CMS is awful. They drive a lot of the questions you get asked at the hospitals/clinics. Just decline and they take you out of the cohort. It sucks that we don't have control of our medical data. We have to send it to sooooo many places. "Oh! It's not selling it, it's for 'research!'" The questions you are seeing now, though, seem to be related to incentives (monetary to get the docs to do their jobs because they won't otherwise). Part of my job is to dig up the data out of the health records to show that the docs are or are not doing XYZ to get their extra payments. The "Social Needs" is the latest. Just before that was "Depression Screening" (PHQ-2/9 Patient Health Questionnaire which isn't about your health but deciding based on stupid questions whether you should be referred to a head shrinker or just tossed on drugs). Most of these things are designed by CMS or Pfizer.