General Nutrition Assessment Form

BMI

UNDERWEIGHTNORMALOVERWEIGHTOBESEEXTREME OBESE
<1919 - 2425 - 2930 - 39>=40
>=4 nutritional risk factor identified2 to 3 nutritional risk factor identified0 to 1 nutritional risk factor identified
Elaine Roach
Wellness 4 Life
9680 Pines Blvd, Pembroke Pines, FL 33024
Phone: (954) 367-6192 Fax: 954-342-9624