Twitter LinkedIn
Return to Wellspring


SCREEN©: Seniors in the Community Risk Evaluation for Eating and Nutrition


Project TitleSCREEN©: Seniors in the Community Risk Evaluation for Eating and Nutrition
Track CodeP2750
Short Description

A brief questionnaire that assesses seniors risk for impaired nutritional states

Tagsfood & nutrition, geriatric, health, health & life sciences, lifesciences, nutrition, questionnaire, seniors
Posted DateOct 1, 2009 12:12 PM


SCREEN© (Seniors in the Community: Risk Evaluation for Eating and Nutrition) is a unique nutrition screening tool that caters to seniors living in different settings. It is a questionnaire that determines whether a senior has a potential nutritional problem or is at risk of developing one and identifies those who need further nutrition assessment and treatment. The questionnaire has undergone significant validation and reliability testing and has been used extensively in research and practice. It is recognized and recommended by several national and international bodies, including the World Health Organization and Statistics Canada.

SCREEN© II, the latest version of the questionnaire, consists of 14 questions covering issues that influence the nutritional health of seniors, including:

  • Appetite
  • Frequency of eating
  • Motivation to cook
  • Ability to shop and prepare food
  • Weight changes
  • Isolation and loneliness
  • Chewing and swallowing
  • Digestion
  • Food restrictions due to health conditions

SCREEN© can be self-or interviewer-administered (by telephone or face-to-face) and can be used in a variety of community settings. It identifies when nutrition risk is present, describes the natures of the problem(s) and helps guide decisions about which nutritional services are needed. It also highlights areas in which the senior is performing well as well as where improvement is required. It can also raise a senior’s awareness of nutrition problems and motivate action on the part of the senior.

Researchers can use SCREEN© to examine the association between nutrition factors and health outcomes. Not only that, SCREEN can also be used as a tool for analyzing a community’s resource requirements and evaluating the effectiveness of a community nutrition program.

There are two versions of SCREEN© available, both valid and reliable, with slightly different questions. SCREEN© I consists of 15 items, whereas SCREEN© II consists of 14 with sub-questions for the weight change and meal preparation items.

SCREEN© II is available in Arabic, Italian, Spanish, Urdu, Punjabi, Dutch, Modified Chinese and Japanese. These are for interviewer administration, with instructions in English. An abbreviated version is also available for each of these languages. SCREEN© is easily administered and the full version takes no more than 10 minutes to complete.  In order to receive any of these translated versions, please complete the license agreement for Screen©  and contact  Translated versions will then be emailed.

Additional resources can be found at

Potential Applications

SCREEN© has the potential for use in a variety of settings, including:

  • Research
  • Education
  • Screening for community programs
  • Therapeutic interventions

Third Party Rights

SCREEN© has been available for use by government, researchers, clinicians, service providers and older adults for over 15 years. With the recent development of Nutri-eSCREEN{ }and the expanded interest in helping seniors to eat better and improve their health, the SCREEN© tools and manual will now be offered to users with no licensing fee. 

SCREEN© and the Getting Started with SCREENing Manual are copyright protected. Users will be granted a copyright licence that will allow the unlimited use of SCREEN©and its support materials in a single setting or multiple sites.  For those who wish to incorporate SCREEN© into an electronic medium, please contact Heather Keller at  


State of Development

SCREEN© was developed using a mixed clinimetric and psychometric approach and involved nutrition experts, measurement experts, and seniors. Its validity and reliability has been confirmed through extensive testing and evaluation. It has been validated against the criterion of clinical judgment, based on comprehensive nutrition assessments. Predictive validity (18-month mortality and quality of life) and construct validity have also been documented. Factor analysis and structural equation modeling have been completed as well as inter-rater, intra-rater and test-retest reliability.  

An abbreviated version (8 items) of SCREEN© II is also available for use.  This is equally as valid and reliable as the original version.  A self-management site developed by Dietitians of Canada ( allows older adults to complete the questionnaire, identify areas where they can improve and links them to credible advice around improving their nutritional health.


As people are living longer than ever before, there is increased importance in ensuring the nutritional health and well-being of seniors. Poor nutrition not only affects quality of life, but is linked to hospitalization, institutionalization and mortality. Nutrition screening helps prevent health problems associated with poor food intake and can promote healthy eating habits. Early recognition of nutritional risk and/or challenges provides an opportunity for timely intervention. Recognizing the importance of identifying those seniors who are at risk of impaired nutrition, Prof. Heather Keller, RD, Ph.D, Schlegel Research Chair Nutrition & Aging, of the University of Waterloo’s Department of Kinesiology, developed SCREEN©.


SCREEN© offers a number of advantages, including:

  • Easy to use
  • Proven reliability & validity
  • Internationally recognized
  • Identifies & describes nutritional risk
  • Raises awareness about nutritional problems
  • Considers risk factors other than daily food intake
  • Does not require measurements
  • Recognizes good habits and highlights areas for improvement
  • Motivational tool for changing nutrition behaviour
  • Effective in a small and/or large scale setting
  • Increases efficiency of nutrition and food services
  • Provides data to support program(s)


Name Price
SCREEN© - Educational/research/community programs Free Download