Take a look at the list below, and see how many of the following apply to your child/family:

• Choking, coughing, gagging, or vomiting during mealtimes

• Ongoing poor weight gain or weight loss (dropping of percentiles on growth curve)

• History of a traumatic choking incident followed by a decrease in food intake or weight loss

• A food range of fewer than 20 foods, especially if foods are being dropped over time without adding new foods to replace them

• Avoiding all foods of a specific texture (wet, squishy, crunchy, etc) or food group (fruit, vegetable, meat, starch, etc)

• Being brand/presentation specific across environments to the degree of interfering with mealtimes and community outings

• A history of reflux, tongue ties, oral-motor delays, struggles with eating/breathing coordination, or ongoing respiratory problems

• Inability to transition to baby purees by 10 months of age

• Inability to accept any table food solids by 12 months of age

• Inability to transition from bottle/breast to a cup by 16 months of age

• Relying on purees or soft foods over the age of 18 months

• You, the caregiver, have reported “picky eating” at 2 or more well child checks

• You feel that mealtimes are battles, and it is a struggle to get your child to the table, to engage with food, or to eat an adequate volume or variety of foods

  If you said “yes!” to 4 or more items from this list, your child may benefit from being assessed by a feeding specialist.