Bite Steps Cue Cards 🍽️
Picture Cues Cafeteria & Lunch Table Visuals
Bite Steps Cue Cards ✨
Key Actions 1. To Mouth 🥄 • 2. Swallow 💧
1 Step One
🥪 🥄
✋
Pick Up Food
Hold spoon, fork, or snack!
2 Target Skill!
👄
⬆️ 🥄
Food to Mouth
Lift your hand right up to lips!
3 Step Three
😋
🍎 🍓
Take One Bite
Put yummy food inside!
4 Step Four
🦷 🥕
Munch! Munch!
Chew, Chew, Chew
Use teeth to chew it soft!
5 Target Skill!
🥤 💧
Gulp! All Down!
Swallow Clean
Down into the tummy!
6 Step Six
😃 ✨
Mouth is Empty!
Ready for More
Take a breath or sip water!
✂️ Cut along the dashed line for the student lunch tray strip!
Desk & Tray Strip
🥪
1. Pick Up
Hold food
👄🥄
2. To Mouth
Lift up!
🦷
3. Chew
Munch munch
💧😋
4. Swallow
Gulp down!
💡 Point to picture #2 ("Food to Mouth") before offering a hand prompt! ⭐ Praise every clean swallow right away!
First Bites Reward Chart ⭐
Day 1-2 • First Bites 5 Bites to Victory! 🎉
First Bites Reward Chart ✨
🏆 Lunchtime Champ!
🎒
Eater Name _________________
📅
Date / Time _________________
🥪
Today's Yummy Food _________________
🎁
I Am Working For: 5 Stars!
Attach photo, sticker, or draw your prize:
📱 🛝 🫧 ⭐ 🎵 ← Pick your favorite!
🌟
My 5 Big Bite Badges
👄⬆️ Food to Mouth + 💧😋 Swallow = Token!
1
🥪
Bite 1 Great start!
2
🍎
Bite 2 To mouth!
3
🥕
Bite 3 Chew & gulp!
4
🍕
Bite 4 Almost there!
5
🏆
Bite 5 • WIN! Prize Time! 🎉
🥄⬆️ 1. Bring Food to Mouth
•
🦷😋 2. Chew It Soft
•
💧✨ 3. Swallow All Clean
✂️ Cut out these picture tokens to stick on your chart!
Reusable Tokens
⭐ Yum!
🥪 Bite!
🍎 Great!
😋 Super!
🏆 Hero!
💖 Staff Praise: “Woohoo! You lifted your spoon to your mouth and swallowed! Stick on your star!”
Staff Initials: _____
Paced Plate Reward Chart 🚀
Day 3 • Level 2 10 Bites Trail Adventure! 🌟
Paced Plate Reward Chart 🍽️
😋 Chew • Gulp • Star!
Name
_________________
Date
_________________
Today's Big Prize 🎁 10 stars gets: ___________
🎉
My 3 Steps:
👄⬆️ 1. Food to Mouth
→
🦷🥕 2. Chew Thoroughly
→
💧😋 3. Swallow All Clean
🏁 First Half: Bites 1 to 5 Stamp or sticker each bite!
1 🥪
To mouth
Swallow
Bite 1 ✨
2 🍎
To mouth
Swallow
Bite 2 🍎
3 🥕
To mouth
Swallow
Bite 3 🥕
4 🍌
To mouth
Swallow
Bite 4 🍌
5 🥤
To mouth
Swallow
Water Break! 💧
⚡ Second Half: Bites 6 to 10 Finishing like a champ!
6 🍕
To mouth
Swallow
Bite 6 🍕
7 🍓
To mouth
Swallow
Bite 7 🍓
8 🥦
To mouth
Swallow
Bite 8 🥦
9 🍇
To mouth
Swallow
Bite 9 🍇
10 🏆
To mouth
Swallow
GOAL! WINNER!
🌟
10-Bite Feeding Superstar! 🎉
I lifted my food to my mouth and swallowed every bite cleanly!
