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Follow-Up Nutrition & Feeding Consultation

Welcome back 🤍

This short form helps me prepare for our follow-up session and understand what has changed since we last spoke.

You do not need to repeat your child’s full history. Please simply share the most important updates, what has been going well, what has been difficult, and what you would most like us to work on next.

Joyce Wamboi
Registered Clinical Nutritionist | Autism Feeding & Nutrition Specialist
Autism Nutrition Africa

SECTION 1 — YOUR DETAILS

Parent / caregiver name

Child’s first name

Child’s current age

Email address

Country

Date of your previous consultation, if you remember it

SECTION 2 — SINCE OUR LAST CONSULTATION

Overall, how have things been since our last consultation?

A
B
C
D
E

What has been going well?

What has been most difficult?

Have there been any significant changes since our last appointment?

Please briefly describe the change.

SECTION 3 — CURRENT EATING

Are your child’s currently accepted foods mostly:

A
B
C
D
E

Have any foods become newly reliable since our last consultation?

Have any previously accepted foods been lost or become difficult?

Are there particular meals, times of day or environments that are going better or worse?

Has your child’s appetite changed?

A
B
C
D
E

SECTION 4 — GROWTH, DIGESTION & HEALTH

Do you have a recent weight for your child?

A
B

Current weight

Date weight was taken

Where was it measured?

Do you have a recent height / length?

A
B

Current height / length

Date measured

How are bowel movements currently?

A
B
C
D
E
F

Any current tummy or digestive concerns?

Please describe briefly.

SECTION 5 — MEDICATIONS, SUPPLEMENTS & TESTS

Have any medications or supplements been started, stopped or changed since our last consultation?

A
B

Please list what changed. Include the product name, dose if known, and how often it is given.

Has your child had any new blood tests, medical reviews or assessments since our last appointment?

A
B

Please briefly tell me what was done and any important findings you were given.

Upload recent laboratory results, growth records, prescriptions or relevant reports if you would like me to review them.

SECTION 6 — PREVIOUS PLAN

Were you able to try the recommendations from our last consultation?

A
B
C
D

Which recommendations were easiest or most helpful?

Which recommendations were difficult, unrealistic or did not seem to help?

Is there anything you stopped because your child did not tolerate it or because it became too difficult?

SECTION 7 — WHAT YOU WANT FROM THIS FOLLOW-UP

What would you most like us to focus on during this follow-up?

Please describe.

What is the ONE question or concern you most want answered during our session?

Is there anything else you would like me to know before we meet?