1 | What is your name? |
2 | What age are you? |
3 | Who do you live with? |
4 | Where do you live? |
5 | Do you take tablets/capsules/medicines? |
6 | Do you know their names? |
7 | What are the tablets/capsules/medicines supposed to do for you? |
8 | Who told you that you had to take tablets/capsules/medicines? |
9 | How many tablets/capsules/medicines do you take very day? |
10 | What time of the day do you take them? |
11 | Are there any rules/advice for taking the tablets/medicines? Time of day? Food? With water? Other? |
12 | Do you know your doctor? |
13 | Do you visit him/her often? |
14 | Tell me what happens when you visit your doctor. See Doctor See receptionist Blood pressure Weight Other |
15 | Do you get prescription/notes from the doctor? |
16 | Does someone go with you to visit your doctor? |
17 | Does the doctor give you information about your tablets/ capsules/medicines? |
18 | Do you know your chemist/pharmacist? |
19 | Do you go to the Chemist Shop/Pharmacy with the prescription? |
20 | Does someone go to the Chemist Shop/Pharmacy? |
21 | Tell me what happens when you go to the Chemist Shop/Pharmacy |
22 | Does your Chemist/Pharmacist give you information about your tablets/medicines? Yes No Sometimes Never |
23 | Can you open the tablet/medicine container? |
24 | Is the label easy to read? |
25 | Do you ever buy tablets/medicines in the Chemist Shop/Pharmacy without a prescription? |
26 | Tell me what happens when you wake up in the morning and have to take tablets/medicines |
27 | Do you like taking tablets/medicines? |
28 | Do you feel better after taking tablets/medicine? Yes No No change |
29 | Do you ever feel worse after taking tablets/medicines? |
30 | Do people/staff/family/friends explain to you about the tablets? |
31 | If you do not want to take the tablets who do you tell? |
32 | If the tablets/medicines make you feel bad/worse what do you do? |
33 | Who have you told about this? |
34 | Do you know what side effects of medicines are? |
35 | Did you ever have any side effects when you take medicines? |
36 | Have you ever spit out/hidden tablets/medicines? |
37 | Did tablets/medicines ever make you feel sick? |
38 | What happens if you do not want to take medicines/tablets? |
39 | Are tablets/medicines easy to swallow? |
40 | Do you ever visit a psychiatrist? |
41 | What does a psychiatrist Do? |
42 | Do you know what problem behaviour is? (Problem behaviour includes hitting other people, hurting yourself, being angry, screaming, breaking things) |
43 | Do you take tablets/medicines for problem behaviour? Yes Know Don’t know |
44 | What does that feel like? |
45 | Was anything else tried to help you with problem behaviour? |
46 | Can you tell good/bad things about taking tablets/medicines? |
47 | Can you remember what happened if you ever did not want to take tablets/medicines? |
48 | Do you ever have blood tests? |
49 | Who do you think know most about your tablets/medicines? Doctor Pharmacist Staff in organisation Nurse Friend You do Other |
50 | Who decides most about your tablets/medicines? |