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<h2 class="hd hd-2 unit-title">Part I</h2>
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<p>In this exercise, we return to the HIV case used in the Module 6 , 7, and 8 exercises. </p>
<p>South Africa has one of the highest rates of HIV in in the world with a national prevalence of 19% (UNAIDS). The government of KwaZulu-Natal has approached your research team to evaluate a school-based pilot program designed to address risky sexual behavior among adolescent girls who are at significant risk of contracting HIV in this context. Existing data show that HIV prevalence differs by age and sex, and that adult men have a higher prevalence of HIV than adolescent boys. The government hypothesizes that if they give adolescent girls accurate information on the relative risk of sexual activity by age of their sexual partner, this will lead to less risky sexual behavior with older men and reduce their likelihood of contracting HIV or other sexually transmitted infections as well as their chances of becoming pregnant. </p>
<p>The program will send trained project officers to eighth grade classrooms across the state to hold a one-time, one-hour session with students. The officer will show a 15-minute video on “sugar daddies”, older men who offer gifts and money for sexual relations, followed by an explanation of data that show HIV rates by age and sex and a Q&A session. The pilot will be implemented in 100 upper primary schools and the government has agreed to randomly select which schools will receive the treatment. 100 additional schools will serve as a comparison group. </p>
<p>As part of the data collection activities, the team will collect self-reported data via interviewer administered questionnaire, as well measure HIV status by testing blood samples. HIV testing will involve rapid tests and will be conducted with those respondents who provide consent and whose parents also provide consent. Your team has finalized the questionnaire and has translated it to the local language. It has been piloted and revisions have been made. The team has also identified candidates to be data collectors on this study as well as candidates to conduct the HIV testing. The candidates come from several different areas in South Africa and also speak several different languages. </p>
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Question 1
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<p>When selecting among the candidates for the data collector (interviewer) position, which of these factors would you prioritize as high and which as low? </p>
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<p>Education level</p>
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<p>Language spoken</p>
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<p>Experience with STATA </p>
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<p>Age</p>
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<p>Previous experience with questionnaire administration</p>
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<p>Extensive knowledge on HIV/AIDS </p>
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<p>Perceived as trustworthy by respondents</p>
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<p>Mathematics skills </p>
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<p>Previous use of electronic devices</p>
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Question 2
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<p>You require a team of 30 interviewers and hired 30 individuals who started the 2 week interviewer training. However, by the end of the training, 5 individuals had dropped out of the training leaving you with only 25 interviewers. What approach could you have used to avoid such a situation?</p>
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Question 3
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<p>During the training, what three components would you include during the two week interviewer training? Describe each one.</p>
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Question 4
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<p>To build your team of HIV testers, you decide to select individuals who already are trained and certified HIV testers who have previously worked in health facilities in the study areas. Since they are already trained and certified in HIV testing, your colleagues recommend to omit a training for the HIV testers in order to save a little money. Do you agree or disagree with this recommendation?</p>
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<p>Explain your rationale for your answer to the question above.</p>
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Question 6
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<p>As part of the study&#8217;s quality control procedures, supervisors observe and evaluate each HIV tester on a monthly basis. However, at the start of the data collection, the evaluations occur on a more frequent basis. The supervisors use a checklist that contains all of the steps that the testers must take during the HIV test. During the first evaluation of the 20 HIV testers that occurs during the first week of data collection, 5 of the HIV tester&#8217;s perform quite poorly. They make errors such as using the incorrect amount of buffer in the HIV test kit or waiting too long to read the test result. This could result in false negatives or false positives. What would you do?</p>
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<input type="radio" name="input_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1" id="input_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1_choice_2" class="field-input input-radio" value="choice_2"/><label id="7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1-choice_2-label" for="input_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1_choice_2" class="response-label field-label label-inline" aria-describedby="status_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1"> C. Conduct additional training with them and then reevaluate
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<input type="radio" name="input_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1" id="input_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1_choice_3" class="field-input input-radio" value="choice_3"/><label id="7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1-choice_3-label" for="input_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1_choice_3" class="response-label field-label label-inline" aria-describedby="status_7d41e768b81a4b63bd5ae60f0eb7e1c9_2_1"> D. Retest these 5 HIV testers&#8217; respondents as the results may not have been accurate
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Question 7
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<p>What types of safety and hygiene practices would you ensure during the HIV testing?</p>
