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.

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

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