Education Questions

AAFP Social Needs Screening Tool

Do you have a high school degree?
Yes/ No

AccessHealth Spartanburg Screening Tool

What is the last grade you completed in school?
If you have a college degree, what in?

Boston Medical Center-Thrive Screening Tool

Are you interested in more education?
Yes/ No

Accountable Health Communities Health-Related Social Needs Screening Tool

Supplemental: Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent.
Yes/No

HealthBegins Upstream Risk Screening Tool

What is the highest level of school you have completed? Check one.
Elementary School
High School
College
Graduate / Professional School

What is the highest degree you earned? Check one.
High school diploma
GED
Vocational certificate (post high school or
GED)
Associate’s degree (junior college)
Bachelor’s degree
Master’s degree
Doctorate

Are you concerned about your child’s learning, performance, or behavior inschool?
Yes
No
Not applicable

Medical-Legal Partnership IHELLP

Please indicate which of the following (if any) describe a problem with your child’s education.
A child of mine is receiving special education services and has an Individualized Education Plan (IEP) but it is not working well (e.g., not being followed, IEP doesn’t address needs, or student repeatedly suspended/expelled).
A child of mine is struggling in school (e.g., at risk of failing, repeatedly suspended/expelled or being held back) and is not getting special education services
I have requested a special education evaluation (“multifactored evaluation”) that may lead to an IEP but the school has not responded

National Academy of Medicine Domains

What is the highest level of school you have completed?
What is the highest degree you earned?

PRAPARE

What is the highest level of school that you have finished?
Less than a high school degree
High school degree or GED
More than high school

Structural Vulnerability Assessment Tool

What level of education have you reached?

WellRx Toolkit

Do you need help getting more education?
Yes/No

Kaiser Permanente's Your Current Life Situation Survey

Optional: What was the highest grade or level of school that you have completed?
8th grade or less
Some high school, but did not graduate
High school graduate or GED
Some college or Associates degree
Bachelor's degree (B.A., B.S., etc.)
Graduate/professional degree (MA, PhD, MD, etc.)

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