Technical Annex: Questionnaire
Published 21 May 2026
© Crown copyright 2026
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This publication is available at https://www.gov.uk/government/publications/workwell-pilots-evaluation-early-implementation-findings/technical-annex-questionnaire
Screener
Ask all
S1 If online:
Hello. Thank you for accessing this survey which is being run by IFF Research on behalf of the Department for Work and Pensions (DWP) and the Department of Health and Social Care (DHSC).
DWP and DHSC have provided IFF Research with your contact details as you have recently started receiving support to help you move into or stay in work. You might know this support as the ‘WorkWell’ programme.
We are collecting information on the situation of WorkWell participants prior to starting on the programme, and your experience of receiving support from WorkWell.
The information you provide in this survey will be used to improve the support that DWP and DHSC provide to people who need help with health and work in the future.
All online:
Our questions should take around 20 minutes to answer, and we will send you a £5 email voucher once completed as a thank you for taking part. Taking part is voluntary. If you do take part and you do not feel comfortable answering any particular question, you do not have to. You can stop the survey at any time without giving a reason. If you agree to participate, we will also contact you in six months time to complete another survey so we can understand how things may have changed for you.
Please be assured that participating in the survey will not affect any benefit claims or the support you receive in any way, now or in the future. Your answers will be held in the strictest confidence by the research team at IFF Research in accordance with the MRS Code of Conduct, unless you tell us that you or someone else is at risk. You have the right to have a copy of your data, change your data, or withdraw from the research at any point. If you’d like to do this, you can consult the IFF Research website.
Any information you give us during the survey will be treated as strictly confidential. Responses from all individuals taking part in the research will be provided to DWP and DHSC anonymously, meaning DWP and DHSC will not be able to identify you unless you provide explicit permission for us to link your responses to information that DWP and DHSC hold about you. We want to assure you that no individual will be identifiable in any of the published reports or findings of the research.
Under data protection law (GDPR), you have the right to have a copy of your data, change your data, or withdraw from the research at any point.
By clicking ‘next’ and completing the survey, you are telling us that you agree to take part in this research.
| Option | Number | Action |
|---|---|---|
| Next | 1 | - |
If CATI
Good [morning, afternoon or evening]. My name is [name] and I’m calling from IFF Research, an independent market research company. Please can I speak to [name]?
| Option | Number | Action |
|---|---|---|
| Respondent or appointee answers phone | 1 | Continue |
| Transferred to respondent or appointee | 2 | Continue |
| Hard appointment | 3 | Make appointment |
| Soft Appointment | 4 | Make appointment |
| Engaged | 5 | Call back |
| Refusal | 6 | Close |
| Not available in deadline | 7 | Close |
| Fax line | 8 | Close |
| No reply or Answer phone | 9 | Close |
| Business Number | 10 | Close |
| Dead line | 11 | Close |
| Request reassurance email | 12 | Collect email address then continue or arrange call back or make appointment |
If CATI
If S1=1: Great, thanks.
If S1=2: [Good morning, afternoon or evening]. My name is [name] and I’m calling on behalf of the Department for Work and Pensions from IFF Research.
I am calling today as we are working with the Department for Work and Pensions and the Department of Health and Social care to understand more about the experiences of people with health conditions or disabilities who’ve been receiving support to help them move into or stay in work . You might know this support as the ‘WorkWell’ programme. Your input can help improve the support provided to people who may need help with health and work in the future. It would be really helpful to go through some questions together.
Just to check, are you currently receiving support from the WorkWell programme?
Add if necessary:
To be clear this is not in relation to any benefits you receive and will not impact any future benefits you may need to claim.
The call today may take around 25 mins.
This call may be recorded for quality and training purposes only.
Responses are anonymous.
The survey is about people’s health and how it affects their ability to work. It’s for both people who are currently working and those who are not. The information you provide in this survey will be used to improve the support that DWP and DHSC provide to people who need help with health and work in the future
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| Yes | 1 | - |
| No, the support has now finished | 2 | - |
| No, I have not received any support through WorkWell | 3 | - |
| Do not read out: Don’t know | 4 | - |
Ask if think have not received WorkWell support or don’t know (s2 = 3 or 4)
Just to clarify, WorkWell is a support service open to those having difficulty moving into or staying in work due to a health condition or disability. It generally consists of an initial assessment with a work and health coach to discuss your work and health needs, followed by one to one coaching sessions. You may have also been referred to another support service for additional support.
Does this sound familiar?
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| Yes | 1 | - |
| No, the support has now finished | 2 | - |
| Do not read out: Don’t know | 3 | - |
Ask if s2 = 2
Even though you are no longer receiving support from WorkWell, we would still like to ask you about your situation prior to starting WorkWell, and your experiences whilst you were receiving support from the service.
Ask if s3 = 2 or 3
Even though you’re unable to recall the WorkWell programme, would you like to begin the survey and see if it jogs your memory?
| Option | Number | Action |
|---|---|---|
| Yes | 1 | Continue |
| No, the support has now finished | 2 | Thank and close |
| Do not read out: Don’t know | 3 | Thank and close |
Ask all
If WorkWell participant: We’re gathering information on the situation of individuals prior to them having started on the WorkWell programme. The information we gather is key to improving the support on offer in the future. We will be in touch again in six months to discuss these topics and see how things have progressed.
If comparison group and CATI: [Good morning, afternoon or evening], my name is [name], calling from IFF Research, an independent market research company.
If comparison group: We’re conducting research on behalf of the Department for Work and Pensions (DWP) and the Department of Health and Social Care (DHSC) about people’s health and how it affects their ability to work. It’s for both people who are currently working and those who are not. The information you provide in this survey will be used to improve the support that DWP and DHSC provide to people who need help with health and work in the future.
If online: Again, our questions should take around 20 minutes to answer.
If CATI: Our questions should take around 25 minutes to answer, and we will send you a £5 email voucher once completed as a thank you for taking part.
If CATI: Please be assured that participating in the survey will not affect any benefit claims or the support you receive in any way, now or in the future. Your answers will be held in the strictest confidence by the research team, in accordance with the MRS Code of Conduct, unless you tell us that you or someone else is at risk. You have the right to have a copy of your data, change your data, or withdraw from the research at any point. If you’d like to do this, you can consult the IFF Research website (If necessary: www.iffresearch.com/gdpr or call 020 7250 3035).
