Table 3. Nutritional Health Checklist.

STATEMENT	YES	NO
I have an illness or condition that made me change the kind or amount of food I eat.
I eat fewer than two meals per day.
I eat few fruits, vegetables, or milk products.
I have three or more drinks of beer, liquor, or wine almost every day.
I have tooth or mouth problems that make it hard for me to eat.
I don't always have enough money to buy the food I need.
I eat alone most of the time.
I take three or more different prescription or over-the-counter drugs per day.
Without wanting to, I have lost or gained 10 lb in the past six months.
I am not always physically able to shop, cook, or feed myself.