Resident Dietary Information – New Admission (SoupedUp)PART 2/2

Drinks, Snacks & Supplements

Please specify how much of each of the following for each meal time of the day.

Breakfast

Hot Beverage – Coffee/Tea (Breakfast)
Coffee Tea

Sugar in the coffee? (Breakfast)
White Raw Sweetener

What milk in your breakfast coffee?
Full cream Skim Soy Lactose free

Sugar in your tea (Breakfast)
White Raw Sweetener

What milk in your breakfast tea?
Full cream Skim Soy Lactose free

Other Beverages?
Juice Milo/Ovaltine Milk

Type of juice?

Supplement (Breakfast)
Protein drink Yoghurt Milkshake Custard Cheese & crackers Milo/Ovaltine Milk

Dining Preference (Breakfast)
Dining Room Lounge Room Own Room Resident Tray

Any breakfast snack comments?

Morning Tea

Hot Beverage – Coffee/Tea (Morning Tea)
Coffee Tea

Sugar in the coffee? (Morning Tea)
White Raw Sweetener

What milk in your morning tea coffee?
Full cream Skim Soy Lactose free

Sugar in your tea? (Morning Tea)
White Raw Sweetener

What milk in your tea? (Morning Tea)
Full cream Skim Soy Lactose free

Other Beverages? (Morning Tea)
Juice Milo/Ovaltine Milk

Type of juice? (Morning Tea)

Supplement (Morning Tea)
Protein drink Yoghurt Milkshake Custard Cheese & crackers Milo/Ovaltine Milk

Dining Preference (Morning Tea)
Dining Room Lounge Room Own Room Resident Tray

Any morning tea snack comments?

Lunch

Hot Beverage – Coffee/Tea (Lunch)
Coffee Tea

Sugar in the coffee? (Lunch)
White Raw Sweetener

What milk in your lunch coffee?
Full cream Skim Soy Lactose free

Sugar in your tea? (Lunch)
White Raw Sweetener

What milk in your lunchtime tea?
Full cream Skim Soy Lactose free

Other Beverages
Juice Milo/Ovaltine Milk Alcohol

Type of juice? (Lunch)

Supplement(Lunch)

Protein drink Yoghurt Milkshake Custard Cheese & crackers Milo/Ovaltine Milk

Dining Preference (Lunch)
Dining Room Lounge Room Own Room Resident Tray

Any lunch snack comments?

Afternoon Tea

Hot Beverage – Coffee/Tea (Afternoon Tea)
Coffee Tea

Sugar in the coffee? (Afternoon Tea)
White Raw Sweetener

What milk in your coffee? (Afternoon Tea)
Full cream Skim Soy Lactose free

Sugar in your tea? (Afternoon Tea)

White Raw Sweetener

What milk in your tea? (Afternoon Tea)
Full cream Skim Soy Lactose free

Other Beverages (Afternoon Tea)
Juice Milo/Ovaltine Milk Alcohol

Type of juice? (Afternoon Tea)

Supplement (Afternoon Tea)
Protein drink Yoghurt Milkshake Custard Cheese & crackers Milo/Ovaltine Milk

Dining Preference (Afternoon Tea)
Dining Room Lounge Room Own Room Resident Tray

Any afternoon tea snack comments?

Dinner

Hot Beverage – Coffee/Tea (Dinner)
Coffee Tea

Sugar in the coffee? (Dinner)
White Raw Sweetener

What milk in your coffee? (Dinner)
Full cream Skim Soy Lactose free

Sugar in your tea? (Dinner)
White Raw Sweetener

What milk in your tea? (Dinner)
Full cream Skim Soy Lactose free

Other Beverages (Dinner)
Juice Milo/Ovaltine Milk Alcohol

Type of juice? (DInner)

Supplement (Dinner)
Protein drink Yoghurt Milkshake Custard Cheese & crackers Milo/Ovaltine Milk

Dining Preference (Dinner)
Dining Room Lounge Room Own Room Resident Tray

Any dinner snack comments?

Supper

Hot Beverage – Coffee/Tea (Supper)
Coffee Tea

Sugar in the coffee? (Supper)
White Raw Sweetener

What milk in your coffee? (Supper)
Full cream Skim Soy Lactose free

Sugar in your tea? (Supper)
White Raw Sweetener

What milk in your tea? (Supper)
Full cream Skim Soy Lactose free

Other Beverages (Supper)
Juice Milo/Ovaltine Milk Alcohol

Type of juice? (Supper)

Supplement (Supper)
Protein drink Yoghurt Milkshake Custard Cheese & crackers Milo/Ovaltine Milk

Dining Preference (Supper)
Dining Room Lounge Room Own Room Resident Tray

Any supper snack comments?

Resident Dietary Information – New Admission (SoupedUp)

PART 2/2

Resident Dietary Information Part 2

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