Responses from all individuals taking part in the research will be provided to DWP and DHSC anonymously, meaning DWP and DHSC will not be able to identify you unless you provide explicit permission for us to link your responses to information that DWP and DHSC hold about you. We want to assure you that no individual will be identifiable in any of the published reports or findings of the research.
Ask if CATI
Before we start, can I check if you need any help or support with taking part in this research? Add if necessary: For example, support from a family member, friend or work coach; or taking part in the survey in another way.
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| Yes – requires support from family member, friend, work coach or interpreter | 1 | Make appointment when support available |
| Yes – wishes to complete online | 2 | Collect email address and send link |
| No | 4 | Continue |
| Other (please write in) | 5 | Write in. Continue |
| Do not read out: Don’t know | 6 | Continue |
Ask if WorkWell participant
We understand that you started receiving support from [insert local branding name from sample or WorkWell] in [insert start month and year from sample].
Is this correct?
| Option | Number | Action |
|---|---|---|
| Yes – wishes to complete online | 1 | - |
| No | 2 | - |
| Do not read out: Don’t know | 3 | - |
If s8 = 2
When did you start receiving support from [insert local branding name from sample or WorkWell]? If you are unsure, please select the nearest month.
| Date | Number | Action |
|---|---|---|
| October 2024 | 1 | - |
| November 2024 | 2 | - |
| December 2024 | 3 | - |
| January 2025 | 4 | - |
| February 2025 | 5 | - |
| March 2025 | 6 | - |
| April 2025 | 7 | - |
| May 2025 | 8 | - |
| June 2025 | 9 | - |
| July 2025 | 10 | - |
| August 2025 | 11 | - |
| September 2025 | 12 | - |
| October 2025 | 13 | - |
| November 2025 | 14 | - |
| December 2025 | 15 | - |
| January 2026 | 16 | - |
| February 2026 | 17 | - |
| March 2026 | 18 | - |
| Other (please specify) | 19 | Write in |
| Do not read out: Don’t know | 99 | - |
Reassurances to use if necessary
The interview will take around 25 minutes to complete.
Please note that all data will be reported in aggregate form and your answers will not be reported to our client in any way that would allow you to be identified.
C Experience of health and wellbeing including healthcare resource usage
If CATI read out
We’d like to ask you a few questions IF ONLINE: The next few questions are] about your health or disability and how this affects you on a day-to-day basis. This is to allow us to see whether people with different circumstances have different views.
Please be assured that any information you provide will be held in the strictest confidence. You can refuse to answer any or all of these questions.
Ask all
C1 Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?
Please include any intermittent conditions or illnesses, lasting or expected to last for 12 months or more.
Read out. Single code.
| Option | Number |
|---|---|
| Yes | 1 |
| No | 2 |
| Do not read out: Prefer not to say | 99 |
If has health condition (C1=1)
C4 Do your conditions or illnesses reduce your ability to carry out day-to-day activities?
Read out. Single code.
| Option | Number |
|---|---|
| Yes, a lot | 1 |
| Yes, a little | 2 |
| Not at all | 3 |
| Do not read out: Prefer not to say | 99 |
Ask all
C5 [IF C1 = 2: Although you do not have any physical or mental health conditions or illnesses, we are still interested in learning more about different aspects of your health.]
[IF C1 = 1 OR 99: We are interested in learning more about different aspects of your health.]
First, I would like to ask you about mobility. Would you say that:
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| I have no problems in walking about | 1 | - |
| I have some problems in walking about | 2 | - |
| I am confined to bed | 3 | - |
| Do not read out: Prefer not to say | 4 | - |
Ask all
C5a Next, I would like to ask you about self care. Would you say that:
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| I have no problems with self-care | 1 | - |
| I have some problems washing or dressing myself | 2 | - |
| I am unable to wash or dress myself | 3 | - |
| Do not read out: Prefer not to say | 4 | - |
Ask all
EQ to 5D 3L C5b Next, I would like to ask you about usual activities, for example work, study, housework, family or leisure activities. Would you say that:
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| I have no problems with performing my usual activities | 1 | - |
| I have some problems with performing my usual activities | 2 | - |
| I am unable to perform my usual activities | 3 | - |
| Do not read out: Prefer not to say | 4 | - |
Ask all
EQ-5D 3L C5c Next, I would like to ask you about pain or discomfort. Would you say that:
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| I have no pain or discomfort | 1 | - |
| I have moderate pain or discomfort | 2 | - |
| I have extreme pain or discomfort | 3 | - |
| Do not read out: Prefer not to say | 4 | - |
Ask all
EQ-5D 3L C5d Next, I would like to ask you about anxiety or depression. Would you say that:
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| I am not anxious or depressed | 1 | - |
| I am moderately anxious or depressed | 2 | - |
| I am extremely anxious or depressed | 3 | - |
| Do not read out: Prefer not to say | 4 | - |
If has health condition (c1=1)
C6 Thinking about your health conditions, illnesses or disabilities, to what extent did they affect the amount, or type, of paid work you were able to do in [month before start month]?
Read out. Single code.
| Option | Number | Action |
|---|---|---|
| A great deal | 1 | - |
| To some extent | 2 | - |
| Not very much | 3 | - |
| Not at all | 4 | - |
| Do not read out: Prefer not to say | 5 | - |
Ask all
C6a If your health condition is variable, for the next question, please think about how you would feel in a period of poor health.
Before [start month], on a scale of 1 to 5 where 1 is strongly disagree and 5 is strongly agree, to what extent would you have agreed or disagreed that…
Read out. Single code. [DS - randomise starting point]
| Option | Strongly disagree | Tend to disagree | Neither agree nor disagree | Tend to agree | Strongly agree | Do not read out: Don’t know |
|---|---|---|---|---|---|---|
| _1 You were confident you could manage your health to minimise how much it affected your day-to-day activities | 1 | 2 | 3 | 4 | 5 | 6 |
| _2 You were confident you could manage your health to minimise how much it affected your ability to work | 1 | 2 | 3 | 4 | 5 | 6 |
Ask all
C10 In either [third month before start month], [second month before start month] or [first month before start month], did you have any contact with the following healthcare services? Please only include contact you had with public healthcare services about your own health, including telephone appointments.
