Heali-BGWp

Self-Screening Tool

Welcome.

Please take about 10 minutes to answer these questions.

Your answers help us see if and how we can help you. You may get help with things like food or housing support.

If you can, have your Medicaid number ready before you start.

Your answers are private. They will not change your benefits.

After you finish, we will look at your answers. If you need help, a HEALI team member may call you. They can help connect you to programs near you.

Want to talk to someone now?

Email or call 516-505-4434. Our team members can help you in your language or in American Sign Language.