This assessment tool designed to evaluate the nature of feeding problems and their impact on children aged 2 to 10 years with developmental disabilities. It measures deficits across three specific domains: physical (21 items), functional (12 items), and emotional (5 items), using a 3-point rating scale to quantify the severity of the feeding handicap. Standardized on children with cerebral palsy, autism spectrum disorder, and intellectual disability, the tool helps speech-language pathologists identify specific oral-motor or behavioral issues and prioritize goals for feeding therapy. Administered in approximately 30 to 35 minutes, the index provides a quantitative score that can be used to track intervention progress and counsel caregivers.