Take The Quiz

Question 1

Do you or your partner live in a house built before 1978?

Question 2

Do you or your partner live in a house built before 1978 that is being or has recently been renovated?

Question 3

Do you or your partner work in a facility built before 1978 that is being or has recently been renovated?

Question 4

Do you or your partner work in construction renovating homes or buildings that are being or has recently been renovated?

Question 5

Do you have any special healthcare needs?

Question 6

Do you have heart disease or have you had a stroke?

Question 7

Do you have mental health concerns?

Question 8

Have there been any major stressful changes in your life lately such as divorce, a death of family member or friend, a move, or crisis?

Question 9

Do you need resources to find affordable rental housing?

Question 10

Within the past 12 months, were you ever worried whether your food would run out before you got money to buy more?

Question 11

Do you or anyone you live with use tobacco?

Question 12

Do you or drink beer, wine, or liquor in excess?

Question 13

Do you use Marijuana, cocaine, pain pills, narcotics, or other controlled substances?

Question 14

How often does anyone, including family, physically hurt you?

Question 15

How often does anyone, including family, insult or talk down to you?

Question 16

How often does anyone, including family, threaten you with harm?

Question 17

How often does anyone, including family, scream or curse at you?

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Considering Pregnancy Quiz

Question 1

Do you or your partner live in a house built before 1978?

Question 2

Do you or your partner live in a house built before 1978 that is being or has recently been renovated?

Question 3

Do you or your partner work in a facility built before 1978 that is being or has recently been renovated?

Question 4

Do you or your partner work in construction renovating homes or buildings that are being or has recently been renovated?

Question 5

Do you have any special healthcare needs?

Question 6

Do you have heart disease or have you had a stroke?

Question 7

Do you have mental health concerns?

Question 8

Have there been any major stressful changes in your life lately such as divorce, a death of family member or friend, a move, or crisis?

Question 9

Do you need resources to find affordable rental housing?

Question 10

Within the past 12 months, were you ever worried whether your food would run out before you got money to buy more?

Question 11

Do you or anyone you live with use tobacco?

Question 12

Do you or drink beer, wine, or liquor in excess?

Question 13

Do you use Marijuana, cocaine, pain pills, narcotics, or other controlled substances?

Question 14

How often does anyone, including family, physically hurt you?

Question 15

How often does anyone, including family, insult or talk down to you?

Question 16

How often does anyone, including family, threaten you with harm?

Question 17

How often does anyone, including family, scream or curse at you?

Take the Quiz

Question 1

Do you or your partner live in a house built before 1978?

Question 2

Do you or your partner live in a house built before 1978 that is being or has recently been renovated?

Question 3

Do you or your partner work in a facility built before 1978 that is being or has recently been renovated?

Question 4

Do you or your partner work in construction renovating homes or buildings that are being or has recently been renovated?

Question 5

Do you have any special healthcare needs?

Question 6

Do you have heart disease or have you had a stroke?

Question 7

Do you have mental health concerns?

Question 8

Have there been any major stressful changes in your life lately such as divorce, a death of family member or friend, a move, or crisis?

Question 9

Do you need resources to find affordable rental housing?

Question 10

Within the past 12 months, were you ever worried whether your food would run out before you got money to buy more?

Question 11

Do you or anyone you live with use tobacco?

Question 12

Do you or drink beer, wine, or liquor in excess?

Question 13

Do you use Marijuana, cocaine, pain pills, narcotics, or other controlled substances?

Question 14

How often does anyone, including family, physically hurt you?

Question 15

How often does anyone, including family, insult or talk down to you?

Question 16

How often does anyone, including family, threaten you with harm?

Question 17

How often does anyone, including family, scream or curse at you?

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