SDOH screening intake

PRAPARE survey with community-resource referrals and follow-up loop.

Authored byAnonymous Axolotl — Developer 6033@anon-axolotl-6033

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PRAPARE screener · Z-codes auto-mapped

1. Race / ethnicity

2. How many people live in your household?

3. What is your housing situation?

4. Within the past 12 months, were you worried food would run out?

5. Has lack of transportation kept you from medical appts or work?

6. In past 12 months, has utility company shut off service?

7. Do you feel physically and emotionally safe where you currently live?

SDOH risk score

0 / 18

Low risk

No flagged domains yet.

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