Few Questions To Include In A Nutrition Assessment Form

Getting your clients' input regarding the nutrition assessments you perform on them is essential. These survey forms provide valuable data about your clients' eating, how much exercise they're getting, and how they feel about their overall health.

By asking the right questions, you can gain insight into your client's needs and help them make healthy changes to their lifestyle that will last.

Include these questions in your nutrition assessment forms to gather high-quality information from your clients.

Do you have any food allergies or intolerances?

Knowing if someone has any food allergies or intolerances is essential because it can help you cater meals and snacks that meet their needs. If someone has a severe allergy, it's crucial to have that information in an emergency.

When was the last time you had a medical check-up?

A lot can change in a year—including one's weight, eating habits, and how well they're managing diabetes or other chronic conditions. That's why it's crucial to have a regular check-up with the doctor and always to include a nutrition assessment.

How many servings of vegetables do you eat per day?

It's essential to get an idea of how many servings of vegetables someone eats per day because it can be a good indicator of their overall nutrient intake. Vegetables are packed with vitamins, minerals, and fiber and should be a part of every healthy diet.

If someone isn't eating enough vegetables, they may be at risk for deficiencies in particular nutrients. Additionally, getting enough daily servings has been linked to lower rates of chronic diseases like heart disease and cancer.

Do you experience stress regularly, even short-term stress like test days, holidays, relationship problems, etc.?

Stress can wreak havoc on our bodies, especially when not taking care of ourselves properly. When stressed, our bodies go into fight-or-flight mode and release cortisol, leading to weight gain, trouble sleeping, and many other problems. That's why it's so important to assess patients' stress levels and ensure they're taking steps to reduce stress in their life. Here are a few critical questions you may group:

1. What is your current diet like?
2. Do you eat breakfast every day?
3. Do you snack during the day?
4. What type of foods do you typically eat for meals?

Are there any underlying psychological issues affecting your eating habits, such as depression, anxiety, low self-esteem, etc.?

Getting a clear picture of your patient's psychological state is essential because it can significantly impact their eating habits. If they're suffering from depression, anxiety, or low self-esteem, they may be more likely to turn to food for comfort. This question can lead to unhealthy eating habits and weight gain. Therefore, asking about any psychological issues affecting their eating habits is essential.

Which vitamins, supplements, and medications are you currently taking?

Asking your patients about their current supplement use is essential for a few reasons:

1. You can get a sense of what they are already doing and whether or not they are filling any potential nutrient gaps.
2. You can avoid any possible drug-nutrient interactions.
3. You can make sure they are using products that are safe and effective.

Free Nutrition Assessment Form Template

If you are a medical practitioner needing a free nutrition assessment form template, you are in luck. We've got you covered. Need something new? You could create a new form using our free online form builder.