3 minutes
Patients who are 18 years of age or older and are admitted to the hospital for at least 24 hours are eligible to participate in the survey.
Have you ever been diagnosed with malnutrition?
Are you currently at risk for malnutrition?
Do you have any medical conditions that put you at risk for malnutrition?
Do you have difficulty eating or swallowing?
Do you have any food allergies or intolerances?
Do you have any digestive problems?
Do you have any medical conditions that cause you to urinate frequently?
Do you have any medical conditions that cause you to have loose stools or diarrhea?
Do you have any medical conditions that cause you to vomit frequently?
Do you have any medical conditions that cause you to have a decreased appetite?
Do you have any medical conditions that cause you to have difficulty digesting fat?
Do you have any medical conditions that cause you to have difficulty digesting protein?
Do you have any medical conditions that cause you to have difficulty digesting carbohydrates?
Do you have any medical conditions that cause you to have a decreased absorption of nutrients?
Are you on any medications that put you at risk for malnutrition?
Are you pregnant or breastfeeding?
Are you underweight?
Have you lost weight recently without trying?
Do you have a poor appetite?
Do you eat fewer than three meals per day?
Do you eat mostly unhealthy foods?