Mini Nutritional Assessment -- Screening Questionnaire
Answer every question.
Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties?
0 = severe decrease in food intake
Weight loss during the last 3 months
0 = weight loss greater than 3 kg (6.6 lbs)
0 = bed or chair bound
Has suffered psychological stress or acute disease in the past 3 months?
0 = yes
0 = severe dementia or depression
Body Mass Index (BMI) (weight in kg) / (height in m squared)
0 = BMI less than 19
If BMI is not available, use calf circumference in cm
0 = CC less than 31