Table 1.

Social Determinants of Health

Domain	Question	Answer
Food insecurity	In the past 12 months, did you ever eat less than you felt you should because there wasn't enough food?	Yes/No
Housing instability	In the past 12 months, did you ever have to sleep at a friend or family member's house because you had no place else to live?	Yes to either/no to both
	In the past 12 months, did you ever have to sleep outside, in a public place, or in a shelter because you had no place else to live?	Yes to either/no to both
Financial hardship	In the past 12 months, did you ever not have enough money to pay your basic living expenses (mortgage, rent, utilities, medicines, etc.)?	Yes/No