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<input type="radio" name="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1" id="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_1" class="field-input input-radio" value="choice_1"/><label id="0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1-choice_1-label" for="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_1" class="response-label field-label label-inline" aria-describedby="status_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1"> B. Universal precautions
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<input type="radio" name="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1" id="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_2" class="field-input input-radio" value="choice_2"/><label id="0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1-choice_2-label" for="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_2" class="response-label field-label label-inline" aria-describedby="status_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1"> C. Standard infection control procedures
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<input type="radio" name="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1" id="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_3" class="field-input input-radio" value="choice_3"/><label id="0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1-choice_3-label" for="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_3" class="response-label field-label label-inline" aria-describedby="status_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1"> D. Level 3 infection control procedures
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<input type="radio" name="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1" id="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_4" class="field-input input-radio" value="choice_4"/><label id="0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1-choice_4-label" for="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_4" class="response-label field-label label-inline" aria-describedby="status_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1"> E. None of the above
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<input type="radio" name="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1" id="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_5" class="field-input input-radio" value="choice_5"/><label id="0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1-choice_5-label" for="input_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1_choice_5" class="response-label field-label label-inline" aria-describedby="status_0d51d2f5b99e4cbb89da1ca6524c2c2e_2_1"> F. B and C
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Question 8
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<p>What type of waste is the following? (Select all that apply)</p>
<p/>
<p>1.Gloves</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 1" role="group"><div class="choicegroup capa_inputtype" id="inputtype_9e6ec81a66d046febecfee6cf77592b3_2_1">
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<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_2_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_2_1_choice_0" class="field-input input-checkbox" value="choice_0"/><label id="9e6ec81a66d046febecfee6cf77592b3_2_1-choice_0-label" for="input_9e6ec81a66d046febecfee6cf77592b3_2_1_choice_0" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_2_1"> Biohazardous waste
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_2_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_2_1_choice_1" class="field-input input-checkbox" value="choice_1"/><label id="9e6ec81a66d046febecfee6cf77592b3_2_1-choice_1-label" for="input_9e6ec81a66d046febecfee6cf77592b3_2_1_choice_1" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_2_1"> Sharps
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_2_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_2_1_choice_2" class="field-input input-checkbox" value="choice_2"/><label id="9e6ec81a66d046febecfee6cf77592b3_2_1-choice_2-label" for="input_9e6ec81a66d046febecfee6cf77592b3_2_1_choice_2" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_2_1"> Regular waste
</label>
</div>
<span id="answer_9e6ec81a66d046febecfee6cf77592b3_2_1"/>
</fieldset>
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<span class="status unanswered" id="status_9e6ec81a66d046febecfee6cf77592b3_2_1" data-tooltip="Not yet answered.">
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</div>
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<p>2. Paper</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 2" role="group"><div class="choicegroup capa_inputtype" id="inputtype_9e6ec81a66d046febecfee6cf77592b3_3_1">
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<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_3_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_3_1_choice_0" class="field-input input-checkbox" value="choice_0"/><label id="9e6ec81a66d046febecfee6cf77592b3_3_1-choice_0-label" for="input_9e6ec81a66d046febecfee6cf77592b3_3_1_choice_0" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_3_1"> Biohazardous waste
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_3_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_3_1_choice_1" class="field-input input-checkbox" value="choice_1"/><label id="9e6ec81a66d046febecfee6cf77592b3_3_1-choice_1-label" for="input_9e6ec81a66d046febecfee6cf77592b3_3_1_choice_1" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_3_1"> Sharps
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_3_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_3_1_choice_2" class="field-input input-checkbox" value="choice_2"/><label id="9e6ec81a66d046febecfee6cf77592b3_3_1-choice_2-label" for="input_9e6ec81a66d046febecfee6cf77592b3_3_1_choice_2" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_3_1"> Regular waste
</label>
</div>
<span id="answer_9e6ec81a66d046febecfee6cf77592b3_3_1"/>
</fieldset>
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<span class="status unanswered" id="status_9e6ec81a66d046febecfee6cf77592b3_3_1" data-tooltip="Not yet answered.">
<span class="sr">unanswered</span><span class="status-icon" aria-hidden="true"/>
</span>
</div>
</div></div>
<p>3. The lancets used to prick fingers</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 3" role="group"><div class="choicegroup capa_inputtype" id="inputtype_9e6ec81a66d046febecfee6cf77592b3_4_1">
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<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_4_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_4_1_choice_0" class="field-input input-checkbox" value="choice_0"/><label id="9e6ec81a66d046febecfee6cf77592b3_4_1-choice_0-label" for="input_9e6ec81a66d046febecfee6cf77592b3_4_1_choice_0" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_4_1"> Biohazardous waste
