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benefits?

Further Questions Related to Mental Illness

▪ Do you seek routine health care?
▪ Describe your eating habits in a 24-hour period.
▪ Describe your activity level.
▪ Do you have any past medical history?
▪ Do you take any medications? If so, do you experience any side effects?
▪ Do you smoke, drink, or use any other type of drugs?
▪ Do you experience depression or anxiety? Have you ever had thoughts of
suicide?
▪ Are you sexually active? If so, do you employ safe sex practices? How many
partners do you have?

Further Questions Related to Veteran/Military Status

▪ Do you have any problems with mental illness, such as post-traumatic stress
disorder?
▪ Have you had any traumatic brain injuries?
▪ Have you had any injuries?
▪ Describe your living situation.
▪ Are you interested in any community support groups?

Further Questions Related to Incarceration

▪ Have you ever been a victim of abuse or rape?
▪ Do have any past medical history, particularly asthma, diabetes mellitus,
hypertension, heart disease, mental illness, or communicable diseases?

Further Questions Related to Immigration

▪ Do you have problems with mental illness?
▪ Are you able to speak English?
▪ Do you have access to resources such as housing, transportation, health care,
education services?
▪ Do you have any past medical history such as accidents, injuries, hypothermia,
gastrointestinal illness, heart problems, pregnancy complications, diabetes,
hypertension, malnutrition, or infectious or communicable disease?

Further Questions Related to Chronic Illness

▪ Do you have access to a primary health care provider?

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