Page 223 - QAP Manual 2020

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

62. How many times did you go out on errands or appointments in the past month?
(Examples: bank, post office, hairdressers or barber)

Other respondent: In the past month, how many times did this person go out on errands or
appointments?
Respondent: ( ) 1-individual ( ) 2-family/friend ( ) 3-staff ( ) 4-other

□ 1. Did not go on errands/appointments →Code 63 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 63 as ‘Don’t know, no
response, unclear response’

63. Who did you usually go with when you went on errands or appointments?

Check ALL THAT APPLY.

98. Not applicable – person didn’t go out for errands or appointments
1. Alone
2. Friends
3. Family
4. Housemates or coworkers
5. Staff
6. Others not listed
99. Don’t know, no response, unclear response

64. Are you a part of any community groups? (This includes church groups, book clubs,
knitting groups or any other formal or informal community group in an inclusive
setting.)

Other respondent: Does this person participate in community groups or other activities in the
community?
Respondent: ( ) 1-individual ( ) 2-family/friend ( ) 3-staff ( ) 4-other

□ 2. Yes
□ 1. No →Code 65 as ‘Not applicable’

□ 99. Don’t know, no response, unclear response →Code 65 as ‘Don’t know, no
response, unclear response’

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