| Does the patient have any weight loss/ Weight gain?: | |
| Does the patient appear emaciated or BMI is Below <18.5 ?: | |
| Does the patient look Obese or BMI is above >30: | |
| Does the patient have any GL Symptoms like Constipation, Nausea, Diarrhea, Anorexia, Vomiting, chewing/swallowing difficulty affecting oral intake in last 2 weeks: | |
| Does the patient have any enteral tube feeding : | |
| Does the patient have any parenteral tube feeding: | |
| Food Pattern Followed : | Vegetarian |
| Appetite | Good |