Table 2.

Social frailty checklist

Domain	Element	Assessment	Clinical Assessment Timing
Social Needs	Social Supports	Perceived support when needed¹²	Demographic information
Social Needs	Loneliness	UCLA loneliness¹³	Annual Wellness
General Resources	Food Security	Not able to afford the food in household in the last 12 months¹⁴	Annual Wellness
	Housing Security	Have any housing problems¹¹	Annual Wellness
	Elder Abuse	Neglect, physical abuse, psychological abuse, financial abuse¹⁵	Annual Wellness
	Discrimination	Perceived Discrimination Scale¹⁶	Annual Wellness
Social Fulfillment	Leisure time activities	IADLs¹⁷ Internet accessibility	Introduction to Medicare visit/Annual Wellness
Social Fulfillment	Mental Health	PHQ-9¹⁸	Annual Wellness
Self-management	Cognitive Function	See AA Cog screening¹⁹	Annual Wellness
Self-management	Care Planning	Physical exercise and Physical Activity Scale for the Elderly (PASE)²⁰ Health care proxy; and instruction directives²¹ (types of treatment do not want if facing a medical crisis)	Advance Care Planning