Read out. Single code for each.
| Option | Yes | No | Do not read out: Don’t know | Do not read out: Prefer not to say |
|---|---|---|---|---|
| _1 A doctor at a GP surgery | 1 | 2 | 98 | 99 |
| _2 A nurse at a GP surgery | 1 | 2 | 98 | 99 |
| _3 A mental health service (includes all appointments but excludes inpatient stays) | 1 | 2 | 98 | 99 |
| _4 Accident and Emergency | 1 | 2 | 98 | 99 |
| _5 Hospital outpatients appointments (includes clinic appointments, consultations, tests, and scans. Excludes appointments for your mental health) | 1 | 2 | 98 | 99 |
| _6 Hospital inpatient stay (a stay in a hospital ward, including day case units, for your physical or mental health. This includes stays of one day or more, or part of a day) | 1 | 2 | 98 | 99 |
| _7 Other public healthcare service (for example, district nurse, occupational therapist, physiotherapist) | 1 | 2 | 98 | 99 |
Ask if c10_7=1
C10a Please specify the first other public healthcare service you had contact with. [If online: If you had contact with more than one healthcare service not specified in the previous question, please provide one answer per box provided.]
If CATI: interviewer please provide one answer per box.
| Option | Number | Response |
|---|---|---|
| Write in | - | - |
| Don’t know | 98 | - |
| Prefer not to say | 99 | - |
Ask if c10_7=1
C10b Please specify the second other public healthcare service you have had contact with.
| Option | Number | Response |
|---|---|---|
| Write in | - | - |
| No others | 97 | - |
| Don’t know | 98 | - |
| Prefer not to say | 99 | - |
Ask if c10_7=1
C10c Please specify the third other public healthcare service you had contact with.
| Option | Number | Response |
|---|---|---|
| Write in | - | - |
| No others | 97 | - |
| Don’t know | 98 | - |
| Prefer not to say | 99 | - |
Ask if doctor GP contact (c10_1=1)
C11 And in that 3 months, around how many times did you have an appointment for yourself (including telephone appointments) with a doctor at your GP surgery?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if nurse GP contact (c10_2=1)
C12 And in that 3 months, around how many times did you have an appointment for yourself (including telephone appointments) with a nurse at your GP surgery?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if mental health service contact (c10_3=1)
C12 And in that 3 months, around how many times did you have contact with mental health services for yourself?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if Accident and Emergency contact (c10_4=1)
C14 And in that 3 months, around how many times did you attend Accident and Emergency for yourself?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if outpatients contact (c10_5=1)
C15 And in that 3 months, around how many times did you attend a hospital outpatients department for yourself?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if Inpatient (c10_6=1)
C16 And in that 3 months, how many times did you have a stay in a hospital ward?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if other healthcare contact (c10_7=1 and C10a ≠ 98 or 99)
C17a And in that 3 months, around how many times did you have contact with a [C10a answer text] for yourself?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if other healthcare contact (c10_7=1 and C10a ≠ 98 or 99)
C17a And in that 3 months, around how many times did you have contact with a [C10a answer text] for yourself?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if other healthcare contact (c10_7=1 and C10b ≠ 98 or 99)
C17b And in that 3 months, around how many times did you have contact with a [C10b answer text] for yourself?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if other healthcare contact (c10_7=1 and C10c ≠ 98 or 99)
C17c And in that 3 months, around how many times did you have contact with a [C10c answer text] for yourself?
If CATI - read out: If you’re not sure, please give your best estimate.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Max 92] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
B Benefits history
If CATI - read out: We would now like to ask you some questions about whether you were in receipt of any benefits in [month before start month]. Again, these questions are completely voluntary and you can refuse to answer any or all of them.
We’d like to remind you that the information you provide us is completely confidential and will not affect any benefit claims in any way, now or in the future.
Ask all
B1 In [month before start month], were you receiving any of the following government benefits?
Read out. Multi code.
| Benefit | Number | Response |
|---|---|---|
| Universal Credit | 1 | - |
| Employment Support Allowance | 2 | - |
| Jobseekers Allowance | 3 | - |
| Working Tax Credits | 4 | - |
| Child Benefit | 5 | - |
| Child Tax Credits | 6 | - |
| Income Support | 7 | - |
| Housing Benefit | 8 | - |
| Disability Living Allowance (DLA) | 9 | - |
| Personal Independence Payment (PIP) | 10 | - |
| Severe Disability Premium | 11 | - |
| Industrial Injuries Disablement Benefit (IIDB) | 12 | - |
| Attendance Allowance | 13 | - |
| Another government benefit (please specify) | 14 | Write in |
| Do not read out: None of these | 97 | Exclusive |
| Do not read out: Don’t know | 98 | Exclusive |
Ask all receiving benefits prior to WorkWell start month (B1=1/2/3/4/5/6/7/8/9/10/11/12/13/14)
B2 In [month before start month], what was the combined monthly total (in pounds) of the benefits you received through:
[Insert B1 responses 1 to 14 that apply, as bullet points. for code 14 show ‘write in’ text].
If you can’t remember, please provide your best estimate to the nearest £10.
CATI: Do not probe.
| Option | Number | Response |
|---|---|---|
| Write in | - | [Number in pounds] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Employment history
Online or CATI:
The next few questions are about your experience of work before you started receiving support from [branding or WorkWell] in [start month]. This is to get a ‘snapshot’ of your experiences at that point in time, so we can understand whether and how people’s employment changes over time, for example the hours you work or what you earn.
Please be assured, we simply want to understand a bit more about your employment history. If you do not have any experience of work, that is okay.
Your responses are confidential and will not affect your dealings with the Department for Work and Pensions or the Department of Health and Social Care in any way, or affect any benefit claims, now or in the future.
Ask all
Which of the following best describes your situation in [month before start month]?
CATI interviewer note: if the respondent says they were off on sick leave or not working due to illness, please check if they were employed or self-employed during this time and code employment status accordingly
If status changed during month, code status at start of month.
Online only: If you were in employment but temporarily away from work due to illness (on sick leave), please select ‘working for an employer’ or ‘self-employed’ as relevant.
If what you were doing changed during the month, provide the answer for the beginning of the month.
CATI: Read out. Multi code.
If participant says yes to code 3, do not read out code 4.
| Option | Number | Response |
|---|---|---|
| Working for an employer | 1 | - |
| Self-employed | 2 | - |
| Out of work and looking for work | 3 | - |
| Out of work and not looking for work | 4 | - |
| Doing voluntary (unpaid) work | 8 | - |
| In full or part-time education | 5 | - |
| Looking after family or home full-time, or other full-time caring responsibilities | 6 | - |
| Something else (please specify) | 7 | Write in |
| Do not read out: Don’t know | 98 | Exclusive |
| Do not read out: Prefer not to say | 99 | Exclusive |
Ask all working for an employer just before WorkWell start month (A2=1)
Thinking about the work you were doing in [month before start month], what type of contract did you have?
CATI interviewer note: if the respondent had more than one job, please get them to focus on the main activity they were doing. this could be the one most related to future plans, one which pays the most money or one they spend the most time doing.
Online only: If you held more than one job, please answer regarding the position you would consider your main job. Your main job might be the one which is most related to your future plans, the one which pays you the most money or the one that you spend the most time doing.
CATI: Read out. Single code.
| Option | Number | Response |
|---|---|---|
| A zero hours contract | 1 | - |
| A casual or flexible contract | 2 | - |
| A temporary or fixed term or seasonal contract with more than three months remaining | 3 | - |
| A temporary or fixed term or seasonal contract with less than three months remaining | 4 | - |
| A permanent or open-ended job or contract | 5 | - |
| Apprenticeship or other training scheme | 6 | - |
| No contract | 7 | - |
| Other (please write in) | 8 | Write in |
| Do not read out: Don’t know | 98 | Exclusive |
| Do not read out: Prefer not to say | 99 | Exclusive |
Ask all who were in paid work just prior to WorkWell start month (A2=1, 2)
Thinking about your work pattern in [month before STARTMONTH], how many hours, including overtime or extra hours, were you expected to work in your job each week? Please exclude unpaid meal breaks and time taken to travel to work.
If you are unable to provide an exact answer, please provide your best estimate to the nearest hour.
CATI interviewer note:
If the respondent had more than one job, please get them to focus on the main activity they were doing. this could be the one most related to future plans, one which pays the most money or one they spend the most time doing.
If the respondent was on sick leave, ask them to provide the hours they would be expected to work if their health condition was not acting as a barrier to their normal working pattern.
Online only: If you held more than one job, please answer regarding the position you would consider your main job. Your main job might be the one that is most related to your future plans, the one which pays you the most money or the one that you spend the most time doing. If you were on sick leave during [month before start month], please tell us your expected working hours before you went on sick leave.
Single code.
| Option | Number | Response |
|---|---|---|
| Number of hours | - | [Max 168] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
If A5 = 98 (Don’t know)
A5a Can you provide an answer using the following bands?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| 5 hours or less | 1 | - |
| 6 to 10 hours | 2 | - |
| 11 to 15 hours | 3 | - |
| 16 to 20 hours | 4 | - |
| 21 to 25 hours | 5 | - |
| 26 to 30 hours | 6 | - |
| 31 to 34 hours | 7 | - |
| 35 to 39 hours | 8 | - |
| 40 or more hours | 9 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask all who were in paid work just prior to WorkWell start month (A2=1, 2)
Thinking about the paid work you were doing in [month before start month], what was your usual gross pay for your main job (your total pay before deductions for tax, National Insurance and pension contributions)? Please include overtime, bonuses, commission and tips.
CATI interviewer note: if the respondent had more than one job, please get them to focus on the main activity they were doing. this could be the one most related to future plans, one which pays the most money or one they spend the most time doing.
If the respondent was on sick leave, ask them to provide their usual gross pay if their health condition was not acting as a barrier to their normal working pattern.
Online only: If you held more than one job, please answer regarding the position you would consider your main job. Your main job might be the one that is most related to your future plans, the one which pays you the most money or the one that you spend the most time doing.
If you were on sick leave during [month before start month], please tell us your usual gross pay from before you went on sick leave.
Online: Please write in an hourly, weekly, monthly, or yearly amount to the nearest pound (for example, if £100.50 then write in £101).
CATI: You can say an hourly, weekly, monthly, or yearly amount to the nearest pound (for example, if £100.50 then write in £101).
Online or CATI: As a reminder, responses are reported to DWP or DHSC anonymously which means they won’t be able to link any responses to you individually.
CATI: participant can answer one of hourly, weekly, monthly or yearly.
Single code.
| Option | Number | Response |
|---|---|---|
| My usual gross hourly pay is | - | £ insert |
| My usual gross weekly pay is | - | £ insert |
| My usual gross monthly pay is | - | £ insert |
| My usual gross yearly pay is | - | £ insert |
| Do not read out: Don’t know | 98 | DS: Make exclusive |
| Do not read out: Prefer not to say | 99 | DS: Make exclusive |
If A6 = 98 (Don’t know)
A6a Can you provide an answer using the following bands?
Read out. Single code. DP – automatically code all responses to range.
| Option | Number | Response |
|---|---|---|
| Less than £120 per week, up to £518 per month, up to £6,200 per year | 1 | - |
| £120 to £149 per week, £519 to 651 per month, £6,201 to £7,820 per year | 2 | - |
| £150 to £182 per week, £652 to £791 per month, £7,821 to £9,499 | 3 | - |
| £183 to £221 per week, £792 to £958 per month, £9,500 to £11,499 | 4 | - |
| £222 to £259 per week, £959 to £1,124 per month, £11,500 to £13,499 per year | 5 | - |
| £260 to £298 per week, £1,125 to £1,291 per month, £13,500 to £15,499 per year | 6 | - |
| £299 to £336 per week, £1,292 to £1,458 per month, £15,500 to £17,499 per year | 7 | - |
| £337 to £480 per week, £1,459 to £2,083 per month, £17,500 to £24,999 per year | 8 | - |
| £481 to £576 per week, £2,084 to £2,499 per month, £25,000 to £29,999 per year | 9 | - |
| £577 to £769 per week, £2,500 to £3,333 per month, £30,000 to £39,999 per year | 10 | - |
| £770 to £961 per week, £3,334 to £4,166 per month, £40,000 to £49,999 per year | 11 | - |
| £962 to £1,442 per week, £4,167 to £6,249 per month, £50,000 to £74,999 per year | 12 | - |
| £1,443 to £1,923 per week, £6,250 to £8,333 per month, £75,000 to £99,999 per year | 13 | - |
| £1,924 or more per week, £8,334 or more per month, £100,000 or more per year | 14 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask all who were in paid work just prior to WorkWell start month (A2 = 1, 2)
In [month before start month], did you do any other paid work in addition to your main job?
