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Nutrition Assessment Education Project
 

blueball.gif (905 bytes)Spokane County

Assessing the Nutritional Health of Seniors 
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Assessment Tool

Nutrition Screening Questions from the Determine Your Nutritional Health Checklist

I have an illness or condition that made me change the kind and/or amount of food I eat. 

I eat fewer than 2 meals per day. 

I eat few fruits or vegetables. 

I eat or drink few milk products. 

I have 3 or more drinks of beer, liquor or wine almost every day. 

I have tooth or mouth problems that make it hard for me to eat. 

I don't always have enough money to buy the food I need. 

I eat alone most of the time. 

I take 3 or more different prescribed or over-the-counter drugs a day. 

Without wanting to, I have lost or gained 10 pounds in the last 6 months. 

I am not always physically able to shop, cook, and/or feed myself. 
 
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Last revised: 04/20/99
Comments: Donna Johnson (djohn@u.washington.edu)
 http://depts.washington.edu/~commnutr/cases/spokane/s-assess.htm