Health Care Access

Sample Custom Questions by Topic:

Have you ever taken part in a support group?
1. No
2. Yes
Have you ever received any type of school counseling?
1. No
2. Yes
Do you know where to go in your community to get advice on personal problems?
1. No
2. Yes
If you needed advice on personal problems, who would you talk to first?
1. Counselor
2. Doctor/Nurse
3. Friend
4. No one
Past year, where usually get - Counseling for help with stress, depression, or family problems?
1. SHC/School Nurse
2. Kaiser
3. Dr's office/Community clinic
4. Emergency room
5. Don't know/remember
Past year, got care when needed for - Medical care when you were sick or hurt?
1. Always
2. Sometimes
3. Never
4. Don't know/remember
5. Didn't need care
Past year, where usually get - Medical care when you were sick or hurt?
1. SHC/School Nurse
2. Kaiser
3. Dr's office/Community clinic
4. Emergency room
5. Don't know/remember

Please note: the questions listed are those that have been used in various custom modules to-date. These questions are intended to be used as guides only, as WestEd does not make claims to their utility. Clients wishing to develop a custom module should do so in consultation with their Cal-SCHLS Regional Center.