Skip to main content
. 2020 Sep 4;110:104706. doi: 10.1016/j.chiabu.2020.104706

Table 4.

Final Version of the Clinical Tool.

Question Response
Does the family have enough food, medication and supplies for one week (including diapers, formula/baby food, and cleaning supplies)? ☐ Yes ☒ No
Overall, is there money for utilities, food and housing? ☐ Yes ☒ No
Has anyone in the household had any COVID-19 symptoms or is at increased risk of contracting the disease? ☒ Yes ☐ No
Is anyone in the household experiencing other health issues that require care? ☒ Yes ☐ No
Are members of the family experiencing delayed or interrupted scheduling of routine vaccination because of the pandemic? ☒ Yes ☐ No
Is the family understanding the importance of physical distancing, including during time spent outside the home? ☐ Yes ☒ No
Are disinfectants available and regularly used in the household? ☐ Yes ☒ No
Does the family require assistance with making a plan for adequate supervision of children in cases where caregivers would need to leave children unattended (work related responsibilities, errands, medical care)? ☒ Yes ☐ No
Does the family have internet and cellular connection at home as well as devices needed to access the connection? ☐ Yes ☒ No
Is the caregiver at work, inside or outside the home? ☐ Yes ☒ No
Is the family impacted by childcare/school closures? ☒ Yes ☐ No
Is the family First Nations, Métis or Inuit? ☒ Yes ☐ No

*Endorsed responses indicate when the curated resources/supports will appear.

**In addition to the authors of this paper, the project development team included: John Fluke, Bryn King, Tara Black, Ashley Vandermorris, Julie Halverson, Ellen Smith, Kristen Lwin, Krista Budau, Brenda Moody, Anne Riley, Jill Stoddart, Catherine Whitley, and Thomas Vogl as well as the QC implementation team: Tonino Esposito, Denis Lafortune, Marie-Andrée Poirier, George Tarabulsy, Nico Trocmé.