

Individual and Community Assessment
in the Academy
🔎 Welcome, future CHW!
Screen for needs, map strengths, use data well. This unit is 12 hours of CHW Pro training across video lessons, group practice, this eBook and the Qwest station.
By the end you can
- Use a social needs screening tool respectfully
- Describe the five areas of social determinants of health
- Use community data and asset maps to find priorities
AZ scope area: Implementing individual and community assessments · AZ core competency: Individual and community assessment
Individual and Community Assessment
Individual assessment
Learn the person's strengths, needs and goals. Use a screening tool if your program has one, but keep it a conversation. The client chooses the priority.
Screening with respect
Explain why you ask, who will see the answers and that they can skip any question. Tools such as PRAPARE or the CMS Accountable Health Communities screening tool ask about housing, food, transportation, utilities and safety.
Social determinants of health
Healthy People 2030 groups them into five areas: economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context.
Individual and Community Assessment continued
Community assessment
Look at data such as county health rankings and the community health needs assessment that nonprofit hospitals publish every three years. Then add the voices of residents through surveys, listening sessions and walks.
Asset mapping
Map what is strong: people, groups, places and services. A good assessment is shared back with the community it describes.
Words CHWs Use
The conditions where people live, learn, work and play that shape health.
A short set of questions to spot needs that may need follow-up.
A map or list of a community's strengths and resources.
Community health needs assessment, published by nonprofit hospitals every three years.
First visit with the Martinez family
The clinic asks you to visit the Martinez family. Mr. Martinez lost hours at work, and the kids' school says they seem hungry on Mondays.
Your CHW steps
- Explain the screening, why you ask it and that they can skip any question
- Ask the screening questions in plain words
- Ask about the family's strengths and who supports them
- Agree together on the top priority
- Make a plan with next steps and dates, and document it
In the Qwest, the steps are shuffled. Put them in the best order to help the client and earn your LIVE It coins.
Keep going: Individual and Community Assessment
The rest of this eBook — the scenario, unit check, Qwest lab, practicum log and answer key.
Get this eBook · $9.99All 12 eBooks + Ambassador membership · $49CHW Pro learners and Ambassadors: this series is included.Sign in to unlockCheck Your CHW Skills
- Why you ask and that they can skip any question
- Nothing; just start
- That answers are required
- That you will share answers online
- Favorite foods
- Neighborhood and built environment
- Hair color
- Music taste
- The CHW
- The supervisor
- The client
- The insurance company
- Month
- Year
- Ten years
- Three years
- Community strengths and resources
- Only problems
- Bank balances
- Hospital prices
Answers are on page 11. In the Qwest this is the Boss Quiz — score 80% to earn the station badge.
Keep going: Individual and Community Assessment
The rest of this eBook — the scenario, unit check, Qwest lab, practicum log and answer key.
Get this eBook · $9.99All 12 eBooks + Ambassador membership · $49CHW Pro learners and Ambassadors: this series is included.Sign in to unlockStation 8 Qwest Lab
Every challenge uses this unit. Each one earns Live It coins and moves you toward the next CHW rank.
Keep going: Individual and Community Assessment
The rest of this eBook — the scenario, unit check, Qwest lab, practicum log and answer key.
Get this eBook · $9.99All 12 eBooks + Ambassador membership · $49CHW Pro learners and Ambassadors: this series is included.Sign in to unlockTeach It Forward
The fastest way to master a skill is to teach it. Your Share It challenge:
- Walk one block of your neighborhood and list three assets you see. Share your list.
- Use teach-back: ask them to explain it in their own words.
- Post what you learned (no client names) in your group or the Share It Studio to earn SHARE It coins.
Keep going: Individual and Community Assessment
The rest of this eBook — the scenario, unit check, Qwest lab, practicum log and answer key.
Get this eBook · $9.99All 12 eBooks + Ambassador membership · $49CHW Pro learners and Ambassadors: this series is included.Sign in to unlockRecord What Changed
Log one row per client goal during your practicum (up to 130 hours). A site supervisor initials each row. Record counts and minutes, never private health details.
| Date | Client goal (no names) | C3 role | Outcome | Minutes | Supervisor |
|---|---|---|---|---|---|
Outcome codes: SC screening completed · RM referral made · RC referral closed (loop confirmed) · AK appointment kept · CB coverage or benefits application submitted · HE health education delivered.
Keep going: Individual and Community Assessment
The rest of this eBook — the scenario, unit check, Qwest lab, practicum log and answer key.
Get this eBook · $9.99All 12 eBooks + Ambassador membership · $49CHW Pro learners and Ambassadors: this series is included.Sign in to unlockAnswer Key
- A. Why you ask and that they can skip any question — Respect and choice make screening work.
- B. Neighborhood and built environment — The five areas include neighborhood and built environment.
- C. The client — The client leads.
- D. Three years — The CHNA is done every three years.
- A. Community strengths and resources — Map what is strong.
Source: Community Health Worker Pro, Force for Health Academy (2026). CHW certification, scope and payment rules vary by state and change; check your state's current rules. CHW Pro is a training program, not a state certification.
Keep going: Individual and Community Assessment
The rest of this eBook — the scenario, unit check, Qwest lab, practicum log and answer key.
Get this eBook · $9.99All 12 eBooks + Ambassador membership · $49CHW Pro learners and Ambassadors: this series is included.Sign in to unlock12 units. 160 hours.
Each eBook pairs with a video lesson in the Force for Health Academy and a station in the CHW Qwest.
theforce.health/community-health-worker · FFH Virtual LibraryKeep going: Individual and Community Assessment
The rest of this eBook — the scenario, unit check, Qwest lab, practicum log and answer key.
Get this eBook · $9.99All 12 eBooks + Ambassador membership · $49CHW Pro learners and Ambassadors: this series is included.Sign in to unlock