Screening Tool Topic E. Community and Lifestyle Patient Details Patient Name: Patient ID: DASHBOARD Quiz 🎯Topic E. Community and Lifestyle E1. Supportive Network Do you have friends or people you can rely on for support? Yes A few Not really Not able to assess / Unwillingness to respond 🎯Topic E. Community and Lifestyle E2. Frequency of Feeling Lonely How often do you feel lonely? Never / Rarely Sometimes Often Not able to assess / Unwillingness to respond 🎯Topic E. Community and Lifestyle E3. Exchange of Visits Do you engage in visits or receive visitors often, sometimes or never / rarely? Never / Rarely Sometimes Often Not able to assess / Unwillingness to respond 🎯Topic E. Community and Lifestyle E4. Alcohol Consumption How often do you consume alcohol? Would you say never, occasionally, or regularly? Never / Rarely Occasionally Regularly Not able to assess / Unwillingness to respond Topic E. Community and Lifestyle E5. Tobacco Use Do you use tobacco? If so, do you currently use it, have you used it formerly, or never? Never In the past Current Not able to assess / Unwillingness to respond 🎯Topic E. Community and Lifestyle E6. Illicit Drug Use Have you used illicit drugs? If so, do you currently use them, have you used them formerly, or never? Never In the past Current Not able to assess / Unwillingness to respond 🎯Topic E. Community and Lifestyle E7. Engagement in Hobbies or Leisure Activities How often do you engage in hobbies or leisure activities (singing, gardening, dancing, knitting, other)? Would you say regularly, occasionally, or rarely? Never / Rarely Sometimes Often Not able to assess / Unwillingness to respond 🎯Topic E. Community and Lifestyle E8. Physical Exercise Routine How would you describe your physical exercise routine (e.g., walking, running, swimming, gardening)? Is it light, moderate/high, or mostly sedentary? Moderate / High Light Sedentary Not able to assess / Unwillingness to respond Next question ➜ ANSWERS