Page 211 - QAP Manual 2020

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

CA-6. Do you have access to the technology you need to engage in activities?
(Check all that apply)
□ 2. Yes, I have internet
□ 3. Yes, I have a smart phone

□ 4. Yes, I have a computer/tablet/other electronic device
□ 1. No, I do not have a computer/tablet/other electronic device
□ 99. Don’t know, no response, unclear response

31. Sometimes people need help with things like getting dressed, taking a
shower, brushing your teeth, etc. Do you ever need help with these?

Note to surveyors: In this question we are asking whether the person needs any
support for activities of daily living (ADLs). This support can take the form of
physical assistance, reminders, cues, etc.
□ 2. Yes
□ 3. Sometimes
□ 1. No →Code 32 as ‘Not applicable’

□ 99. Don’t know, no response, unclear response →Code 32 as ‘Don’t
know, no response, unclear response’

32. Do you want to learn to do more of this for yourself? (or on your own?)

□ 98. Not applicable, does not need help with self-care
□ 2. Yes
□ 1. No
□ 99. Don’t know, no response, unclear response

Rights & Privacy

33. Do people read your mail or email without asking you first?

□ 98. Not applicable – does not get mail/email
□ 2. Yes, mail/email is read without permission
□ 1. No, person reads own mail/email or others read with permission
□ 99. Don’t know, no response, unclear response

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