Food Insecurity Questions
AAFP Social Needs Screening Tool
Within the past 12 months, you worried that your food would run out before you got money to buy more.
Often true
Sometimes true
Never true
Within the past 12 months, the food you bought just didn’t last and you didn’t have money to get more.
Often true
Sometimes true
Never true
AccessHealth Spartanburg Screening Tool
Have you applied for or do you receive food stamps (SNAP) benefits?
Yes/ No
Accountable Health Communities Health-Related Social Needs Screening Tool
Within the past 12 months, you worried that your food would run out before you got money to buy more.
Often true
Sometimes true
Never true
Within the past 12 months, the food you bought just didn't last and you didn't have money to get more.
Often true
Sometimes true
Never true
ACORN Screening Tool
Within the past 12 months, you worried whether your food would run out before
you got money to buy more
Often True
Sometimes True
Never True
Within the past 12 months, the food you bought just didn’t last and you didn’t
have money to get more.
Often True
Sometimes True
Never True
Do you need help getting food for this
week?
Yes
No
Arlington Screening Tool
Within the past 12 months, did you worry that your food would run out before you got money to buy more?
Yes/No
Boston Medical Center-Thrive Screening Tool
Within the past 12 months, the food you bought just didn’t last and you didn’t have money to get more.
Often true
Sometimes true
Never true
Within the past 12 months, you worried whether your food would run out before you got money to buy more.
Often true
Sometimes true
Never true
Is this an emergency, do you need food for tonight?
Yes/ No
HealthBegins Upstream Risk Screening Tool
Which of the following describes the amount of food your household has to eat:
Enough to eat
Sometimes not enough to eat
Often not enough to eat
Health Leads Social Needs Screening Toolkit
In the last 12 months, did you ever eat less than you felt you should because there wasn’t enough money for food?
Yes/No
Total Health Assessment Questionnaire for Medicare Members (KP)
Do you eat fewer than two meals a day?
Yes/No
Do you always have enough money to buy the food you need?
Yes/No
North Carolina Medicaid Screening Tool
Within the past 12 months, did you worry that your food would run out before you got money to buy more?
Yes/ No
Within the past 12 months, did the food you bought just not last and you didn’t have money to get more?
Yes/ No
PRAPARE
In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?
Food: Yes/No
Structural Vulnerability Assessment Tool
Do you have adequate nutrition and access to healthy food?
WellRx Toolkit
In the past 2 months, did you or others you live with eat smaller meals or skip meals because you didn’t have money for food?
Yes/No
Kaiser Permanente's Your Current Life Situation
In the past 3 months, did you have trouble paying for any of the following? (Select ALL that apply)
Food
In the past 3 months, how often have you worried that your food would run out before you had money to buy more?
Never
Sometimes
Often
Very often
Optional: Are you easily able to get enough healthy food to eat?
Yes
No