Design for Survey of Persons with Mental Retardation and Developmental Disabilities: Summary of Recommendations for Survey Questions and Screening Criteria. Design for Survey of Persons with Mental Retardation and Developmental Disabilities: Summary of Recommendations for Survey Questions and Screening Criteria : Table 22

11/29/1989

: Table 22

Frequency of Interaction/Past Week (Telephone or In-Person 5+ Minutes)With family members not living with sample member, friends not living with sample member (excluding staff/counselors) More than twice a week Twice a week Once a week
Location of InteractionLocation: Sample member's residence Other person's residence public place
Interaction With Nondisabled PeopleNumber of different friends sample member interacted with in past week (excluding family and paid staff) who were not disabled
Community Activities/ Past MonthStore/mall, restaurant, movies/play/concert, church/synagogue, participated in sporting event, attended sporting event, party/dance/social, museum/library Was activity group event: yes/no Was activity only/primarily people with handicaps: yes/no
In Mainstream SchoolSee Employment/Educational Services Section
In Regular JobSee Employment/Educational Services Section
Problem Behaviors/ Past Month (Age 6+)Self injury, violence, threats, property damage, disruptive, screams/yells/cries, temper trantrum, undressing, unacceptable sexual behavior, lying/stealing, repetitive movements, repetitive speech, withdrawn, uncooperative, restless, runs away never not past month 1-3 times/month 1-2 times/week 3-6 times/week 1-2 times/day 3-10 times/day 1+ times/hour
Problem Behavior (Prior to 6 Years)National Maternal and Infant Health Survey questions: Independent to clinging Not demanding to demanding of attention Easy to difficult to manage Easy to difficult to discipline Not too frequent/long temper tantrums Usually happy to frequently miserable or irritable Not a worrier to very anxious about things Rarely to very fearful Few problems with siblings to serious difficulties with siblings Gets along well with other children to very difficult jto play with other children