select
Parent
Grandparent
Other family member
Nanny
Foster parent
Other
Primary Caregiving Role
*
Years of Caregiving Experience
*
Feeding Routine and Style
Main Feeding Method Used Most Often
*
Spoon-feeding
Child-led/self-feeding
Mixed approach
Bottle feeding
Other
How Often Feeding Happens in a Typical Day
*
Please Select
Once
2 times
3 times
4 times
5 or more times
Other
Brief Description of Usual Mealtime Routine
Attitudes and Practices
Please indicate how much you agree with each statement
*
Rows
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I keep mealtimes structured and consistent.
1
2
3
4
5
I am flexible when my child shows they are not hungry or are full.
6
7
8
9
10
I encourage my child to try new foods without pressure.
11
12
13
14
15
I pay attention to my child's hunger and fullness cues.
16
17
18
19
20
I decide portion sizes based on my child's needs rather than expecting them to finish everything.
21
22
23
24
25
I limit distractions during meals to help my child focus on eating.
26
27
28
29
30
How closely does your usual feeding approach balance structure and flexibility?
*
Mostly structured
1
2
3
4
5
6
7
8
9
Mostly flexible
10
1 is Mostly structured, 10 is Mostly flexible
How often do you respond to your child's hunger and fullness cues during meals and snacks?
*
Rarely
1
2
3
4
5
6
7
8
9
Always
10
1 is Rarely, 10 is Always
Additional notes about your feeding style or any concerns
Submit
Should be Empty: