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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Advocacy Form

112 Shared Subjects

N/A
Clinical Assessments
Questionnaire
06/24/2015
advoc01
01/25/2024
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query pr_advo_sk1 Integer Recommended 1. How knowledgeable do you think you are about your rights in the adult service system? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk2 Integer Recommended 2. How able are you to apply your rights and knowledge of the laws in navigating the adult service system? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk3 Integer Recommended 3. How able are you to advocate for a child's needs in trying to get adult services? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk4 Integer Recommended 4. How able are you to assert yourself in trying to get services and/or supports for your child? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk5 Integer Recommended 5. How well are you able to communicate effectively with agencies, providers, or professionals? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk6 Integer Recommended 6. How well do you think you stay calm and non-adversarial with agencies, providers, or professionals? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk7 Integer Recommended 7. What is your self-confidence like in terms of working with agencies, providers, or professionals? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk8 Integer Recommended 8. What is your working relationship like with providers, agencies, or professionals? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk9 Integer Recommended 9. How able are you to effectively participate in meetings with providers, agencies, or professionals? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
Query pr_advo_sk10 Integer Recommended 10. How prepared do you feel to collaborate with providers, agencies, or professionals? 1::5 1=Not at all; 2= Below Average; 3=Average; 4= Good; 5=Excellent
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data pr_advo_sk11
Query pr_vapknow1 Integer Recommended 1. Which of the following is NOT a type of diploma available in Tennessee? 1;2 1=Right; 2 =Wrong pr_vapknowledge1
Query pr_vapknow2 Integer Recommended 2. Until what age can a student with a disability continue to receive special education services? 1;2 1=Right; 2 =Wrong
Query pr_vapknow3 Integer Recommended 3. Name the two pieces of legislation that enable students with disabilities to receive accommodations in post-secondary education. 1;2 1=Right; 2 =Wrong pr_vapknowledge2
Query pr_vapknow4 Integer Recommended 4. Which piece of SSI legislation can assist with post-secondary education? 1;2 1=Right; 2 =Wrong pr_vapknowledge3
Query pr_vapknow5 Integer Recommended 5. In which of the following post-secondary models may students with disabilities participate in some classes with peers without disabilities and some classes with peers with disabilities? 1;2 1=Right; 2 =Wrong
Query pr_vapknow6 Integer Recommended 6. Which of the following describes competitive employment in an integrated work setting with ongoing support services for individuals with disabilities? 1;2 1=Right; 2 =Wrong pr_vapknowledge4
Query pr_vapknow7 Integer Recommended 7. Which of the following is NOT a requirement for Vocational Rehabilitation services? 1;2 1=Right; 2 =Wrong
Query pr_vapknow8 Integer Recommended 8. What does an IPE stand for? 1;2 1=Right; 2 =Wrong
Query pr_vapknow9 Integer Recommended 9. Which of the following is NOT a way that a Vocational Rehabilitation Counselor can close a case? 1;2 1=Right; 2 =Wrong pr_vapknowledge5
Query pr_vapknow10 Integer Recommended 10. If you have problems with the Division of Rehabilitation Services (DRS), who can you contact? 1;2 1=Right; 2 =Wrong
Query pr_vapknow11 Integer Recommended 11. Where should you go to complete an application for vocational rehabilitation services? 1;2 1=Right; 2 =Wrong
Query pr_vapknow12 Integer Recommended 12. How do you qualify for a Ticket under the Ticket to Work Act? 1;2 1=Right; 2 =Wrong pr_vapknowledge6
Query pr_vapknow13 Integer Recommended 13. Which of the following is NOT a requirement for SSI? 1;2 1=Right; 2 =Wrong pr_vapknowledge7
Query pr_vapknow14 Integer Recommended 14. What is substantial gainful activity? 1;2 1=Right; 2 =Wrong pr_vapknowledge8
Query pr_vapknow15 Integer Recommended 15. How can you apply for SSI? 1;2 1=Right; 2 =Wrong
Query pr_vapknow16 Integer Recommended 16. With respect to SSI, what are your options if your child cannot manage his/her finances? 1;2 1=Right; 2 =Wrong pr_vapknowledge9
