YOU + ME MAKE FOOD FOR BABY – INTAKE FORM

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Your full name: Your address: Your phone number: What is your babe's name? When were they born?

Was your babe: ☐ Breastfed? ☐ Formula-fed? ☐ A mix of both?

If breastfed, are you still breastfeeding? ☐ YES ☐ NO

If no, when did you stop?

Has your babe tried any foods yet? ☐ YES ☐ NO

If yes, which ones? If yes, any dislikes/favourites? Have they had a history of any digestive issues? Colic, constipation, loose stools etc? Any known food allergies/sensitivities (including herbs and spices)?

YOU + ME MAKE FOOD FOR BABY – INTAKE FORM

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www.boobyfood.com | 403-999-1924 | hello@boobyfood.com

Does mom, dad or any siblings have any food allergies/sensitivities (including herbs and spices)?

What best describes your family’s diet preference:

☐We eat all meats and veggies

☐We are vegetarian

☐We are vegan

☐ Other (please explain)

Do you have the following items in your kitchen:

☐ Kitchen Knives (chefs blade, chopping knives)

☐ Baking sheets (2-3)

☐ Parchment paper (not wax paper)

☐ Blender or food processor

☐ Cutting board (1-2)

☐ Vegetable peeler

☐ Pots/Saucepans (3-4)

☐ Rubber Spatula

☐ Strainer

☐ Various sized mixing bowls

☐ Measuring spoons

☐ Dry Measuring cups

☐ Liquid Measuring Cup

☐ XL Large ziplock bags or pastry bag (bigger than sandwich bags, but if you have those on hand, it’ll work just fine!)

☐ Silicon bottom, pop out ice cube trays (5-6)

Is there anything else you'd like me to know before we get started?