Do not read out. Single code.
| Options | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No | 2 | - |
| Do not read out: Don’t know | 3 | - |
Ask if had other paid work (A7=1)
Thinking about any other paid work you were doing in [month before start month], how many hours, including overtime or extra hours, were you expected to work in your job(s) each week? Please exclude unpaid meal breaks and time taken to travel to work.
Please also exclude the hours you were expected to work in your main job that you have already told us about.
If you are unable to provide an exact answer, please provide your best estimate to the nearest hour.
CATI interviewer note: if the respondent was on sick leave, ask them to provide the hours they would be expected to work in these other jobs if their health condition was not acting as a barrier to their normal working pattern.
Online only: If you were on sick leave during [month before start month], please tell us your expected working hours from this other work before you went on sick leave.
Single code.
| Options | Number | Response |
|---|---|---|
| Enter number of hours | 2 | [Max 165] |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
If A7a = 98 (Don’t know)
Can you provide an answer using the following bands?
Read out. Single code. DP – automatically code all responses to range.
| Option | Number | Response |
|---|---|---|
| 5 hours or less | 1 | - |
| 6 to 10 hours | 2 | - |
| 11 to 15 hours | 3 | - |
| 16 to 20 hours | 4 | - |
| 21 to 25 hours | 5 | - |
| 26 to 30 hours | 6 | - |
| 31 to 34 hours | 7 | - |
| 35 to 39 hours | 8 | - |
| 40 or more hours | 9 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if had other paid work (A7 = 1)
Thinking about any other paid work you were doing in [month before start month], what was your usual gross salary for this work (your total pay before deductions for tax, National Insurance and pension contributions)? Please include overtime, bonuses, commission and tips, but exclude any earnings from your main job that you have already told us about.
CATI interviewer note: if the respondent was on sick leave, ask them to provide their usual gross pay if their health condition was not acting as a barrier to their normal working pattern.
Online: If you were on sick leave during [month before start month], please tell us your usual gross pay from this work before you went on sick leave.
Online: Please write in an hourly, weekly, monthly, or yearly amount to the nearest pound (for example, if £100.50 then write in £111).
CATI: You can say an hourly, weekly, monthly, or yearly amount to the nearest pound (for example, if £100.50 then write in £111).
Online or CATI: As a reminder, responses are reported to DWP or DHSC anonymously which means they won’t be able to link any responses to you individually.
CATI: Participant can answer one of hourly, weekly, monthly or yearly.
Single code.
| Option | Number | Response |
|---|---|---|
| My usual gross hourly pay is | - | £ insert |
| My usual gross weekly pay is | - | £ insert |
| My usual gross monthly pay is | - | £ insert |
| My usual gross yearly pay is | - | £ insert |
| Do not read out: Don’t know | 98 | DS: Make exclusive |
| Do not read out: Prefer not to say | 99 | DS: Make exclusive |
If A8 = 98 (Don’t know)
A8a Can you provide an answer using the following bands?
Read out. single code. DP – automatically code all responses to range.
| Option | Number | Response |
|---|---|---|
| Less than £120 per week, up to £518 per month, up to £6,200 per year | 1 | - |
| £120 to £149 per week, £519 to 651 per month, £6,201 to £7,820 per year | 2 | - |
| £150 to £182 per week, £652 to £791 per month, £7,821 to £9,499 | 3 | - |
| £183 to £221 per week, £792 to £958 per month, £9,500 to £11,499 | 4 | - |
| £222 to £259 per week, £959 to £1,124 per month, £11,500 to £13,499 per year | 5 | - |
| £260 to £298 per week, £1,125 to £1,291 per month, £13,500 to £15,499 per year | 6 | - |
| £299 to £336 per week, £1,292 to £1,458 per month, £15,500 to £17,499 per year | 7 | - |
| £337 to £480 per week, £1,459 to £2,083 per month, £17,500 to £24,999 per year | 8 | - |
| £481 to £576 per week, £2,084 to £2,499 per month, £25,000 to £29,999 per year | 9 | - |
| £577 to £769 per week, £2,500 to £3,333 per month, £30,000 to £39,999 per year | 10 | - |
| £770 to £961 per week, £3,334 to £4,166 per month, £40,000 to £49,999 per year | 11 | - |
| £962 to £1,442 per week, £4,167 to £6,249 per month, £50,000 to £74,999 per year | 12 | - |
| £1,443 to £1,923 per week, £6,250 to £8,333 per month, £75,000 to £99,999 per year | 13 | - |
| £1,924 or more per week, £8,334 or more per month, £100,000 or more per year | 14 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask all who were not in paid work prior to WorkWell start month A2≠ 1 or 2
When was the last time you held paid work before [start month]?
CATI: Read out. Single code.
| Option | Number | Response |
|---|---|---|
| In the three months before [WorkWell start month] | 1 | - |
| More than three months to one year before [WorkWell start month] | 2 | - |
| More than one to two years before [WorkWell start month] | 3 | - |
| More than two years before [WorkWell start month] | 4 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask all who were not in paid work prior to WorkWell start month (A2≠ 1 or 2)
A10N Thinking back to the last paid work you were doing before [start month], to what extent did you stop this work as a result of your health condition or disability?
CATI: Read out. Single code.
| Option | Number | Response |
|---|---|---|
| A great extent | 1 | - |
| To some extent | 2 | - |
| Not at all | 3 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
C Experience of health and wellbeing including healthcare resource usage
If has health condition (c1=1) and in paid work in the 12 months prior to WorkWell start month (A2=1, 2 OR A9=1,2)
C7 In the 12 months before [start month], approximately how many separate periods of sickness absence from work did you have?
