MEAL MONITORING RECORD

DATE __ UNIT:

RM# / NAME / MONDAY
B L S / TUESDAY
B L S / WEDNESDAY
B L S / THURSDAY
B L S / FRIDAY
B L S / SATURDAY
B L S / SUNDAY
B L S
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids

KEY FOR SOLIDS 0 = None or bites FLUIDS: Amounts in CC’s Hot beverage cup= 180cc Milk(8oz.)= 240cc

25%= ¼ of solids Soup = 60cc Milk(4oz.)= 120cc

50%= ½ of solids Jello = 120cc Ice Cream= 120cc

75%= ¾ of solids Juice = 120cc Sherbet = 120cc

100%= All

DATE: UNIT:

RM# / NAME / MONDAY
B L S / TUESDAY
B L S / WEDNESDAY
B L S / THURSDAY
B L S / FRIDAY
B L S / SATURDAY
B L S / SUNDAY
B L S
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids
Solids
Fluids

KEY FOR SOLIDS: 0 = None or bites FLUIDS: Amounts in CC’s Hot Beverage cup = 180cc Milk(8oz.)= 240cc

25%= ¼ of solids Soup = 60cc Milk(4oz.)= 120cc

50%= ½ of solids Jello = 120cc Ice Cream= 120cc

75%= ¾ of solids Juice = 120cc Sherbet = 120cc

100%= All

1/1/2004 Page 1 of 2