Malnutrition Assessment Survey

The Malnutrition Assessment Survey is a tool used to assess an individual's risk of malnutrition. It is a simple, quick and easy to use assessment that can be completed by a health professional, carer or family member. The MAS has been designed to be used in a variety of settings, including hospitals, residential aged care facilities, community health services and private homes.

Time to complete

2 minutes

Eligibility

To be eligible to fill out the MAS, an individual must be at least 18 years of age and have a body mass index (BMI) of less than 18.5 kg/m2.

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Questions for Malnutrition Assessment Survey

1.

Have you ever been diagnosed with malnutrition?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
2.

Are you currently at risk of malnutrition?

The answer should be a text input.
3.

Do you have any medical conditions that increase your risk of malnutrition?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
4.

Are you currently taking any medications that could increase your risk of malnutrition?

The answer should be a text input.
5.

Do you have any difficulty eating or drinking?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
6.

Do you have any difficulty swallowing?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
7.

Do you have any pain or discomfort when eating or drinking?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
8.

Do you have any other symptoms of malnutrition?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
9.

Have you lost weight unintentionally in the last 6 months?

The answer should be a text input.
10.

Have you noticed a change in your appetite or eating habits in the last 6 months?

The answer should be a text input.
11.

Do you eat the recommended daily intake of fruits and vegetables?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
12.

Do you eat the recommended daily intake of protein?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
13.

Do you eat the recommended daily intake of calories?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
14.

Do you eat the recommended daily intake of fiber?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
15.

Do you eat the recommended daily intake of vitamins and minerals?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
16.

Are you physically active?

The answer should be a text input.
17.

Do you smoke tobacco?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
18.

Do you drink alcohol?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
19.

Do you use illicit drugs?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
20.

Do you have any other risk factors for malnutrition?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure

Similar Ideas

  • Malnutrition Universal Screening Tool
  • Mini Nutritional Assessment
  • Nutrition Risk Assessment Tool
  • Subjective Global Assessment

Here are some FAQs and additional information
on
Malnutrition Assessment Survey

What is the Malnutrition Assessment Survey?

The Malnutrition Assessment Survey is a tool that health care providers can use to screen patients for signs of malnutrition.

Who is at risk for malnutrition?

Patients who are malnourished or at risk for malnutrition are those who have inadequate intake of calories and/or nutrients, have recent weight loss, or have certain medical conditions or diseases.

What are the consequences of malnutrition?

Malnutrition can lead to a number of serious health problems, including muscle weakness, organ damage, and an increased risk of infection.

How can I prevent malnutrition?

Eating a balanced diet and getting adequate nutrition is the best way to prevent malnutrition. If you are at risk for malnutrition, your health care provider may recommend certain supplements or medications.

How is the Malnutrition Assessment Survey used?

The Malnutrition Assessment Survey is a tool that health care providers can use to screen patients for signs of malnutrition. The survey consists of questions about patients' medical history, diet, and current symptoms.

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