Page 224 - QAP Manual 2020
P. 224

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



               65.     Who do you participate in community groups with?

               Check ALL THAT APPLY.

                       98. Not applicable – person didn’t participate in community groups
                       1. Alone
                       2. Friends
                       3. Family
                       4. Housemates or coworkers
                       5. Staff
                       6. Others not listed

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

               66.     Do you want to be a part of more groups in your community?
               Other respondent: Do you think this person wants to be part of more groups in his/her
               community?

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

                       2. Yes
                       1. No
                       99. Don’t know, no response, unclear response

               67.     How many times did you go out for entertainment in the past month? (Examples: go
                       to the movies or attend plays, concerts, sporting events, going out dancing)
               Other respondent: In the past month, how many times did this person go out for
               entertainment?

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

                    □  1. Did not go out for entertainment →Code 68 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 68 as ‘Don’t know, no
                        response, unclear response’




















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