Does your child require distraction or entertainment from toys, television or caregivers to participate in a meal in order to eat? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you chasing your child with food or making special meals for your child because they will not eat any other way? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child gag or spit out food on a regular basis if challenged to eat new foods or by the smell of foods alone? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Is your child over the age of 12 months and still using a bottle to feed and prepare for sleep? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child eat fifteen or fewer foods exclusively? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child seem uninterested in food and never - if ever - expresses hunger to you? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child refuse to try new foods? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child's lunch box come home with a majority of the food left uneaten or do teachers tell you that your child is not participating in meals at school? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child seem unaware of food left on his or her face when eating or keep pockets of food stuffed in their cheeks? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Have you adapted your lifestyle around your child's eating habits and preferences or medical needs? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child throw food or reject utensils and plates or refuse to sit and eat a meal with family or classmates? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child's diet omit entire food groups such as vegetables or fruits? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child prefer the texture and consumption of processed foods such as chicken nuggets and reject whole foods such as carrots? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Is your child over the age of twelve months and dependent on you to spoon feed them or only uses his or her hands instead of using utensils to feed themselves? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Does your child show signs of vitamin/mineral deficiencies such as white spots on nails, head sweating or unusual cravings for non-nutritive substances, such as ice, dirt or rocks? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }