Study participants baseline interview

Supportive Housing & Individual Placement and Support (SHIPS) Study

ICAP SHIPS BaselineInterviewSocialCapital V2

Study participants baseline interview

OMB: 0960-0840

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SHIPS
Page 1

Baseline Interview: Social Capital
Record ID.

__________________________________

Baseline Interview: Social Capital
(Please repeat the reminder below if it has not been provided during this interview period.)
Reminder about resources to help you cope with distress.  
When you enrolled in this study, you were provided with a list of resources to help you cope
with negative feelings and reactions to these interviews.  These resources can also help you
with other problems in your life not related to the study.
If you do not remember receiving this information, we will provide it to you immediately
following this interview.
Interview prompt:
"Now I'll ask you a few questions about your friends and family."
Are there members of your family with whom you are in
close contact right now?

Yes
No
Prefer not to answer

Are there members of your family who provide you with
active emotional support right now?

Yes
No
Prefer not to answer

About how many close friends do you have these days?
These are people you feel at ease with, can talk to
about private matters, or call for help.

About how many of your close friends are employed?

About how many of your close friends lack permanent
housing?

If you suddenly needed to borrow a small amount of
money (enough to pay your expenses for about one
week), are there people beyond your immediate
household and close relatives to whom you could turn
and who would be willing and able to provide this
money?

05/01/2024 12:10pm

__________________________________
(Enter a whole number; leave blank if respondent
does not know or prefers not to answer.)

__________________________________
(Enter a whole number; leave blank if respondent
does not know or prefers not to answer.)

__________________________________
(Enter a whole number; leave blank if respondent
does not know or prefers not to answer.)
Definitely
Probably
Unsure
Probably not
Definitely not
Prefer not to answer

projectredcap.org

Page 2

Generally speaking, would you say that most people can
be trusted, or that you can't be too careful in your
dealings with other people?

05/01/2024 12:10pm

Most people can be trusted.
You can't be too careful.
Prefer not to answer

projectredcap.org


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