Page 234 - QAP Manual 2020

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

92. Can you lock your bedroom if you want to?

Other respondent: Can this person lock their bedroom if they want to?

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

□ 98. Not applicable – Lives alone
□ 2. Yes
□ 3. Maybe, not sure
□ 1. No
□ 99. Don’t know, no response, unclear response

93. Have you ever participated in a self-advocacy group meeting, conference, or event? (A
self-advocacy group is where people with disabilities meet together to talk about
things in their lives that are important to them. Some groups include People First,
Speaking for Ourselves, and Self-Advocates Becoming Empowered – SABE.)

[Do not include human rights groups sponsored by provider agencies.]
PS-9
 (Have you ever gone to a ______________________________meeting or event?)
Other respondent: Has this person ever attended a self-advocacy group meeting or event?

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

□ 98. Not applicable – no self-advocacy group in the area
□ 2. Yes
□ 3. Had the opportunity but chose not to participate

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

94. Have you ever voted in a local, state, or federal election?
Other respondent: Has this person ever voted in a local, state or federal election?

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

□ 2. Yes
□ 3. Had the opportunity to register or vote but chose not to

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

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