Page 231 - QAP Manual 2020
P. 231

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



               Question 84 refers to choices made concerning paid work in the community.

     PS-7      84.     Who chose (or picked) the place you work? (Did you help make the choice?)
              (Did you choose to work at_________________________________?)

               Other respondent: Who chose the place where the person works? Did the person have any
               input in making the decision?

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

                    □  98. Not applicable – no job in the community
                    □  2. Person made the choice
                    □  3. Person had help making the choice

                    □  1. Someone else made the choice
                    □  99. Don’t know, no response, unclear response

               Question 85 refers to choices made concerning day programs or other regularly scheduled
               activities during the day. This does not include paid work in the community.

               85.     Who chose (or picked) your day program or workshop? (Did you help make the
                       choice?)

      PS-8     (Did you choose to go to_________________________________?)
      
               Other respondent: Who chose the place where the person goes during the day? Did the person
               have any input in making the decision?

               Respondent: (  ) 1-individual  (  ) 2-family/friend   (  ) 3-staff   (  ) 4-other
                    □  98. Not applicable – no day program or workshop

                    □  2. Person made the choice
                    □  3. Person had some input
                    □  1. Someone else chose
                    □  99. Don’t know, no response, unclear response




























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