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This quiz developed by the Nutrition Screening Initiative, a project of the American Academy of Family Physicians, The American Dietetic Association, and the National Council On The Aging, INC.

 

	YES	NO
I am not always able to physically shop, cook and/or feed myself.
Without wanting to, I have lost or gained 10 pounds in the last 6 months.
I take 3 or more different prescribed or over-the-counter drugs a day.
I eat alone most of the time.
I don't always have enough money to buy the food i need.
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 and vegetables or milk products
I have 3 or more drinks of beer, wine, or liquor almost every day
I have tooth or mouth problems that make it hard for me to eat.

Your Score

The warning signs of poor nutritional health are often overlooked. Use this quiz to find out if you or someone you know is at nutritional risk.

Read the statements below. Answer "Yes" for any questions that pertain to you. Click on "Calculate Score" to find your nutritional health score.

If Your Score Is-

0-2	Good! Recheck your nutritional score in 6 months.
3-5	You are at moderate nutritional risk. See what can be done to improve your eating habits and lifestyle. Your office on aging, senior nutrition program, senior citizens center or health department can help. Recheck your nutritional score in 3 months.
6 +	You are at high nutritional risk. Bring a printout of this quiz next time you see your doctor, dietitian, or other qualified health or social service professional. Talk with them about any problems you may have. Ask for help to improve your nutritional health.