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. 2020 Jun 29;14(6):595–601. doi: 10.1177/1559827620935382

Table 4.

Daily Check-In Questions for Measuring Mental and Physical Health.

Question Care manager response
How connected do you feel with any support network (eg, community, spiritual, friends/family, nature, yoga, or meditation)? If not connected, explore ways of finding connection. Virtual social groups? Memberships? Old friends? More frequent calls with family?
Do you feel . . .
1. Anxious?
2. Depressed?
3. Sad?
4. Lonely?
5. Scared?
6. In pain?
7. Tired?
8. Sick?
Explore the source of the ill feelings. Recommend telehealth visit with provider to address.
Do you feel . . .
1. Calm?
2. Happy?
3. At peace?
4. Loved?
5. Confident?
6. Free of pain?
7. Energetic?
8. Healthy?
Explore the positive things going on in their life. Can any of these be built upon? Repeat the behaviors that elicited the positive feelings?
On a scale of 0 to 10, where 10 is the healthiest you can be, how healthy do you feel now? If the number has declined or is below 5, explore further.
Do you have any medical concerns that your provider should know about? If so, what are they? Pass concerning problems on to provider.