By period, we mean anything from half a day up to multiple days or weeks in a row, in one single block when you were expected to work, but unable to do so.
For example, if you were off sick from Monday through to Wednesday but returned to work on Thursday, that would count as one period. If you were then off sick again on Friday, that would be a second period.
Please include sickness absences from all the jobs you held during this 12 month period.
If you are unsure of the exact number please provide your best estimate.
DS: Allow numeric range of 1 to 183
| Option | Number | Response |
|---|---|---|
| Write in number | - | - |
| Didn’t have a sickness absence of one day or more in 12 months before [start month] | 97 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask if sick on one occasion in past 12 months (C7 write in = 1)
C8 You said you had one sickness absence in this 12 month period. Approximately how many working days did the sickness absence last? If it’s just half a day, you can answer ‘0.5’.
DS: Allow numeric range of 0.5 to 366. allow increments of 0.5.
| Option | Number | Response |
|---|---|---|
| Write in number | - | - |
| Do not read out: Don’t know | 98 | - |
Ask if don’t know (C8=98)
C8A Are you able to provide an estimate in weeks instead?
Do not read out. Single code.
DS: Allow numeric range of 1 to 52. allow increments of 0.5.
| Option | Number | Response |
|---|---|---|
| Write in number | - | - |
| Do not read out: Don’t know | 98 | - |
Ask if sick on more than one occasion in past 12 months (C7 write in >1)
C9 You said you had [insert response at C7] sickness absence(s) in this 12 month period. Approximately how many working days did they last in total? Please provide your best estimate.
DS: Allow numeric range of 1 to 366. allow increments of 0.5.
| Option | Number | Response |
|---|---|---|
| Write in number | - | - |
| Do not read out: Don’t know | 98 | - |
Ask if don’t know (C9=98)
C9A Are you able to provide an estimate in weeks instead?
Do not read out. Single code.
DS: Allow numeric range of 1 to 52. allow increments of 0.5.
| Option | Number | Response |
|---|---|---|
| Write in number | - | - |
| Do not read out: Don’t know | 98 | - |
Experience of employment and job search activities
Ask all working for an employer just before WorkWell start month (A2=1) and who has a health condition (C1=1)
By [start month], had you told your employer about your health condition(s) or disabilities?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| Partially – disclosed some health conditions or disabilities, or some information about health but not the full extent of condition(s) | 2 | - |
| No | 3 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Ask all who disclosed some information about health condition to employer (D2 = 1, 2)
Before [start month], what reasonable adjustments, if any, did your employer put in place to help you manage your health condition(s) at work?
Read out. Multi code.
| Options | Number | Response |
|---|---|---|
| Changes to days or hours of working arrangements, for example offering a phased return to work after a sickness absence, flexible hours, part-time working, or paid time off for medical appointments | 1 | - |
| Made physical changes to the workplace, for example installing a ramp for wheelchair access or changing the level of lighting | 2 | - |
| Changed your equipment, for example desk chair, or providing a special keyboard for arthritis | 3 | - |
| Changes to job duties, for example distributing work differently within a team, finding work that better suits your ability | 4 | - |
| Communication adjustments, for example providing information in formats that meet accessibility needs, for example large print | 5 | - |
| Providing specialist support, for example one-to-one help to prioritise work, or counselling services | 6 | - |
| Letting you work somewhere else, for example at home | 7 | - |
| Any other reasonable adjustments (please specify) | 8 | Write in |
| None of the above | 97 | Exclusive |
| Do not read out: Don’t know | 98 | Exclusive |
| Do not read out: Prefer not to say | 99 | Exclusive |
Ask all who were in paid work just prior to WorkWell start month (A2 = 1, 2)
Adapted from work productivity and activity impairment questionnaire (WPAI)
On a scale of 0 to 10, where 0 is ‘health problems had no effect on my work’ and 10 is ‘health problems completely prevented me from working’, in [month before start month], how much did health problems affect your productivity while you were working?
Think about days you were limited in the amount or kind of work you could do, days you accomplished less than you would like, or days you could not do your work as carefully as usual. If health problems affected your work only a little, choose a low number. Choose a high number if health problems affected your work a great deal.
Consider only how much health problems affected productivity while you were working.
Read out. Single code.
A scale of 0 to 10, with 0 meaning ‘health problems had no effect on my work’ and 10 meaning ‘health problems completely prevented me from working’
Do not read out: Don’t know (98)
Ask all who were in paid work just prior to WorkWell start month (A2 = 1, 2)
Still thinking about the work you were doing in [month before start month], to what extent do you feel the skills and/or qualifications you had matched this job?
Readout. Single code.
| Option | Number | Response |
|---|---|---|
| I was over-skilled or over-qualified for this job | 1 | - |
| I had a suitable level of skills and/or qualifications for this job | 2 | - |
| I was under-skilled or under-qualified for this job | 3 | - |
| Do not read out: Don’t know | 4 | - |
| Do not read out: Refused | 5 | - |
Ask all
If A2 not 1 or 2: for the following question, we’re interested in your views even if you weren’t working or actively looking for work at the time.
On a scale of 1 to 5, where 1 means not at all and 5 means very, in the four weeks before [start month]…
Readout. Single code for each statement.
| Option | Not at all | - | - | - | Very | Do not read out: Don’t Know |
|---|---|---|---|---|---|---|
| _1 …how motivated were you to [A2=1 OR 2: stay in A2= NOT 1 OR 2: enter] work? | 1 | 2 | 3 | 4 | 5 | 6 |
| _2 …how confident were you to [A2=1 OR 2: stay in A2= NOT 1 OR 2: enter] work? | 1 | 2 | 3 | 4 | 5 | 6 |
Ask all who were not in paid work just prior to WorkWell start month (A2 = not 1 or 2)
We would now like to ask you a question about your job search activities [if workwell participant: before you started receiving support from [local branding or WorkWell].
This will be different for everyone, and there are no right or wrong answers. Remember your responses will be anonymous, so please answer honestly.
Roughly how many job vacancies did you apply for in the two weeks before [start month]?
If you’re unsure, please provide your best estimate.
DS: Allow 0 to 9,999
| Option | Number | Response |
|---|---|---|
| Write in number | - | - |
| Do not read out: Prefer not to say | 1 | - |
Ask all who were not in paid work just prior to WorkWell start month (A2 = not 1 or 2)
Which of the following is closest to how you feel about paid work?
