How hard is it for you to pay for the very basics like food, housing, medical care, and heating:Find:Pt:^Patient:Ord:
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Wants help finding or keeping work or a job:Find:Pt:^Patient:Ord:
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Able to get help with daily activities when needed:Find:Pt:^Patient:Ord:
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How often do you feel lonely or isolated from those around you:Find:RptPeriod:^Patient:Ord:CMS Assessment
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Speaks a language other than English at home:Find:Pt:^Patient:Ord:
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Wants help with school or training:Find:Pt:^Patient:Ord:
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How many D per W did you engage in moderate to strenuous physical activity in the last 30D:NRat:30D:^Patient:Qn:
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d/wk
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On those D that you engage in moderate to strenuous exercise, how many M, on average, do you exercise:NRat:Pt:^Patient:Qn:
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min/d
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How many times in the past Y have you have X or more drinks in a D:NRat:1Y:^Patient:Qn:
?
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{#}/a
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Tobacco freq 12Mo
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Prescription drug use 1Y
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Illegal drug non-med reason past Y nRate
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{#}/a
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Little interest or pleasure in doing things in last 2W:Find:2W:^Patient:Ord:
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Feeling down, depressed, or hopeless in last 2W:Find:2W:^Patient:Ord:
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Stress level
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Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions:Find:Pt:^Patient:Ord:
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Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping:Find:Pt:^Patient:Ord:
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