PACKED LUNCH QUESTIONNAIRE

PACKED LUNCH QUESTIONNAIRE

This questionnaire is a tick list of types of foods which are common allergens, but are accepted in the setting.
This form needs to completed monthly as part of our Home Prepared Food and Nutrition & Mealtime
Policies and it supports us to guarantee the children are able to have safe and enjoyable mealtimes.
A balanced lunchbox should contain a variety of nutritious foods from each of the five food groups - grains,
fruits, vegetables, dairy and protein. Variety ensures children get a range of important nutrients in their diet,
essential for growth and development, and it keeps them alert throughout the day.
Food safety requirements for your child's packed lunch box are that it is insulated and contains an ice pack.
This helps to keep children's lunch boxes at a suitable temperature until they are ready to be eaten.

I understand to the best of my knowledge the above ingredients are within my child's home prepared food. I agree to my child be given this food and I take full responsibility should my child become ill and it is thought this is as a result of ingested food. I understand failure to provide a completed questionnaire or packed lunch will mean my child will be offered a Nursery meal which will be chargeable at an enhanced rate. I confirm that I have read and understood Millwood House Day Nursery's Home Prepared Food Policy, Nutrition and Mealtimes Policy and Allergies and Allergens Policy and will prepare all packed lunches in accordance with their contents.