By ‘paid work’ we also mean part-time work or self-employment – not just full-time employment.
CATI: Read out. Single code.
| Option | Number | Response |
|---|---|---|
| My health rules out work as an option now and in the future | 1 | - |
| I am currently unable to work, but might be able to in the future if my health improves | 2 | - |
| I could return to work now if the right job was available or if I had the right support | 3 | - |
| Do not read out: Don’t know | 98 | - |
| Do not read out: Prefer not to say | 99 | - |
Attitudes to work and health
[If CATI – read out:] This next section focuses on how you feel about work and your health condition.
Ask all
Where 1 is strongly disagree and 5 is strongly agree, how much do you agree or disagree that the following statements described you in [month before start month]? [If WorkWell participant: That is, before you started receiving support from [local branding name or WorkWell].
Read out. Single code on each row. [DS – randomise starting point]
| Option | Strongly disagree | Tend to disagree | Neither agree nor disagree | Tend to agree | Strongly agree | Do not read out: Don’t know |
|---|---|---|---|---|---|---|
| _1 I was good at setting and achieving goals (for example, motivated, organised) | 1 | 2 | 3 | 4 | 5 | 6 |
| _2 I was confident in myself (for example, self-belief, self-respect, dealing with nerves) | 1 | 2 | 3 | 4 | 5 | 6 |
| _3 I was good at managing my feelings when getting things done (for example, dealing with issues, coping in stressful situations, managing problems) | 1 | 2 | 3 | 4 | 5 | 6 |
| _4 I knew what types of work would suit my needs | 1 | 2 | 3 | 4 | 5 | 6 |
| _5 I would have felt comfortable discussing reasonable adjustments with an employer, if I needed to (Reasonable adjustments are changes employers can make to assist those with physical or mental health conditions or disabilities in the workplace, for example varied start times, or different equipment.) | 1 | 2 | 3 | 4 | 5 | 6 |
| _6 I felt employers would be able to accommodate my health needs | 1 | 2 | 3 | 4 | 5 | 6 |
| _8 I would have felt confident making a job application, if I needed to | 1 | 2 | 3 | 4 | 5 | 6 |
| _10 I would have known how to get support with work and health, if I needed it (for example, about my rights as an employee, or support with how health was affecting my work, or work affecting my health) | 1 | 2 | 3 | 4 | 5 | 6 |
Initial experience of WorkWell
Ask if WorkWell participant
At the point when you first started receiving [local branding name or WorkWell] support, what were you hoping to get out of receiving this support? In other words, what might happen for you, if it went well?
| Option | Number | Response |
|---|---|---|
| Please write in | - | - |
| Do not read out: Don’t know | 1 | - |
Ask if WorkWell participant
Since [WorkWell start month], what type of support have you received through [local branding name or WorkWell]?
Read out. Multi code.
| Option | Number | Response |
|---|---|---|
| Initial assessment of my work and health needs | 1 | - |
| Creation of an action plan with my [local branding name or WorkWell] work and health coach. For example, this may include goals you want to work towards. | 2 | - |
| One to one coaching support from my [local branding name or WorkWell] work and health coach | 3 | - |
| [Show if A2=1] Assistance in communicating with my employer | 4 | - |
| Onward referral to another health-related support service | 5 | - |
| Onward referral to another employment support service | 9 | - |
| Other (please specify) | 6 | Write in |
| Do not read out: Don’t know | 7 | [DS – exclusive code] |
| Do not read out: Prefer not to say | 8 | [DS – exclusive code] |
Ask if F2 = 2
Thinking about the action plan that you created with your work and health coach after being referred to [local branding name or WorkWell] in [start month], where 1 is strongly disagree and 5 is strongly agree, to what extent do you agree or disagree with the following statements?
Read out. Single code for each.
| Option | Strongly | ||||||
|---|---|---|---|---|---|---|---|
| disagree | - | - | - | Strongly agree | Do not read out: Don’t Know | Do not read out: Prefer not to say | |
| _1 I feel the plan includes goals that are relevant to me | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| _3 I feel the plan takes into consideration my individual needs and circumstances | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| _4 I felt I had a choice about what went into the plan | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| _5 I feel the plan will help me to achieve my goals | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
Ask if WorkWell participant
Since [Workwell start month], to what extent have you been satisfied or dissatisfied with the overall service you have received from [local branding name or WorkWell]?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| Very dissatisfied | 1 | - |
| Fairly dissatisfied | 2 | - |
| Neither satisfied nor dissatisfied | 3 | - |
| Fairly satisfied | 4 | - |
| Very satisfied | 5 | - |
| Do not read out: Don’t know | 6 | - |
| Do not read out: Prefer not to say | 7 | - |
If gave rating of WorkWell (F4 = 1, 2, 3, 4, 5)
Why are you [pipe in response from F4] with the overall service you’ve received from [local branding name or WorkWell] so far?
| Option | Number | Response |
|---|---|---|
| Please write in | - | - |
| Do not read out: Don’t know | 1 | - |
Questions about you
Ask all
What is your age?
Write in.
| Option | Number | Response |
|---|---|---|
| Write in | - | Max 100 |
| Do not read out: Don’t know | 1 | - |
| Do not read out: Prefer not to say | 2 | - |
G2N Ask all What is your sex?
Single code.
| Options | Number | Response |
|---|---|---|
| Male | 1 | - |
| Female | 2 | - |
| Transgender male | 7 | - |
| Transgender female | 8 | - |
| Non-binary | 3 | - |
| Other (please specify) | 4 | - |
| Do not read out: Don’t know | 5 | - |
| Do not read out: Prefer not to say | 6 | - |
If has health condition (C1 = 1)
C2 You mentioned earlier that you have one or more long term physical or mental health conditions or illnesses.
In answering this question, you should consider whether you are affected in any of these areas while receiving any treatment or medication or using devices to help you (for example, a hearing aid).
