Adult Nutrition Assessment Form Page 2
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2How would you describe your appetite?
Are there any foods or textures you dislike?
Do you feel in control of your eating? Please describe:
Do you have a history of disordered eating? Please describe:
Describe any special diets you have followed in the past and how they affected you:
Do you enjoy cooking?
Who does the grocery shopping and where?
How often do you eat out and where?
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