Disabilities Questions

Accountable Health Communities Health-Related Social Needs Screening Tool

Supplemental: Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years old or older)
Yes/No

Supplemental: Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? (15 years old or older)
Yes/No

Back to the Table