Table 1.

Transportation Screeners

ScreenerQuestionResponseDomain
AAFP Social Needs Screening Tool20In the past 12 months, has lack of transportation kept you from medical appointments, meetings, work or from getting things needed for daily living?
  • Yes, it has kept me from medical appointments or getting medications

  • Yes, it has kept me from non-medical meetings, appointments, work, or getting things that I need

  • No

Medical
Pharmacy
Daily living
Accountable Health Communities Health Related Social Needs Screening Tool21In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living?
  • Yes/no

Medical
Daily living
Arlington Screening Tool19Do you have trouble finding or paying for a ride (or any form of transportation)?
  • Yes/no

Non-medical
Boston Medical Center- Thrive Screening Tool22
  1. Do you have trouble getting transportation to medical appointments

  2. Would you like help connecting to resources?

  1. Yes/no

  2. [transportation to medical appointments as one option]

Medical
HealthBegins -Upstream Risk Screening Tool23How often is it difficult to get transportation to or from your medical or follow-up appointments?
  • Does not apply

  • Never

  • Sometimes

  • Often

  • Always

Medical
Health Leads Social Needs Screening Toolkit24In the past 12 months, have you ever had to go without health care because you didn't have a way to get there?
  • Yes/no

Medical
North Carolina Medicaid Screening Tool25Within the past 12 months, has a lack of transportation kept you from medical appointments or from doing things needed for daily living?
  • Yes/No

Medical
Daily living
PRAPARE26Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?
  • Yes, it has kept me from medical appointments

  • Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need

  • No

  • I choose not to answer this question

Medical
Daily living
WellRx Toolkit18Do you have trouble finding or paying for a ride?
  • Yes/No

Non-medical
Cost
Kaiser Permanente's Your Current Life Situation Survey27
  1. In the past 3 months, did you have trouble paying for any of the following? (Select all that apply, transportation being an option)

  2. Has lack of transportation kept you from medical appointments or from doing things needed for daily living?

  3. Which of the following would you like to receive help with at this time? (select ALL that apply)

  4. How hard is it to get your medications and medical supplies when you need them?

  1. Select all that apply (transportation being an option)

  2. Available responses:

    • Kept me from medical appointments or from getting medications

    • Kept me from doing things needed for daily living

    • Not a problem for me

  3. Transportation as one of options

  4. Not at all hard, somewhat hard, very hard

Medical
Pharmacy
Daily living
Cost
HelpSteps28In the past 12 months, has lack of transportation kept you from medical appointments, meetings, work or from getting things needed for daily living
  • Yes/No

Medical
Daily living
Partners in Health Survey Instrument15Owns a car
Easy or hard to get around
  • Yes/no

  • Very easy-very hard

Non-medical
Car ownership
Experience of transportation
Urban Life Stressors Survey16Transportation as a cause of stress
  • Likert scale 1 to 5 with 1 indicating no stress and 5 extreme stress

Non-medical
Experience of transportation
Social Needs Checklist17Any difficulties with or problems with [transportation as one of domains]
  • Likert scale 1 (not at all), 2 (some), 3 (a great deal)

Non-medical
Experience of transportation