Sarcopenia Risk Assessment Questions

1. What is your age?

70 years and above Below 70 years

2. Have you been hospitalised in the past year?

More than once Once None

3. What is your physical activity level?

How far can you walk on your own?

Able to walk below 1,000 meters Able to walk 1,000 meters and more

4. Do you regularly consume three meals per day?

No Yes

5. Do you consume dairy products daily?

No Yes

6. Do you consume meat, fish, eggs, legumes or similar protein foods daily?

No Yes

7. Have you experienced weight loss in the past year (>2 kg)?

Yes No

8. What is your current height and weight?

Height

cm

Weight

kg

9. On average, how many steps do you walk daily?

Less than 1,000 steps (Less than 10 minutes of walking) 1,000–2,999 steps (10–30 minutes of walking) 3,000–4,999 steps (30–45 minutes of walking) 5,000–7,499 steps (45–75 minutes of walking) 7,500–9,999 steps (75–100 minutes of walking) 10,000 steps or more (Over 100 minutes of walking)

10. What kind of strength training do you usually do?

11. How often do you do strength training?

12. What do you usually have for breakfast? Please include portion sizes and ingredients.

Please be precise with your answer to help us offer a better recommendation.

13. What do you usually have for lunch? Please include portion sizes and ingredients.

Please be precise with your answer to help us offer a better recommendation.

14. What do you usually have for dinner? Please include portion sizes and ingredients.

Please be precise with your answer to help us offer a better recommendation.

15. How often do you drink milk?

Never or rarely Once a week or less 2–3 times a week 4–6 times a week Once a day More than once a day