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. 2023 Apr 21;11:e15263. doi: 10.7717/peerj.15263

Table 2. Question types and their frequency of inclusion, with examples.

Category (No. of items) Example question Response options
Education
Educational attainment (4) What is the highest level of education you completed? □ No formal schooling □ Primary school □ Secondary school (high, tech etc.) □ Tertiary □ Other (please specify): ___
Literacy and health literacy (10) Do you ever need help understanding what your doctor tells you, or help reading health information? □ Yes □ No
Child education (11) Do you have concerns about your child’s learning or school performance? □ Yes □ No
Economic stability
Employment status (14) What is your current work situation? □ Unemployed □ Part-time or temporary work □ Full-time work □ Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver) □ Other, please write: ______ □ I choose not to answer
Financial stability (27) How would you say you are managing financially at the moment? How hard is it for you to pay for the very basics like food, housing, medical care, and heating? □ Living comfortably □ Getting by □ Finding it difficult □ Not hard at all □ Not very hard □ Somewhat hard □ Hard □ Very hard □ Prefer Not to Answer
Income (1) What is your average weekly household income? __ (select option e.g. □ $25,000–$39,999 □ $40,000–$55,000….)
Financial support (2) What is your primary source of financial support? □ Self □ Spouse/Partner/Significant Other □ Parent □ Disability (SSI or SSD) □ Government/Public Assistance □ Social Security Retirement □ Retirement (not social security) □ Other (please specify) □ Do not know/unable to answer
Social and community context
Marital/living status (7) Which of the following best describes your living arrangements? □ Live with partner only □ Live with partner and children □ Sole parent with children □ Live with parents/other related adults □ Live with unrelated adults □ Other, please specify: _
Social support—personal (24) In a typical week, how many times do you talk on the telephone with family, friends, or neighbours? □ Never □ Once a week □ Twice a week □ 3 times a week □ More than 3 times a week
Social support—community (24) How often do you attend meetings of the clubs or organizations you belong to? □ Never □ 1 to 4 times per year □ more than 4 times per year
Community programs (10) In the last 12 months, have you received assistance from an organization or program to help you with any of the following? □ None □ At least 1: □ Transportation □ Paying utility bills □ Education □ Food □ Paying for medications □ Childcare □ Housing □ Job search or training □ Care for elder or disabled
Health and clinical care
Access and affordability (19) Have you needed to see a doctor but could not because it costs too much? □ Yes □ No
Health insurance (4) How stressful do you find concerns about lack of health insurance or inadequate insurance? □ Not at all stressful □ A little bit stressful □ Moderately stressful □ Very stressful □ Extremely stressful □ Issue listed is not relevant to my family
Neighbourhood and physical environment
Housing status (13) Which of the following best describes your current living situation? □ House □ Flat, unit or apartment □ Retirement village □ Caravan or mobile home □ Housing trust □ Supported accommodation □ Other, please specify:__
Housing insecurity (35) How concerned are you that you will not have a place to live sometime in the next 6 months? □ Very concerned □ Somewhat concerned □ Not concerned □ I choose not to answer
Home environment/safety (23) Think about the place where you live. Do you have problems with any of the following? Pests (mice or roaches), mould, no/not working smoke detectors, water leaks, no window guards? □ Yes □ No
Neighbourhood safety (3) Do you feel safe in your neighbourhood? □ Never □ Rarely □ Sometimes □ Often □ Always □ Not Applicable
Food insecurity
Food (in)sufficiency (50) In the past month, did anyone in your family go hungry because there was not enough money? □ Yes □ No
Healthy food access/affordability (30) How often is client able to afford to buy healthy food for themselves and family? □ Never □ Rarely □ Sometimes □ Often □ Always □ Not Applicable
Utility needs
Difficulty paying bills (17) In the past 12 months, have you worried that any utility (electric, gas, water or oil) would be shut off for not paying your bills? □ Yes □ No □ Already shut off □ I prefer not to answer
Problems with utilities (5) Are you currently having issues at home with your utilities, such as your heat, electric, natural gas or water? □ Yes □ No
Transportation barriers
Impact on medical appointments (21) In the last 12 months, has lack of transportation kept you from medical appointments or from getting medications? □ Yes □ No
Other access barriers (8) In the past 12 months, has lack of transportation kept you from meetings, work, or getting things needed for daily living? □ Yes □ No □ Prefer not to answer
Interpersonal violence or safety
Safety—general (2) Do you feel unsafe in your daily life? □ Yes □ No
Safety at home (5) Are you or your family worried about feeling safe in your home? □ Yes □ No
Safety in relationships (30) Do you feel that you and/or your children are safe in your relationships? □ Yes □ No
Safety in neighbourhood (2) Do you have concerns about safety in your neighbourhood? □ Yes □ No
Stress
General stress (8) Stress means a situation in which a person feels tense, restless, nervous or anxious or is unable to sleep at night because his/her mind is troubled all the time. Do you feel this kind of stress these days? □ All of the time □ Most of the time □ Some of the time □ A little of the time □ None of the time