Nutritional Risk Test

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-couter 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