Feeding Screener · Hubbard & Tennyson LLC

Step 1 of 6

How old is your baby?

0–3 months 4–6 months 6–9 months 9–12 months

Step 2 of 6

How are you feeding your baby?

Select all that apply.

Breastfed Bottle fed (formula) Bottle fed (pumped milk) Combination fed

Step 3 of 6

Feeding questions

Step 4 of 6

During feeds, does your baby ever…

Select all that apply.

Cough, choke, or gag regularly Make clicking or smacking sounds Turn red, blue, or pale Arch back or seem in pain Fall asleep before finishing most feeds Take longer than 30–40 minutes per feed

Step 5 of 6

A couple more questions

Weight gain

Yes, gaining weight as expected Not sure / waiting on next check No, weight gain is a concern

Overall feeding experience

Feeding feels easy and calm Some feeds are hard, some are fine Feeding feels stressful most of the time

Step 6 of 6 — Your results

Get your personalized follow-up

Enter your info and one of our pediatric SLPs will reach out within 1 business day.

Parent / caregiver name

Baby's first name

Email address

Phone (optional)

Best time to reach you

Thank you!
We received your screening results and will be in touch within 1 business day.

Questions in the meantime?
504-345-2261 · www.htspeech.com