Pediatric Health & Development Assessment for Functional Medicine Practitioners
A structured, evidence-informed screening tool that evaluates pediatric health through the lens of functional medicine. Helps practitioners identify food sensitivities, digestive patterns, developmental factors, and environmental influences — completed by parents in about 3 minutes, before the first appointment. Patients receive an instant, personalized health archetype report upon completion.
What This Assessment Covers
Food & Feeding Behavior
Evaluates picky eating severity, food aversions, texture preferences, and restrictive eating patterns. Identifies potential sensory processing issues, oral-motor challenges, and behavioral food refusal distinct from normal developmental phases.
Digestive & Allergy History
Screens for colic history, reflux, constipation patterns, stool characteristics, food allergies, eczema, and antibiotic exposure — building a timeline of digestive and immune development from birth.
Birth & Developmental History
Captures delivery method, breastfeeding duration, milestone timing, and early environmental exposures — factors that shape microbiome development and long-term immune and neurological health.
Pre-Appointment Screening
Send the assessment link in booking confirmations or reminder emails. Parents complete it before the appointment, so you walk into the visit with a structured pediatric profile — not a stack of scribbled notes.
Instant AI-Generated Report
Patients receive a personalized health archetype report immediately after completing the assessment. The report explains their results in plain language, builds trust, and primes them for your consultation.
Sample Questions
Each question is designed to be parent-friendly while gathering clinically useful data. Here are three examples from the pediatric assessment:
How would you describe your child's eating habits?
- · Eats a wide variety — no concerns
- · Selective but eats enough from several food groups
- · Very picky — accepts fewer than 15–20 foods
- · Extremely limited — fewer than 10 foods, strong aversions
- · Feeding therapy or intervention has been recommended
Has your child taken antibiotics?
Multiple rounds — more than 3 courses · 1–2 courses · Only once, at birth or early infancy · Never · Not sure
Was your child born via C-section or vaginal delivery?
Vaginal delivery — uncomplicated · C-section — planned · C-section — emergency · Vaginal delivery with complications · Prefer not to say
How It Works
Each pediatric assessment follows a structured three-step flow that transforms parent-reported concerns into distinct clinical patterns. It is designed to capture feeding, digestive, and developmental data for pediatric archetype mapping without overwhelming the parent.
Parent Completes
The parent answers 8–12 questions about their child's eating behaviors, digestive history, birth history, and environmental exposures. Takes about 3 minutes on any device.
Archetype Is Generated
The assessment maps responses to three evidence-informed pediatric archetypes: Gut-Immune Dysfunction Pattern, Food Sensitivity / Allergy-Driven Pattern, or Neurodevelopmental / Sensory Pattern.
Practitioner Reviews
Results are available in your Brevlix dashboard before the appointment. Use them to prioritize labs (food sensitivity panels, stool analysis, nutrient status) and structure the treatment plan.
Clinical Use Cases
From pediatric functional medicine practices to family-focused integrative clinics, practitioners use structured pediatric screening across several key clinical scenarios.
New Patient Intake
Send the assessment link alongside intake paperwork. By the time the family arrives, you have feeding history, digestive timeline, birth and developmental data, and a preliminary archetype — the first appointment starts with pattern recognition, not a stack of intake forms.
Pre-Consultation Screening
For discovery calls or initial consultations, the assessment acts as a filter. Parents who complete it are pre-qualified and pre-educated about functional medicine approaches to pediatric health, making the consultation more productive.
Treatment Progress Tracking
Re-administer the assessment at 3- or 6-month intervals. Track shifts in food acceptance, digestive symptoms, and behavioral patterns — quantifiable data for parent progress reports and treatment plan adjustments.
Group Program Enrollment
Use the assessment as an enrollment gateway for pediatric gut health or picky eating programs. Stratify participants by archetype — Gut-Immune types need different protocols than Sensory types.
Patient Intake Workflow
Adding pediatric screening to your intake flow is straightforward. Most practices have the assessment running in a single afternoon — here is the typical setup sequence:
Generate Your Assessment Link
From your Brevlix dashboard, choose the pediatric assessment and customize your branding, booking link, and widget appearance. Copy the unique assessment link or embed code — no coding or developer help required.
Add to Booking Flow
Paste the link into your booking confirmation email, intake form, or appointment reminder. Most EHRs and scheduling platforms (Acuity, Calendly, Practice Better) support adding custom links to automated emails.
Embed on Your Website
Copy the Brevlix embed script and paste it onto any page — your homepage, a dedicated "Work With Me" page, or a services listing. The assessment renders as an interactive widget that matches your branding.
Review Before the Appointment
Completed assessments appear in your Brevlix dashboard. Review the pediatric profile, archetype result, and root cause directions before the family arrives. Walk into every appointment with a data-informed clinical picture.
How practices use this today: Functional medicine practitioners send the pediatric assessment link in Calendly confirmation emails, embed it on Squarespace intake pages, and include it in Practice Better onboarding sequences. Parents complete it at home, on their phone, before the appointment — so the first visit is about solutions, not history-taking.
Frequently Asked Questions
Can I edit the assessment questions?
The assessment questions are maintained by Brevlix and updated based on functional medicine research and practitioner feedback. You can choose from 12 pre-built health topics and customize your branding, booking link, and widget appearance to match your practice.
What does the patient see after completing the assessment?
Patients receive an instant, personalized health archetype report based on their responses. The report explains their results in accessible language, highlights relevant health patterns, and includes a clear next step — typically booking a consultation with your practice.
Can I embed this assessment on my website?
Yes. Brevlix provides an embed script — copy and paste onto any page. Works with Squarespace, WordPress, Wix, and custom sites. Practitioners often embed it on their pediatric services page or send it to parents before the first developmental consultation.
Is this assessment completed by the parent or the child?
The assessment is designed for parents to complete on behalf of their child. Questions cover birth history, feeding patterns, antibiotic exposure, and developmental milestones — information that requires caregiver knowledge. It's written in parent-friendly language and takes about 3 minutes.
Can this assessment help identify food sensitivities in children?
Yes. By mapping food reactions, digestive patterns, eczema history, and behavioral responses to foods, the assessment helps practitioners identify likely food sensitivity patterns. It doesn't replace food sensitivity testing but provides a structured starting point for elimination diet design.
Start Screening Pediatric Health Before the First Visit
Add the pediatric assessment to your practice in minutes. Choose your assessment topic, apply your branding, and embed it on your site — so families arrive with developmental data, not just a list of concerns.
Start Free →