After your child's initial Weight Management visit, a follow-up visit will be scheduled. Please bring this completed questionnaire with you.

This diary is to help keep track of your meals, water, physical activity, and screen time to help everyone follow the guidelines for a healthy family. Please use this diary each week, and bring completed diaries to your child's weight management visit.

If your pediatrician schedules a Weight Management visit, please bring this completed questionnaire with you.