Page 415 - QAP Manual 2020

ADDITIONAL QUESTIONS FOR SURVEYOR(S)

I-1 SURVEYOR: In what language was the survey Provides information on what
conducted? language the surveys are
conducted in

I-2 Was this survey conducted face to face, or Provides information on mode
remotely (via video-conference) of survey administration

I-3 If the survey was conducted face-to-face, Provides information on the
where was the face-to-face survey held? setting of the surveys

I-4 What is your job title/relationship to the Provides information as to who
State agency (or County agency if is conducting surveys
applicable)?
I-5 Did you know/had you met the individual Provides information on Please note, it is possible that the person completing
prior to conducting this survey? previous relationship with the the survey is known to the surveyor. To avoid a
individual conflict of interest, if the surveyor works with or has
worked directly with the individual in the past, a
different surveyor should be assigned.

I-6 How many surveyors conducted the survey Provides information as to
with this person? (This includes ‘shadow whether there were shadow
surveyors’ or other silent observers. This surveyors present and/or if
does not include translators.) additional surveyors are
present to conduct surveys as a
team

77