Page 432 - QAP Manual 2020

Q# Q Indicator/Intent Suggested Rephrase and Tips Other Notes

15 PROXY ALLOWED Experience with video- [Note to surveyor: This question refers
Since the start of conference communication for to services provided by the state DD
COVID time, did you services system or a DD system provider agency)
do any of the
following services CHECK ALL THAT APPLY
using video

conference
technology like
Skype, Zoom or
FaceTime?

16 PROXY ALLOWED If Satisfaction with video-
you did any services conference communication for
over video services
conference or
telehealth, did you
like doing services
over video
conference or
telehealth?

17 PROXY ALLOWED Do Is person receiving needed
you need more help support to stay safe
or reminders to
wash your hands
regularly during the
day?

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