CHILL’D-Out: A Heat and Health Risk Factor Screening Questionnaire

Cooling

• Does your patient have working air conditioning?
• Can they check and control indoor temperatures where they live?
• Do they have an electric fan?
• Do they know how to locate a cooling center if needed?

Housing

• Does your patient have stable housing?
• Do they live on a higher floor of a multi-story building where they may be exposed to more heat?
• Are they regularly exposed to indoor air pollutants such as secondhand smoke or mold?
• Do they have a portable air purifier or a filter in their HVAC system?

Isolation

& mobility

• Does your patient have a neighbor, friend, or family member who can check on them during hot days?
• Does their mobility limit their ability to seek cooling in their home or elsewhere?

eLectricity

• If heat leads to a power outage, does your patient have a plan for refrigerated medications and/or electric medical devices?

Learning

• Does your patient check the daily and hourly weather forecast to know the hottest time of the day? Can they access the HeatRisk tool?
• Where does your patient get information about how to protect their health from heat? What measures do they take to do so?

Drugs

• Does your patient take medications that increase risk from heat exposure?

Outside

• How much time does your patient spend outdoors on hot days for work, sports, or recreation?
• Are they exposed to outdoor air pollution at home, work, or elsewhere, such as a major roadway, construction site, industrial facility, or frequent wildfire smoke?
• Do they have allergies to grass, weeds, and tree pollens?