Staying Healthy Assessment Questionnaires (SHA)

SHA Resources

Stay Healthy Assessment FAQs (PDF)
Behavioral Risk Topics At-A-Glance (PDF)
Adult Questions by Age Group (PDF)
Pediatric Questions by Age Group (PDF)
Provider Office Instruction Sheet (PDF)
Provider Training (PowerPoint, 7MB)
If the slide show does start when you open the PowerPoint file, click on “slide show” and then “from beginning” to start the narrated training.

SHA Questionnaires

You will find here the Staying Healthy Assessments (SHA) for each age group (from Seniors to newborns). Click on the language you need to view or download the SHA Assessment for the corresponding age group.

Staying Healthy Assessment: 0-6 Months

English, Arabic, Armenian, Chinese, Hmong, Korean, Russian, Spanish, Tagalog, Vietnamese

Staying Healthy Assessment Questionnaires (SHA)

SHA Resources

SHA Questionnaires

Staying Healthy Assessment: Seniors

Staying Healthy Assessment: Adults

Staying Healthy Assessment: 12-17 Years

Staying Healthy Assessment: 9-11 Years

Staying Healthy Assessment: 5-8 Years

Staying Healthy Assessment: 3-4 Years

Staying Healthy Assessment: 1-2 Years

Staying Healthy Assessment: 7-12 Months

Staying Healthy Assessment: 0-6 Months

Riverside Medical Care, Urgent Care, Emergency Services - PromiseCare