Surveys and other Resources
Feel free to utilize the survey instruments (acknowledging your source) - Let us know if you have any questions. Thank you!
The purpose of this study was to better understand Kaiser Permanente Medicare members who have concerns about accessing the food they need. We also wanted to learn if Kaiser Permanente successfully connected members to food resources in their communities.
Wave II was a follow-up survey to the Kaiser Permanente Food for Our Members study. This survey was administered 3 months after Wave I and was administered to those who completed the Wave I survey.
The purpose of this study was to capture a range of social and economic needs, including living situation, housing, food, utilities, childcare, debts, medical needs, transportation, stress, and social isolation. The yellow highlighted areas indicate responses considered positive screenings and items that may require referral, advice, or an alteration of how care is provided.
Usage: Commercial licensing or commercial distribution of the Your Current Life Situation (YCLS) questionnaire is not permitted. No charges for use, reproduction or distribution of the YCLS are permitted.
View survey instrument (pdf): Your Current Life Situation (YCLS)