Screening Tool for Malnutrition

A validated nutritional screening tool* to ask your adult patients 6 simple questions (1-4)
*For Healthcare Professionals Only

Please enter the details.

First Name*

Last Name*

Email*

Phone Number*

Date of Birth*

Address

Nationality

Insurance Provider

ID Type

ID Number

Name of General Practitioner

Disclaimer

This information is shared directly and only with healthcare provider/Healthcare record. Nutricia does not keep a copy of their personal details.

*Based on Mini Nutritional Assessment MNA® SF: Mini Nutritional Assessment Short Form.

1. Vellas, et al. J Nutr Health Aging 2006;10:456-465. 2. Rubenstein, et al. J. Geront 2001;56A: M366-377. 3. Guigoz, et al. J Nutr Health Aging 2006; 10:466-487. 4. Kaiser, et al. J Nutr Health Aging 2009; 13:782-788.