| |
YES |
| I have an illness or condition that made me change the kind and
/ or amount of food I eat. |
2 |
| I eat fewer than 2 meals per day. |
3 |
| I eat few fruits or vegetables, or milk products. |
2 |
| I have 3 or more drinks of beer, liquor or wine almost every
day. |
2 |
| I have tooth or mouth problems that make it hard for me to eat. |
2 |
| I don't always have enough money to buy the food I need. |
4 |
| I eat alone most of the time. |
1 |
| I take 2 or more different prescribed or over-the-counter drugs
a day. |
1 |
| Without wanting to, I have lost or gained 10 pounds in the last
6 months. |
2 |
| I am not always physically able to shop, cook and / or feed
myself. |
2 |
|
Total |
|
