Health Assessment

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Health Assessment

Personal Information

Personal Characteristics

Family and Home

Money and Resources

Social and Emotional Health

General Health and Lifestyle

Additional Questions

2022 FEDERAL POVERTY LEVELS

Size of
Household
150%
monthly
150%
yearly
200%
monthly
200%
yearly
250%
monthly
250%
yearly
1$1,699$20,385$2,265$27,180$2,831$33,975
2$2,289$27,465$3,052$36,260$3,814$45,775
3$2,879$34,545$3,838$46,060$4,797$57,575
4$3,469$41,625$4,625$55,500$5,781$69,375
5$4,059$48,705$5,412$64,940$6,764$81,175
6$4,649$55,785$6,198$74,380$7,747$92,975
7$5,239$62,865$6,985$83,820$8,731$104,775
8$5,829$69,945$7,772$93,260$9,714$116,575