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_4_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_4_1_choice_1" class="field-input input-checkbox" value="choice_1"/><label id="9e6ec81a66d046febecfee6cf77592b3_4_1-choice_1-label" for="input_9e6ec81a66d046febecfee6cf77592b3_4_1_choice_1" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_4_1"> Sharps
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_4_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_4_1_choice_2" class="field-input input-checkbox" value="choice_2"/><label id="9e6ec81a66d046febecfee6cf77592b3_4_1-choice_2-label" for="input_9e6ec81a66d046febecfee6cf77592b3_4_1_choice_2" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_4_1"> Regular waste
</label>
</div>
<span id="answer_9e6ec81a66d046febecfee6cf77592b3_4_1"/>
</fieldset>
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<span class="status unanswered" id="status_9e6ec81a66d046febecfee6cf77592b3_4_1" data-tooltip="Not yet answered.">
<span class="sr">unanswered</span><span class="status-icon" aria-hidden="true"/>
</span>
</div>
</div></div>
<p>4. The used HIV test kit and materials</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 4" role="group"><div class="choicegroup capa_inputtype" id="inputtype_9e6ec81a66d046febecfee6cf77592b3_5_1">
<fieldset aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_5_1">
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_5_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_5_1_choice_0" class="field-input input-checkbox" value="choice_0"/><label id="9e6ec81a66d046febecfee6cf77592b3_5_1-choice_0-label" for="input_9e6ec81a66d046febecfee6cf77592b3_5_1_choice_0" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_5_1"> Biohazardous waste
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_5_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_5_1_choice_1" class="field-input input-checkbox" value="choice_1"/><label id="9e6ec81a66d046febecfee6cf77592b3_5_1-choice_1-label" for="input_9e6ec81a66d046febecfee6cf77592b3_5_1_choice_1" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_5_1"> Sharps
</label>
</div>
<div class="field">
<input type="checkbox" name="input_9e6ec81a66d046febecfee6cf77592b3_5_1[]" id="input_9e6ec81a66d046febecfee6cf77592b3_5_1_choice_2" class="field-input input-checkbox" value="choice_2"/><label id="9e6ec81a66d046febecfee6cf77592b3_5_1-choice_2-label" for="input_9e6ec81a66d046febecfee6cf77592b3_5_1_choice_2" class="response-label field-label label-inline" aria-describedby="status_9e6ec81a66d046febecfee6cf77592b3_5_1"> Regular waste
</label>
</div>
<span id="answer_9e6ec81a66d046febecfee6cf77592b3_5_1"/>
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<p>The project receives additional funding to conduct a study on malnutrition in the same schools. As part of this study, anthropometric data will be collected from the students. During the data collection, the weight scales are checked each morning using a standardized weight of 10kg. The log of the morning checks for the first week of data collection is presented below.</p>
<table style="width: 480px; line-height: 24.6px; word-wrap: normal;" border="1"><caption><b>Log of Morning Checks</b></caption>
<tbody>
<tr><th scope="col" style="width: 120px; text-align: center;" nowrap="nowrap">Scale #</th><th scope="col" style="width: 120px; text-align: center;" nowrap="nowrap">Monday AM<br />(kg)</th><th scope="col" style="width: 120px; text-align: center;" nowrap="nowrap">Tuesday AM<br />(kg)</th><th scope="col" style="width: 120px; text-align: center;" nowrap="nowrap">Wednesday AM<br />(kg)</th><th scope="col" style="width: 120px; text-align: center;" nowrap="nowrap">Thursday AM<br />(kg)</th><th scope="col" style="width: 120px; text-align: center;" nowrap="nowrap">Friday AM<br />(kg)</th></tr>
<tr>
<td style="text-align: center;">1</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
</tr>
<tr>
<td style="text-align: center;">2</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
</tr>
<tr>
<td style="text-align: center;">3</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
</tr>
<tr>
<td style="text-align: center;">4</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
</tr>
<tr>
<td style="text-align: center;">5</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10.1</td>
</tr>
<tr>
<td style="text-align: center;">6</td>
<td style="text-align: right;">9.9</td>
<td style="text-align: right;">9.9</td>
<td style="text-align: right;">9.9</td>
<td style="text-align: right;">9.9</td>
<td style="text-align: right;">9.9</td>
</tr>
<tr>
<td style="text-align: center;">7</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">13.9</td>
<td style="text-align: right;">13.9</td>
<td style="text-align: right;">13.9</td>
</tr>
<tr>
<td style="text-align: center;">8</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
</tr>
<tr>
<td style="text-align: center;">9</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10</td>
</tr>
<tr>
<td style="text-align: center;">10</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10.1</td>
<td style="text-align: right;">10</td>
<td style="text-align: right;">10.1</td>
</tr>
</tbody>
</table>
</div>
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Question 9
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<p>What do you notice about the 10 scales that are in use? </p>
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<input type="radio" name="input_dab545b811484ae58e0203d427028dee_2_1" id="input_dab545b811484ae58e0203d427028dee_2_1_choice_0" class="field-input input-radio" value="choice_0"/><label id="dab545b811484ae58e0203d427028dee_2_1-choice_0-label" for="input_dab545b811484ae58e0203d427028dee_2_1_choice_0" class="response-label field-label label-inline" aria-describedby="status_dab545b811484ae58e0203d427028dee_2_1"> All of the scales are functioning well
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<input type="radio" name="input_dab545b811484ae58e0203d427028dee_2_1" id="input_dab545b811484ae58e0203d427028dee_2_1_choice_3" class="field-input input-radio" value="choice_3"/><label id="dab545b811484ae58e0203d427028dee_2_1-choice_3-label" for="input_dab545b811484ae58e0203d427028dee_2_1_choice_3" class="response-label field-label label-inline" aria-describedby="status_dab545b811484ae58e0203d427028dee_2_1"> Scale 3 was accurate on Monday, Thursday and Friday, but not on Tuesday or Wednesday
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Question 10
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<p>What should be done with respect to the scales?</p>
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Question 11
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<p>What should be done with respect to the data?</p>
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