This questionnaire is to accompany the published paper: The development of a screening tool to recognise social determinants of health in Australian clinical settings (not yet published Sept 2018). which has been published in final form at https://doi.org/ This questionnaire: https://doi.org/10.25957/5ba9793a8fcb5 © Flinders University. This questionnaire is made available under the Creative Commons (CC-BY) 4.0 License: https://creativecommons.org/licenses/by/4.0/