Resident Dining Preference and Food Allergy Profile

Resident-level profile for capturing dining likes, dislikes, allergies, cultural preferences, portion size, and seating preferences to support safer, more personalized meal service.

Resident Identification

• Resident Name
• Resident ID or Room Number
  Use the resident ID or room number if your facility uses one.
• Date of Birth
  Optional. Only collect if needed to accurately identify the resident.
• Primary Contact Name

Consent and Information Use

• I consent to this information being shared with relevant dining and care staff for meal planning, allergy safety, and resident support.
• May the dining team share relevant meal preference and allergy information with nursing or care staff if needed for safety?
• Additional instructions for staff
  Use this field for any information that helps staff support the resident during meals.

Dining Preferences

• Favorite Foods
• Foods to Avoid
• Meal Temperature Preference
• Preferred Snack Times

Allergy and Sensitivity Details

• Does the resident have any food allergies or severe sensitivities?
• Allergen(s)
• Severity
• Reaction Description
  Describe the typical reaction and any emergency steps staff should know.

Diet, Texture, and Portion Needs

• Diet Type
• Does the resident need a texture-modified diet?
• Portion Size Preference
• Meal Assistance Needed

Cultural and Seating Preferences

• Cultural or Religious Food Preferences
• Seating Preference
• Social Dining Preference
• Additional Notes
  Add any other dining-related information that would help staff support the resident.