Client Service Receipt Inventory (Csri)
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8CSRI CPA/10 years on
CLIENT SERVICE RECEIPT INVENTORY (CSRI)
Care Programme approach and 10 year follow-up of the CinC Initiative
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Client
Time period
Date of interview
d
d
m
m
y
y
1.
SOCIODEMOGRAPHIC INFORMATION
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1.1
Date of birth
d
d
m
m
y
y
1.2
Sex
1 Female
2 Male
1.3
Marital status
1 Single/unmarried
(from a legal perspective)
2 Married
3 Separated
4 Divorced
5 Widow/widower
9 Not known
1.4
What is your ethnic group?
(Refer to manual for assistance)
Ethnic group _________________________
1.5
Country of birth
Country
(Refer to coding sheet)
1.6
Mother tongue
1 National language
2 Other language (but having good knowledge of national language)
3 Other language (and having poor or no knowledge of national language)
1.7
Number of years of schooling
in general education
Number of years schooling
1.8
Highest completed level of
1 Primary education or less
education
2 Secondary education
3 Tertiary / further education
4 Other general education
9 Not known
1.9
What further education or
Specific vocational training (< 1 year)
vocational training have you
Specific vocational training (> 1 year)
completed or are doing now?
Tertiary level qualification /diploma
(Tick all boxes that apply)
University degree (undergraduate)
University higher degree (postgraduate)
Other vocational training
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Version @ 24 November 1997
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