Page 249 - QAP Manual 2020

6. PROXY ALLOWED Do you want help to feel less worried, scared, anxious or sad?
Other respondent: Does this person need help to feel less worried, scared, anxious or sad?
Respondent: ( ) 1-individual ( ) 2-family/friend ( ) 3-staff ( ) 4-other

 2. Yes, I want help and do not currently get any help

 3. Yes, I currently get some help but I want more help
 1. No, I don’t want help, or don’t want more help than I am already getting
 98. Not applicable: Does not feel worried, scared, anxious or sad
 99. Don’t know, no response, unclear response

Now I am going to ask some questions about your use of technology such as computers
and internet.

7. PROXY ALLOWED Is there a computer, tablet (iPad or similar) or smartphone that you can
use in your home?
Other respondent: Is there a computer, tablet (iPad or similar) or smartphone that this person can
use in his/her home?
Respondent: ( ) 1-individual ( ) 2-family/friend ( ) 3-staff ( ) 4-other
 2. Yes
 3. Sometimes
 1. No
 99. Don’t know, no response, unclear response

8. PROXY ALLOWED How does your internet work at home? Would you say that …?
[Read first three response options]
Other respondent: How does this person’s internet work at home?

Respondent: ( ) 1-individual ( ) 2-family/friend ( ) 3-staff ( ) 4-other
 2. The internet always works and the connection is good
 3. The internet sometimes works and the connection is sometimes good
 1. The internet rarely or never works, the connection is bad, or I do not have internet in
my home
 98. Not applicable- I do not have/use an internet connected device
 99. Don’t know, no response, unclear response