Table 1.
Screen Item and Valid Responses | Brief Feedback for Positive Responses |
---|---|
Pain | |
Are you having pain today? | Be sure to discuss your pain with your doctor at your visit. In addition, there are other pain management options at Fletcher Allen† that your doctor may recommend. |
No | |
Yes* | |
1–10 rating | |
Smoking | |
Do you smoke? | Please be sure to discuss smoking with your doctor at your visit. Quitting smoking is one of the best things you can do to improve your health. For additional help in quitting smoking, call the Vermont Quit Network at 1–800-QUIT-NOW |
No | |
Yes* | |
Drinking | |
IF MALE: About how many times in the past year have you had five or more drinks 1 day? | Please be sure to discuss drinking habits with your doctor at your visit. Your doctor may have recommendations about how alcohol can affect your health. |
0 | |
1–365* | |
IF FEMALE: About how many times in the past year have you had 4 or more drinks 1 day? | |
0 | |
1–365* | |
Physical activity | |
How physically active are you? | Doctors recommend exercising for at least 30 min, 3 times a week. If you have concerns about your level of physical activity, please discuss them with your doctor at your visit. |
Not at all active* | |
Somewhat active* | |
Very active | |
Weight | |
Are you concerned about your weight? | Be sure to discuss your concerns with your health care provider. He or she can evaluate your weight and make recommendations for how to maintain a healthy weight for you. |
No | |
Yes* | |
Mood | |
During the past 2 weeks, have you felt down, depressed, or hopeless? | Be sure to discuss your feelings with your doctor, who can help you decide if you need further treatment. There are mental health treatment options at Fletcher Allen that your doctor may recommend. |
No | |
Yes* |
IVR interactive voice response. Responses with * are considered positive
†Fletcher Allen refers to Fletcher Allen Health Care, the medical center these clinics were part of. In 2014, Fletcher Allen Health Care’s name was changed to University of Vermont Medical Center