Screener | Question | Response | Domain |
---|---|---|---|
AAFP Social Needs Screening Tool20 | In the past 12 months, has lack of transportation kept you from medical appointments, meetings, work or from getting things needed for daily living? |
| Medical Pharmacy Daily living |
Accountable Health Communities Health Related Social Needs Screening Tool21 | In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living? |
| Medical Daily living |
Arlington Screening Tool19 | Do you have trouble finding or paying for a ride (or any form of transportation)? |
| Non-medical |
Boston Medical Center- Thrive Screening Tool22 |
|
| Medical |
HealthBegins -Upstream Risk Screening Tool23 | How often is it difficult to get transportation to or from your medical or follow-up appointments? |
| Medical |
Health Leads Social Needs Screening Toolkit24 | In the past 12 months, have you ever had to go without health care because you didn't have a way to get there? |
| Medical |
North Carolina Medicaid Screening Tool25 | Within the past 12 months, has a lack of transportation kept you from medical appointments or from doing things needed for daily living? |
| Medical Daily living |
PRAPARE26 | Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? |
| Medical Daily living |
WellRx Toolkit18 | Do you have trouble finding or paying for a ride? |
| Non-medical Cost |
Kaiser Permanente's Your Current Life Situation Survey27 |
|
| Medical Pharmacy Daily living Cost |
HelpSteps28 | In the past 12 months, has lack of transportation kept you from medical appointments, meetings, work or from getting things needed for daily living |
| Medical Daily living |
Partners in Health Survey Instrument15 | Owns a car Easy or hard to get around |
| Non-medical Car ownership Experience of transportation |
Urban Life Stressors Survey16 | Transportation as a cause of stress |
| Non-medical Experience of transportation |
Social Needs Checklist17 | Any difficulties with or problems with [transportation as one of domains] |
| Non-medical Experience of transportation |