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. 2016 Aug 31;6:199. doi: 10.3389/fonc.2016.00199

Table 2.

G8 screening questionnaire in elderly patients (43).

Items Score
1. Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing, or swallowing difficulties? 0 = severe reduction in food intake
1 = moderate reduction in food intake
2 = normal food intake
2. Weight loss during the last 3 months 0 = weight loss more than 3 kg
1 = does not know
2 = weight loss between 1 and 3 kg
3 = no weight loss
3. Mobility 0 = bed or chair bound
1 = able to get out of bed/chair but does not go out
2 = goes out
4. Neuropsychological problems 0 = severe dementia or depression
1 = mild dementia or depression
2 = no psychological problems
5. Body mass index (BMI) = weight in kg/height in m2 0 = BMI <19
1 = 19 ≤ BMI < 21
2 = 21 ≤ BMI < 23
3 = BMI ≥ 23
6. Takes more than three medications per day? 0 = yes
1 = no
7. In comparison with other people of the same age, how does the patient consider his/her health status? 0.0 = not as good
0.5 = does not know
1.0 = as good
2.0 = better
8. Age 0 = over 85 years
1 = 80–85 years
2 = under 80 years
Total score 0–17 (abnormal if ≤14)

Reprinted with permission. © 2014 American Society of Clinical Oncology. All rights reserved.