Staff / Parapro Sign ______________________
Lunch Feeding Tracking Sheet Clinical Tracking IEP • OT • Mealtime Behavior Data
Lunch Feeding Tracking Sheet
Target Steps 1. To Mouth • 2. Swallow
Student _________________
Date / Time _________________
Staff Observer _________________
Utensil / Food _________________
Prompt Key:
I = Independent | G = Gestural/Visual | V = Verbal | PP = Partial Physical (Elbow) | FP = Full Physical
| Trial | Food Item / Texture | Step 1: Brought to Mouth
Prompt: I / G / V / PP / FP (+/-) | Step 2: Chewed & Swallowed
Prompt: I / G / V / PP / FP (+/-) | Clinical Observations / Notes |
| --- | --- | --- | --- | --- |
| 1 | | | | |
| 2 | | | | |
| 3 | | | | |
| 4 | | | | |
| 5 | | | | |
| 6 | | | | |
| 7 | | | | |
| 8 | | | | |
| 9 | | | | |
| 10 | | | | |
| 11 | | | | |
| 12 | | | | |
Session Summary Metrics
Total Bites ____ / 12
% Indep. To Mouth ____ %
% Indep. Swallow ____ %
Behavioral Check
Food pocketing observed
Rushed / stuffed mouth
Spitting or food refusal
Staff Notes & Tomorrow's Feeding Target: Total Meal Duration: _______ mins
Recorded by: ________________________ OT / Teacher Reviewed: ________________________
Lunch Champ Reward Chart 👑
Level 3 • Days 4-5+ Independent Lunchtime Hero! 🌟
Lunch Champ Reward Chart 🏆
🎉 Weekly Star Board!
⭐
Lunch Champ Name _____________________
📅
Week Of _____________________
Weekly Star Goal 🎯 Earn 4+ Daily Badges!
🏅
🍎
Monday
Apple Kickoff
👄⬆️ Food to Mouth:
💧😋 Swallow Clean:
Badge 🌟
🥪
Tuesday
Sandwich Star
👄⬆️ Food to Mouth:
💧😋 Swallow Clean:
Badge 🌟
🥕
Wednesday
Carrot Crunch
👄⬆️ Food to Mouth:
💧😋 Swallow Clean:
Badge 🌟
🍌
Thursday
Power Eater
👄⬆️ Food to Mouth:
💧😋 Swallow Clean:
Badge 🌟
🏆
Friday
Grand Finale!
👄⬆️ Food to Mouth:
💧😋 Swallow Clean:
GOLD! 👑
🎁
Friday Celebration Prize
My Independent Lunch Champion Reward ✨
Prize: ______________________
✅ Teacher / OT Sign: ___________________________ 🙌 Student Big High Five: [ ⭐ ]
Feeding Support Staff Protocol Staff Implementation Guide Paraprofessionals • Special Educators • Lunch Monitors
Feeding Support Staff Protocol
Target Skills 1. To Mouth • 2. Swallow
90-90-90 Posture Feet flat, hips back, chin neutral
Wait Time Rule Wait 5-8 sec before prompting
Swallow Check Look for throat rise & empty mouth
Least-to-Most Prompt Hierarchy (Fading Ladder)
Level 1
Independent
Student initiates without cue within 8 seconds
Immediate Star!
Level 2
Visual Cue
Point to Cue Card 2 ("To Mouth") or placemat
Silent gesture
Level 3
Indirect Verbal
"What is next?" or "Pick up your spoon"
Short phrases
Level 4
Partial Physical
Gentle upward nudge at elbow or forearm
Fade pressure
Level 5
Hand-Under-Hand
Place hand under student's hand to guide to mouth
Never force
1
Skill 1: Bringing Food to Mouth
Plate Position: Position tray within 6 inches of torso so elbow does not overextend.
Load vs. Lift: If utensil loading is hard, staff can pre-load spoon; student must lift spoon to mouth independently.
Finger Foods: Acceptable for snacks/sandwiches. Emphasize one piece brought to lips at a time.
2
Skill 2: Chewing & Swallowing
Visual Swallow Sign: Observe larynx (throat) elevate and lower. Do not present next bite until visible.
Pacing Pause: Keep utensil on table between bites. Do not permit scooping while food is still in mouth.
Pocketing Check: If student holds food in cheek, verbally cue: "Swallow your bite" or offer small sip of water.
Quick Troubleshooting Matrix
Rapid Mouth Stuffing Place only 2-3 bites on tray at once. Keep the rest in container until swallow is confirmed.
Food Refusal / Pushing Away Lower goal to 2 bites. Offer choice: "Carrot first or sandwich first?" Pair with preferred token reward.
Coughing / Wet Vocal Sound Stop meal immediately. Sit student fully upright. Check mouth clearance. Notify school nurse/SLP.
Praise Scripts (Use immediately upon swallow):