Results Found

• Accountable Health Communities Health-Related Social Needs (AHC-HRSN)
  A 10-item screening tool, with 16 supplemental questions, to identify patient needs that can be addressed through community services in 4 domains (economic stability, social & community context, neighborhood & physical environment, and food).
  
  
  

• HealthBegins
  A screening tool with 28 questions assessing 5 domains (economic stability, education, social & community context, neighborhood & physical environment, and food).
  
  
  

• HelpSteps (Online Advocate)
  A 74-121 item questionnaire assessing demographics and health-related social problems in 5 domains (economic stability, education, health & clinical care, neighborhood & physical environment, and food).
  
  
  

• Health Leads
  A 7-item questionnaire assessing needs in 5 domains (economic stability, education, social & community context, neighborhood & physical environment, and food).
  
  
  

• Income, Housing, Education, Legal Status, Literacy, Personal Safety (IHELLP) Questionnaire
  Questionnaire with 14-24 questions assessing needs across 5 domains (economic stability, education, social & community context, neighborhood & physical environment, and food).
  
  
  

• Institute of Medicine (IOM)
  A 23-29 item questionnaire that addresses needs in 3 domains (economic stability, social & community context, and neighborhood & physical environment).
  
  
  

• Legal Checkup
  Questionnaire with 17-18 questions assessing needs across 5 domains (economic stability, social & community context, health and clinical care, and neighborhood & physical environment, and food).
  
  
  

• Medical-Legal Partnership (MLP)
  Questionnaire that addresses needs in 5 domains (economic stability, education, social & community context, health and clinical care, and neighborhood & physical environment).
  
  
  

• Partners in Health Survey
  A 118-item questionnaire used both to guide and evaluate community health improvement efforts assessing needs across 4 domains (economic stability, social & community context, health and clinical care, and neighborhood & physical environment).
  
  
  

• Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE)
  A 13-36-item questionnaire that addresses needs in 5 domains (economic stability, education, social & community context, health and clinical care, and neighborhood & physical environment).
  
  
  

• Social History Template
  A 7 or 8-item questionnaire that addresses needs in 3 domains (economic stability, neighborhood /physical environment, and food).
  
  
  

• Social Needs Checklist
  A 5-minute questionnaire exploring areas of social need in 4 domains (economic stability, social & community context, health and clinical care, and neighborhood & physical environment).
  
  
  

• Structural Vulnerability Assessment Tool
  A 43-item questionnaire assessing needs across 6 domains (economic stability, education, social & community context, health and clinical care, neighborhood & physical environment, and food).
  
  
  

• Safe Environment for Every Kid (SEEK)
  A 20-item questionnaire assessing needs in 3 domains (social & community context, neighborhood /physical environment, and food).
  
  
  

• Survey of Well-being of Young Children (SWYC)
  A 12-item questionnaire assessing needs in 3 domains (education, neighborhood /physical environment, and food).
  
  
  

• Total Health Assessment Questionnaire for Medicare Members
  A 36-item questionnaire assessing needs in 5 domains (economic stability, education, social & community context, neighborhood & physical environment, and food).
  
  
  

• Urban Life Stressors Scale (ULSS)
  A 21-item instrument to measure community-level stressors as potential sources of psychological and emotional stress experienced by persons living in medium to large cities in 3 domains (economic stability, social & community context, and neighborhood & physical environment).
  
  
  

• WeCare
  A 10-item questionnaire assessing needs in 4 domains (economic stability, education, neighborhood & physical environment, and food).
  
  
  

• Well Rx
  An 11-item questionnaire assessing needs in 4 domains (economic stability, education, neighborhood & physical environment, and food.
  
  
  

• Women's Health Questionnaire
  A 10-page questionnaire designed to identify health and social risks in 6 domains (economic stability, education, social & community context, health & clinical care, neighborhood & physical environment, and food).
  
  
  

• Your Current Life Situation (YCLS)
  An up to 32-item questionnaire assessing needs in 6 domains (economic stability, education, social & community context, health & clinical care, neighborhood & physical environment, and food).