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SCREENING QUESTIONNAIRE
Name: ___
Date: ___
Even though Steps to Healthier Aging: Eat Better & Move More Program is not overly
strenuous, some individuals should be evaluated by a health professional
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How to fill out screening questionnaire - nutrition

How to fill out a screening questionnaire - nutrition:
01
Start by reading and understanding each question on the questionnaire thoroughly. Take note of any specific instructions or guidelines provided.
02
Take your time to reflect on your eating habits, dietary preferences, and any relevant health conditions you may have. It is important to provide accurate and honest answers.
03
Answer each question to the best of your knowledge and ability. If you are unsure about a particular question, you can either provide your best estimate or leave it blank if the option is available.
04
Double-check your responses before submitting the questionnaire to ensure accuracy and completeness. This can help in obtaining the most accurate assessment of your nutritional status.
Who needs a screening questionnaire - nutrition:
01
Individuals who are experiencing nutritional deficiencies or imbalances: This may include people who have specific dietary restrictions, chronic health conditions, or those recovering from illnesses or surgeries where proper nutrition plays a crucial role.
02
Athletes and fitness enthusiasts: People who engage in intense physical activities often have higher nutritional requirements. A screening questionnaire can help identify any nutritional gaps and provide recommendations for optimal performance.
03
Individuals seeking weight management: Whether it's losing or gaining weight, a screening questionnaire can assess a person's current dietary habits and offer personalized suggestions to achieve their goals.
04
Those interested in improving overall health and wellness: A screening questionnaire can provide valuable insights into dietary patterns, potentially identifying areas where nutrition can be enhanced for better overall health outcomes.
05
Individuals with specific health concerns: Certain health conditions like diabetes, cardiovascular diseases, or gastrointestinal disorders may require special attention to nutrition. A screening questionnaire can help identify specific dietary needs and develop personalized dietary plans.
Remember, screening questionnaires should be used as a tool to assess nutritional status and guide individuals towards making informed decisions about their diet. It is recommended to consult with a healthcare professional or registered dietitian for a comprehensive evaluation and personalized advice.
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What is screening questionnaire - nutrition?
The screening questionnaire - nutrition is a form used to gather information about an individual's dietary habits and nutritional status.
Who is required to file screening questionnaire - nutrition?
Everyone participating in a nutrition program or study may be required to fill out the screening questionnaire - nutrition.
How to fill out screening questionnaire - nutrition?
The screening questionnaire - nutrition can be filled out online, on paper, or through an in-person interview with a healthcare provider.
What is the purpose of screening questionnaire - nutrition?
The purpose of the screening questionnaire - nutrition is to assess an individual's nutritional needs and provide appropriate guidance and recommendations.
What information must be reported on screening questionnaire - nutrition?
Information such as eating habits, food preferences, dietary restrictions, medical conditions, and current nutritional intake may need to be reported on the screening questionnaire - nutrition.
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