2 Screener

The SSA-NIH Collaboration to Improve the Disability Determination Process: Validation of IRT-CAT Tools (CC)

Attachment 2_screener questions

Patients

OMB: 0925-0659

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Attachment 2 – Screener Questions for Participants


Are you unable to work mainly due to a physical condition, a mental condition, or both”)


PHYSICAL CONDITION......................................       1       

MENTAL CONDITION........................................       2       

BOTH...............................................................       3        (put into group that needs more completed surveys)

NEITHER..........................................................       4        (End)

REFUSE............................................................       7        (End)

DON’T KNOW..................................................       8        (End


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File Created2021-01-31

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