Page 241 - QAP Manual 2020
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NCI™ ADULT IN-PERSON SURVEY (IPS) 2020-21
109. Surveyor: Was this survey conducted face to face, or remotely (via video-conference)
1. Face to face, in-person
2. Remotely via video conference software
110. Surveyor: Please indicate all respondents to Section II.
Check ALL THAT APPLY.
1. Person receiving services
2. Advocate, Parent, Guardian/Conservator, Personal Representative, Relative, Friend
3. Staff who provides supports where person lives
4. Staff who provides supports at a day or other service location
5. Other
• END OF SECTION II•
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