This questionnaire asks about your eating habits over the past month. There are 9 questions. For each food group, select the answer that best describes how often you eat it on average.
Think about a typical week, not just recent days. Your answers go directly to your care team.
⏱ About 3 minutes
✎ 9 questions
🔒 Sent to your clinician
📅 Past month
🙏
Thank you for completing the questionnaire
Your answers have been saved and sent to your care team. There is nothing else you need to do right now.
🏥Please hand the tablet back to your nurse or clinician.
CLINICIAN VIEW
DIS Results — Margaret Thornton
Scores not shown to patient · PIN-protected access
For demonstration purposes only. This is not a diagnostic tool. Results are for clinician review only and do not constitute clinical nutrition advice or a treatment recommendation.