| 104012-0 | How often you were late getting somewhere because of a problem with transportation:Find:30D:^Patient:Ord: | required |
| 104013-8 | How often did it take you longer to get somewhere than it would have taken you if you had different transportation:Find:30D:^Patient:Ord: | required |
| 104011-2 | How often did you spend a long time waiting because you did not have the transportation that would allow you to come and go when you wanted:Find:30D:^Patient:Ord: | required |
| 104014-6 | How often did you have to arrive somewhere early and wait because of the schedule of the bus, train, or person giving you a ride:Find:30D:^Patient:Ord: | required |
| 104015-3 | How often did you have to reschedule an appointment because of a problem with transportation:Find:30D:^Patient:Ord: | required |
| 104016-1 | How often did you skip going somewhere because of a problem with transportation:Find:30D:^Patient:Ord: | required |
| 104017-9 | How often were you not able to leave the house when you wanted to because of a problem with transportation:Find:30D:^Patient:Ord: | required |
| 104018-7 | How often did you worry about whether or not you would be able to get somewhere because of a problem with transportation:Find:30D:^Patient:Ord: | required |
| 104019-5 | How often did you feel stuck at home because of a problem with transportation:Find:30D:^Patient:Ord: | required |
| 104020-3 | How often do you think that someone did not invite you to something because of problems with transportation:Find:30D:^Patient:Ord: | required |
| 104021-1 | How often did you feel like friends, family, or neighbors were avoiding you because you needed help with transportation:Find:30D:^Patient:Ord: | required |
| 104022-9 | How often did you feel left out because you did not have the transportation you needed:Find:30D:^Patient:Ord: | required |
| 104023-7 | How often did you feel bad because you did not have the transportation you needed:Find:30D:^Patient:Ord: | required |
| 104024-5 | How often did you worry about inconveniencing your friends, family, or neighbors because you needed help with transportation:Find:30D:^Patient:Ord: | required |
| 104025-2 | How often did problems with transportation affect your relationships with others:Find:30D:^Patient:Ord: | required |
| 104026-0 | How often did you feel embarrassed because you did not have the transportation you needed:Find:30D:^Patient:Ord: | required |
| 106428-6 | Total score:Score:Pt:^Patient:Qn:TSI-16 | required |
| 112476-7 | 16-item Transportation Security Index Category:Imp:30D:^Patient:Ord:TSI-16 | required |
| 104010-4 | 16-item Transportation Security Index:-:30D:^Patient:-:TSI-16 | |