Query pr_vapknow17 Integer Recommended 17. Which of the following is NOT an example of in-kind support and maintenance? 1;2 1=Right; 2 =Wrong pr_vapknowledge10
Query pr_vapknow18 Integer Recommended 18. Which of the following could be an example of an impairment related work expense? 1;2 1=Right; 2 =Wrong pr_vapknowledge11
Query pr_vapknow19 Integer Recommended 19. If an individual with a disability is working and receiving SSI, under 1619A, how much of the SSI check will be reduced? 1;2 1=Right; 2 =Wrong pr_vapknowledge12
Query pr_vapknow20 Integer Recommended 20. Which of the following is a requirement to receive Family Support? 1;2 1=Right; 2 =Wrong pr_vapknowledge13
Query pr_vapknow21 Integer Recommended 21. How can a child qualify for SSDI? 1;2 1=Right; 2 =Wrong pr_vapknowledge14
Query pr_vapknow22 Integer Recommended 22. During the trial work period, how long can an individual with a disability work without receiving any cut to their SSDI benefits? 1;2 1=Right; 2 =Wrong pr_vapknowledge15
Query pr_vapknow23 Integer Recommended 23. Which of the following benefits automatically qualifies your child for TennCare? 1;2 1=Right; 2 =Wrong pr_vapknowledge16
Query pr_vapknow24 Integer Recommended 24. Which of the following benefits qualifies your child to receive Medicare? 1;2 1=Right; 2 =Wrong pr_vapknowledge17
Query pr_vapknow25 Integer Recommended 25. Under the current provisions, which of the following does an individual need to receive funding and services under the TN Medicaid waiver? 1;2 1=Right; 2 =Wrong pr_vapknowledge18
Query pr_vapknow26 Integer Recommended 26. Under the current provision, to which office do you apply for Medicaid waiver services? 1;2 1=Right; 2 =Wrong pr_vapknowledge19
Query pr_vapknow27 Integer Recommended 27. Which the new changes to Medicaid, there is an increasing emphasis on providing supports in which of the following settings? 1;2 1=Right; 2 =Wrong
Query pr_vapknow28 Integer Recommended 28. With the proposed Employment and Community First Choices waiver, which group of people will be targeted for Medicaid waiver services? 1;2 1=Right; 2 =Wrong pr_vapknowledge20
Query pr_vapknow29 Integer Recommended 29. Who will coordinate services under the proposed Employment and Community First Choices waiver? 1;2 1=Right; 2 =Wrong pr_vapknowledge21
Query pr_vapknow30 Integer Recommended 30. Under consumer directed supports within the proposed Employment and Community First Choices Medicaid waiver, which of the following applies? 1;2 1=Right; 2 =Wrong pr_vapknowledge22
Query pr_vapknow31 Integer Recommended 31. Which of the following is the MOST restrictive form of guardianship/conservatorship? 1;2 1=Right; 2 =Wrong pr_vapknowledge23
Query pr_vapknow32 Integer Recommended 32. Which of the following trusts DOES NOT include a payback clause to the government? 1;2 1=Right; 2 =Wrong pr_vapknowledge24
Query pr_vapknow33 Integer Recommended 33. How can you apply for a housing voucher? 1;2 1=Right; 2 =Wrong pr_vapknowledge25
Query pr_knowhop1a Integer Recommended The employment/vocational activities your son/daughter would prefer? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop1b Integer Recommended The type and amount of help he/she would need to achieve this goal? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop1c Integer Recommended The services and supports available to help achieve this goal? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop2a Integer Recommended The residential situation your son/daughter would prefer? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop2b Integer Recommended The type and amount of help he/she would need to achieve this goal 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop2c Integer Recommended The services and supports available to help achieve this goal? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop3a Integer Recommended The social/recreational activities your son/daughter would prefer? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop3b Integer Recommended The type and amount of help he/she would need to achieve this goal? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
Query pr_knowhop3c Integer Recommended The services and supports available to help achieve this goal? 1::5 1=Not at all; 2 =Slightly; 3 =To some extent; 4= Quite a bit; 5= Very much so
pr_knowhop4 String 100 Recommended What would you most like to get out of this training?
Query pr_knowhop5 String 150 Recommended Is there anything else that you would like to tell us?
timepoint_label String 50 Recommended Timepoint/visit label
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

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