Perceived Limited Ability Scale
(4 items)
The following documents include survey questions about perceived limited ability in English, Spanish, Traditional Mandarin and Simplified Mandarin.
» Download English Availability (.doc)
» Download Spanish Availability (.doc)
» Download Mandarin Chinese (Traditional) Availability (.doc)
» Download Mandarin Chinese (Simplified) Availability (.doc)
Qualtrics Survey Files
(4 items)
The following Qualtrics survey files (.qsf) include survey questions about perceived limited ability in English, Spanish, Traditional Mandarin and Simplified Mandarin.
» Download English Availability (.qsf)
» Download Spanish Availability (.qsf)
» Download Mandarin Chinese (Traditional) Availability (.qsf)
» Download Mandarin Chinese (Simplified) Availability (.qsf)
Brief Utilization Scale Screener
(1 item)
This one-item screener is intended for Health-Related Social Needs (HRSN) screening in clinical and community settings.
» Download Instruction for Brief Utilization Screener (.pdf)
Utilization Scale
(4 items)
The following documents include survey questions about utilization in English, Spanish, Traditional Mandarin and Simplified Mandarin.
» Download English Utilization (.doc)
» Download Spanish Utilization (.doc)
» Download Mandarin Chinese (Traditional) Utilization (.doc)
Qualtrics Survey Files
(4 items)
The following Qualtrics survey files (.qsf) include survey questions about utilization in English, Spanish, Traditional Mandarin and Simplified Mandarin.
» Download English Utilization (.qsf)
» Download Spanish Utilization (.qsf)
» Download Mandarin Chinese (Traditional) Utilization (.qsf)
Food Insecurity Stability Scale
(4 items)
The following documents include survey questions about food insecurity stability in English, Spanish, Traditional Mandarin and Simplified Mandarin.
» Download English Stability (.doc)
» Download Spanish Stability (.doc)
Qualtrics Survey Files
(3 items)
The following Qualtrics survey files (.qsf) include survey questions about food insecurity stability in English, Spanish and Traditional Mandarin.
» Download English Stability (.qsf)
Additional Materials
Other 3 Pillars User Guide
The guide provides a brief background on the development of the measures, descriptions of the measures, examples for potential uses, guidance for scoring and interpreting scores.
Manuscript Describing Development and Validity Testing
Manuscript in review. Citation and link coming soon.
Existing Guidance for Conducting Social Risk Screening in Clinical Settings
Ashbrook A, Essel K, Montez K, and Bennett-Tejes D. (2021). Screen and Intervene: A Toolkit for Pediatricians to Address Food Insecurity.