The patient or caregiver should fill in
these boxes.
 Box
1 deals with weight changes, both acute and over the last month.
- This section combines the data
from the second sheet which looks at either 1 month or 6 month
changes.
- Click here to
see that worksheet box.
- Click here for a bigger view
of the image to the right.
- The sum of this box and the worksheet
dealing with 1 month changes goes in Box 1.
 Box
2 deals with food intake over the last month.
- Again, click for
a bigger view.
- No summing, just the largest number.
Next, we deal with
symptoms and activity
level. |
