Quick screening for malnourishment of the child (under the age of 5 years)

Welcome to your Child Malnutrition Screening Questionnaire (Children Under 5 Years)

Name

Has your child lost noticeable weight during the last 3 months?

Yes No

Does your child appear thinner than other children of the same age?

Yes No

Has your child had a poor appetite or refused food for more than one week?

Yes No

Does your child eat fewer than 3 meals (including snacks) per day?

Yes No

Has your child experienced frequent diarrhea (3 or more episodes in the past month)?

Yes No

Has your child been ill repeatedly (such as cough, fever, or infections) during the past 3 months?

Yes No

Does your child seem less active, tired, or unusually weak compared to other children?

Yes No

Is your child's height or weight lower than what healthcare providers have previously told you is normal?

Yes No

Do you notice visible signs such as thin arms, prominent ribs, swollen feet, dull hair, or pale skin?

Yes No

10.

Has your child missed routine growth monitoring or health check-ups in the past 6 months?

Yes No

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Child Malnutrition Risk Assessment