Page 203 - QAP Manual 2020

NCI™ ADULT IN-PERSON SURVEY (IPS) 2020-21

9. If No or in-between, ask: Why don’t you want a job?
Check ALL THAT APPLY.

□ 98. Not applicable- has or wants a job in the community
□ 1. Transportation challenges
□ 2. Accessibility (e.g., inaccessible environment--no ramps, rails,
button powered doors, etc.)

□ 3. Health limitations
□ 4. Not enough help/staffing/personal assistance (e.g., staff could be a
job coach or a personal attendant at job with the person)
□ 5. Feeling unwelcome in the community (e.g., feeling unwelcome or
stigmatized by past workers or potential coworkers)
□ 6. Feeling unsafe
□ 7. No jobs currently available in the community

□ 8. Lack of information (e.g., person doesn’t know how to request
accommodations for modifying equipment, having flexible work hours,
job restructuring, etc.)
□ 9. Retired
□ 10. Financially secure (e.g., current financial means are met)

□ 11. Don’t want to affect current benefits
□ 12. Likes what currently does and doesn’t want to change
□ 13. Lack of equipment
□ 14. Other:__________________
□ 99. Don’t know, no response, unclear response

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