4A-SNAQ
| User ID | Date | Name | Document ID | In the room, the stuff is not too close together, so there is plenty of running space and you do not always bump or stumble. | All furniture is well stable; lean on it or seek support goes without sliding or tilting. | The lazy chairs are not too deep, so getting up takes little effort. | There are no loose rugs on the ground over which you can stumble or slip. | The floor is sufficiently stiff, so that slipping is not possible. | The phone is in an easily accessible place. | On the ground there are no loose cords over which you can stumble or slip. | Consent | Entry Date | Entry ID | User IP |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8 | 06/05/2025 | 1.007.158.819 | Yes | Yes | No | Yes | Yes | Yes | No | checked | 06/05/2025 02:13 PM | 150 | 181.59.2.174 | |
| 5 | 11/03/2025 | 1.234.567.890 | Yes | Yes | Yes | Yes | Yes | Yes | Yes | checked | 11/03/2025 06:43 PM | 139 | 186.189.47.10 | |
| 8 | 22/02/2025 | 1.007.158.819 | Yes | No | Yes | Yes | No | Yes | No | checked | 22/02/2025 09:23 PM | 110 | 181.59.148.120 | |
| 8 | 27/01/2023 | 1.007.158.819 | Yes | Yes | Yes | Yes | No | No | Yes | checked | 27/01/2023 01:32 PM | 79 | 186.99.246.241 | |
| 51 | 14/01/2023 | 1.007.158.820 | No | Yes | No | Yes | Yes | No | Yes | checked | 14/01/2023 04:34 PM | 77 | 190.253.162.36 | |
| 51 | 14/01/2023 | 1.007.158.818 | No | No | Yes | No | Yes | No | Yes | checked | 14/01/2023 04:09 PM | 76 | 107.191.34.166 | |
| 8 | 14/01/2023 | 1.007.158.819 | Yes | No | Yes | Yes | Yes | No | Yes | checked | 14/01/2023 04:57 AM | 74 | 190.253.162.36 | |
| 40 | 09/12/2022 | 1.007.158.818 | No | No | No | Yes | Yes | No | No | checked | 09/12/2022 04:59 PM | 45 | 181.32.16.158 | |
| 40 | 07/12/2022 | 1.007.158.818 | No | Yes | No | No | Yes | Yes | No | checked | 07/12/2022 01:51 PM | 33 | 186.170.219.49 | |
| 40 | 05/12/2022 | 1.007.158.818 | Yes | Yes | No | Yes | No | No | Yes | checked | 05/12/2022 07:17 PM | 13 | 186.170.219.49 |
4B - SNAQ
| User ID | Date | Name | Document ID | 1. Did you lose weight unintentionally? | 2. More than 6 kg in the last 6 months | 3. More than 3 kg in the past month | 4. Have you had a reduced appetite in the past month? | 5. Have you been using drinking food or tube feeding in the past month? | 6. Are there other physical complaints? | 7. Does patient already use parenteralia feeding when taken over? | Consent | Entry Date | Entry ID | User IP |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8 | 27/02/2025 | 1.007.158.819 | No | No | No | No | No | No | No | checked | 27/02/2025 03:51 PM | 129 | 181.59.3.22 | |
| 8 | 22/02/2025 | 1.007.158.819 | No | Yes | Yes | No | Yes | Yes | No | checked | 22/02/2025 09:23 PM | 111 | 181.59.148.120 | |
| 40 | 10/01/2023 | 1.007.158.818 | Yes | No | Yes | No | Yes | Yes | Yes | checked | 10/01/2023 03:43 PM | 51 | 186.170.209.18 |
