Doers: What are the positive consequences of Non-Doers: What would be the positive of [put behaviour here]? consequences [put behaviour here]? [Write all responses below. Probe with else?”] [Write all responses below. Probe with else?”] “What “What 3. Perceived Negative Consequences What are the negative consequences of [put Non-Doers: What would be the negative behaviour here]? consequences of [put behaviour here]? all responses below. Probe with else?”] [Write all responses below. Probe with else?”] “What “What 4. Perceived Social 4.1 Doers: Who are all the people that approve of 4.1 Non-Doers: Who are all the people that would you [put behaviour here]? approve of you [put behaviour here]? [Write all responses below. Probe with else? all responses below. Probe with else? “Who “Who Anyone in particular?”] Anyone in particular?”] 4.2 Doers: Who are all the people that disapprove 4.2 Non-Doers: Who are all the people that would of you [put behaviour here]? disapprove of you [put behaviour here]? [Write all responses below. Probe with else? [Write all responses below. Probe with else? “Who “Who Anyone in particular?”] Anyone in particular?”] 5. Perceived Access* Doers: How difficult is it to get [put the materials or Non-Doers: How difficult would it be to get [put the services needed for practicing the behaviour] to [put materials or services needed for practicing the behaviour here]? Is it very difficult, somewhat difficult behaviour] to [put behaviour here]? Would it be very or not difficult at all? difficult, somewhat difficult or not difficult at all? A. Very difficult A. Very difficult B. Somewhat difficult B. Somewhat difficult
Doers: What are the positive consequences of [put behaviour here]? [Write all responses below. Probe with “What else?”] Non-Doers: What would be the positive consequences of [put behaviour here]? [Write all responses below. Probe with “What else?”] 3. Perceived Negative Consequences What are the negative consequences of [put behaviour here]? all responses below. Probe with “What else?”] Non-Doers: What would be the negative consequences of [put behaviour here]? [Write all responses below. Probe with “What else?”] 4. Perceived Social 4.1 Doers: Who are all the people that approve of you [put behaviour here]? [Write all responses below. Probe with “Who else? Anyone in particular?”] 4.1 Non-Doers: Who are all the people that would approve of you [put behaviour here]? all responses below. Probe with “Who else? Anyone in particular?”] 4.2 Doers: Who are all the people that disapprove of you [put behaviour here]? [Write all responses below. Probe with “Who else? Anyone in particular?”] 4.2 Non-Doers: Who are all the people that would disapprove of you [put behaviour here]? [Write all responses below. Probe with “Who else? Anyone in particular?”] 5. Perceived Access* Doers: How difficult is it to get [put the materials or services needed for practicing the behaviour] to [put behaviour here]? Is it very difficult, somewhat difficult or not difficult at all? A. Very difficult B. Somewhat difficult Non-Doers: How difficult would it be to get [put the materials or services needed for practicing the behaviour] to [put behaviour here]? Would it be very difficult, somewhat difficult or not difficult at all? A. Very difficult B. Somewhat difficult
barrier-analysis-questionnaire-template-english_final.docx