Doctor 3 0 0 0 4 1 5 or social 4 0 0 0 1 4 5 worker Other 5 5 0 0 0 0 5 residents Friends from 6 outside 0 2 1 1 1 5 the home 7 family 0 2 3 0 0 5 7. How often do you speak on the telephone with the following people more than once a # Question every day seldom never Responses once a week week 1 Medical Staff 0 0 0 1 4 5 2 Friends 1 1 0 1 2 5 3 Family 0 1 1 3 0 5 8. of the following activities do you take part in and how often? more several than Once every # Question times once a seldom never Responses day a day a Week week Talking to 1 other 3 2 0 0 0 0 5 residents Talking to 2 4 1 0 0 0 0 5 staff Taking 3 4 0 0 0 0 1 5 medication Craft/hobby 4 0 0 1 2 2 0 5 activities Watching 5 2 3 0 0 0 0 5 TV
3 Doctor or 0 0 0 4 1 5 4 social worker 0 0 0 1 4 5 5 Other residents 5 0 0 0 0 5 6 Friends from outside the home 0 2 1 1 1 5 7 family 0 2 3 0 0 5 7. How often do you speak on the telephone with the following people # Question every day more than once a week once a week seldom never Responses 1 Medical Staff 0 0 0 1 4 5 2 Friends 1 1 0 1 2 5 3 Family 0 1 1 3 0 5 8. of the following activities do you take part in and how often? # Question several times a day every day more than once a week Once a Week seldom never Responses 1 Talking to other residents 3 2 0 0 0 0 5 2 Talking to staff 4 1 0 0 0 0 5 3 Taking medication 4 0 0 0 0 1 5 4 Craft/hobby activities 0 0 1 2 2 0 5 5 Watching TV 2 3 0 0 0 0 5
MOBISERV-D2-3-v8-0-1-.docx