Socio-Demographic |
|
1 |
Current marital status |
0 = married or common in law; 1 = single, divorced or widowed |
Micro |
Home Ownership |
|
2 |
Ever homeless |
0 = no; 1 = yes |
Micro |
3 |
Lives in a rooming house, group home, shelter or is currently homeless |
0 = no; 1 = yes |
Meso |
Education |
|
4 |
Highest level of education |
0 = college, university bachelor, graduate, or professional degree; 0.33 = trades or apprenticeship; 0.67 = high school; 1 = less than high school |
Micro |
Social Networks |
|
5 |
Living alone |
0 = no; 1 = yes |
Micro |
Social Support Availability |
|
6 |
Does the patient have someone to count on for help or support |
0 = yes; 1 = no |
Micro |
7 |
Does the patient feel they need more help or support |
0 = no; 1 = yes |
Micro |
8 |
Does the patient have someone to confide in |
0 = yes; 1 = no |
Micro |
Social Participation |
|
9 |
How often patient participated in activities, groups or clubs in the community |
0 = often (weekly); 0.5 = sometimes; 1 = never |
Meso |
10 |
Does the patient volunteer in the community |
0 = yes; 1 = no |
Meso |
11 |
How often patient attends religious services |
0 = often (weekly); 0.5 = sometimes; 1 = never |
Meso |
12 |
How often does the patient get together and socialize with friends |
0 = often (weekly); 0.5 = sometimes; 1 = never |
Micro / Meso |
13 |
How often does the patient get together and socialize with family/relatives |
0 = often (weekly); 0.5 = sometimes; 1 = never |
Micro / Meso |
Income |
|
14 |
Feels that income currently satisfies needs |
0 = no; 1 = yes |
Micro |
Built Environment |
|
15 |
Does the patient say that most people can be trusted |
0 = yes; 1 = no |
Meso |
16 |
Does the patient feel safe in their neighbourhood |
0 = yes; 1 = no |
Exo |
Psychosocial |
|
17 |
Does the patient feel they have control over things that happen to them |
0 = yes; 1 = no |
Micro/ Meso |
18 |
Does the patient feel lonely |
0 = no; 1 = yes |
Micro |