Page 222 - QAP Manual 2020

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

Community Inclusion

In this section, we are trying to find out if the person participates in integrated community activities
(activities that include people with and without disabilities). If the individual indicates they have only
participated in a non-integrated activity (where only people with disabilities are participating) in the past
month, then you should check ‘No’ as the response. If the person answers ‘Yes,’ you may ask for an
example to verify that the person understood the question and that the activity was indeed integrated.

59. How many times did you go shopping in the past month? (Examples: groceries,
clothing)
Other respondent: In the past month, how many times did this person go shopping?

Respondent: ( ) 1-individual ( ) 2-family/friend ( ) 3-staff ( ) 4-other

□ 1. Did not go shopping →Code 60 as ‘Not applicable’
□ 2. One or two times
□ 3. Three or four times

□ 4. Five or more times
□ 99. Don’t know, no response, unclear response →Code 60 as ‘Don’t know, no
response, unclear response’

60. Who did you usually go shopping with?

Check ALL THAT APPLY.
98. Not applicable – person didn’t go out for shopping

1. Alone
2. Friends
3. Family
4. Housemates or coworkers
5. Staff
6. Others not listed
99. Don’t know, no response, unclear response

61. Think about how often you went shopping in the past month. Would you like to go
shopping…. (surveyor read response options 1, 2 and 3)

Other respondent: Think about the number of times this person went shopping in the past
month. Do you think this person would like to go shopping …
Respondent: ( ) 1-individual ( ) 2-family/friend ( ) 3-staff ( ) 4-other

1. More
2. Less
3. The same amount as now

99. Don’t know, no response, unclear response

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