Table 2:

Questions to Evaluate Acceptability

Elements of Acceptability	Post-SEDOH-88 Questions (Patient)
Burden (Number of Questions)	Thinking about the number of questions on this survey, did you feel that the survey was:   a) Unacceptable   b) Very burdensome   c) Somewhat burdensome   d) A little burdensome   e) Not at all burdensome
Ethicality (Appropriateness of Q’s)	Do you think it is appropriate to be asked about your social and economic needs at this clinic?   a) Very inappropriate   b) Somewhat inappropriate   c) Neither appropriate nor inappropriate   d) Somewhat appropriate   e) Very appropriate
Intervention Coherence (Face Validity)	How much do you agree with the following statement? I feel that my doctors are able to provide better care for me when they know this information about me.   a) Strongly disagree   b) Disagree   c) Neutral   d) Agree   e) Strongly Agree
Affective Attitude (Feelings; strong positive to strong negative)	How does it make you feel that your healthcare team wants to collect this information?   a) Strongly Positive Feelings   b) Positive Feelings   c) Neutral   d) Negative Feelings   e) Strong Negative Feelings
Opportunity Costs (Time Spent)	How much do you agree with the following statement? I feel that providing this information to my healthcare team was worth my time.   a) Strongly disagree   b) Disagree   c) Neutral   d) Agree   e) Strongly Agree
Self-Efficacy (Coherence)	How much do you agree with the following statement? The questions in this survey were asked in a way that I could understand.   a) Strongly disagree   b) Disagree   c) Neutral   d) Agree   e) Strongly Agree
Perceived Effectiveness	How much do you agree with the following statement? This survey captured details about my life that are important for my health.   a) Strongly disagree   b) Disagree   c) Neutral   d) Agree   e) Strongly Agree