Read out. Multi code.
| Option | Number | Response |
|---|---|---|
| Vision (for example blindness or partial sight) | 1 | - |
| Hearing (for example deafness or partial hearing) | 2 | - |
| Mobility (for example walking short distances or climbing stairs) | 3 | - |
| Dexterity (for example lifting and carrying objects, using a keyboard) | 4 | - |
| Learning or understanding or concentrating | 5 | - |
| Memory | 6 | - |
| Mental health | 7 | - |
| Stamina or breathing or fatigue | 8 | - |
| Socially or behaviourally (for example associated with autism spectrum disorder (ASD) which includes Asperger’s, or attention deficit hyperactivity disorder (ADHD)) | 9 | - |
| Other (please specify) | 10 | Write in |
| Do not read out: None of the above | 98 | Exclusive |
| Do not read out: Prefer not to say | 99 | Exclusive |
Ask all
What is your ethnic group? Please choose one option that best describes your ethnic group or background.
Read out. Single code.
For online show each high level group with sub groups underneath.
| Option | Number | Response |
|---|---|---|
| White | 1 | - |
| Mixed or multiple ethnicity | 2 | - |
| Asian or Asian British | 3 | - |
| Black or African or Caribbean or Black British | 4 | - |
| Other, please specify | 5 | Write in |
| Do not read out: Don’t know | 6 | - |
| Do not read out: Prefer not to say | 7 | - |
Ask if white (g3=1)
And which one of these best describes your ethnic group or background?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| English or Welsh or Scottish or Northern Irish or British | 1 | - |
| Irish | 2 | - |
| Gypsy or Irish Traveller | 3 | - |
| Any other white background (please describe) | 4 | - |
| Do not read out: Don’t know | 5 | - |
| Do not read out: Prefer not to say | 6 | - |
Ask if mixed ethnicity (G3 = 2)
And which one of these best describes your ethnic group or background?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| White and Black Caribbean | 1 | - |
| White and Black African | 2 | - |
| White and Asian | 3 | - |
| Any other mixed or multiple ethnic background (please describe) | 4 | - |
| Do not read out: Don’t know | 5 | - |
| Do not read out: Prefer not to say | 6 | - |
Ask if asian (G3 = 3)
And which one of these best describes your ethnic group or background?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| Indian | 1 | - |
| Pakistani | 2 | - |
| Bangladeshi | 3 | - |
| Chinese | 4 | - |
| Any other Asian background (please describe) | 5 | - |
| Do not read out: Don’t know | 6 | - |
| Do not read out: Prefer not to say | 7 | - |
Ask if black (G3 = 4)
And which one of these best describes your ethnic group or background?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| Caribbean | 1 | - |
| African | 2 | - |
| Any other Black or African or Caribbean background (please describe) | 3 | - |
| Do not read out: Don’t know | 4 | - |
| Do not read out: Prefer not to say | 5 | - |
Ask if other (G3 = 5)
And which one of these best describes your ethnic group or background?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| Arab | 1 | - |
| Any other ethnic group (please describe) | 2 | - |
| Do not read out: Don’t know | 3 | - |
| Do not read out: Prefer not to say | 4 | - |
Ask all
What is the highest educational or professional qualification, if any, that you have obtained to date?
Read out. Single code.
| Option | Number | Response |
|---|---|---|
| No formal qualifications | 1 | DS – exclusive code |
| Less than 5 Secondary Education Qualifications (GCSE or O level) | 2 | - |
| More than or equal to 5 Secondary Education Qualifications (GCSE or O level) | 3 | - |
| A level or College Diploma | 4 | - |
| Undergraduate degree | 5 | - |
| Postgraduate master’s degree | 8 | - |
| Postgraduate PhD | 9 | - |
| Other, please specify | 6 | - |
| Do not read out: Prefer not to say | 7 | DS – exclusive code |
Ask all
The WorkWell programme is running in a number of pilot areas across England.
To help us better understand the services in your area, please could you share your home postcode?
We will only use your postcode for our survey analysis, we will not send any post to you or share your postcode with any other organisations.
| Option | Number | Response |
|---|---|---|
| Write in postcode | - | - |
| Do not read out: Don’t know | 1 | - |
| Do not read out: Do not want to say | 2 | - |
If postcode don’t know or prefer not to share G5 = 1 or 2
Please could you share your postcode area? This is the letter or letters of your postcode before the first number.
For example, if your postcode is L1 0AA, your postcode area is L. If your postcode is EC3R 6HD, your postcode area is EC.
| Option | Number | Response |
|---|---|---|
| Write in postcode area | - | - |
| Do not read out: Don’t know | 1 | - |
| Do not read out: Do not want to say | 2 | - |
Ask all
Thank you very much for taking the time to [If CATI: speak to us today. If online: complete this survey]. The information we have collected from you is really important in helping the Department for Work and Pensions and the Department of Health and Social Care to understand how well the support from [local branding name or WorkWell] is working.
We would like to contact you again in around a few months’ time to check in on your situation and experiences of the support you received. Would you be willing to take part in this follow-up survey? You’d get £5 for taking part
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No | 2 | - |
Ask if WorkWell participant
We might also wish to speak to people in more depth about their experiences of receiving support from [local branding name or WorkWell]. Would you be willing to be contacted about this research?
You do not have to agree to an interview at this stage, we’re just asking if we might be able to call you to find out if you are interested.
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No | 2 | - |
Ask all
H1 Occasionally, it is necessary for us to [If CATI: call people back. If online: get back in touch] to clarify information; may we please [If CATI: call you back. If online: get back in touch] if required?
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No | 2 | - |
Ask if CATI and willing to be called back (H2 or H3 or h1=1)
Is this number, the one ending in [DS: insert last three numbers of sample phone number], the best number to contact you on? You can provide up to two different telephone numbers.
| Option | Response |
|---|---|
| Write in number one | - |
| Write in number two | - |
Ask if online and willing to be recontacted (H1 or H2 or H3 = 1)
H4a We have the email address [DS: insert email from sample] on record for you. Is that the best email to contact you on?
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No – please provide alternative email address | 2 | - |
Ask online only
As a thank you for taking part today, we’d also like to send you a £5 online email voucher. Is [If H4a=1 DS: insert email from sample. If H4a = 2 DS: pipe in response at H4a = 2] the best email to send this to?
Please note that due to processing time this may take around two to four weeks to be sent.
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No – please provide alternative email address | 2 | - |
Ask CATI only
And as a thank you for taking part today, we’d like to send you a £5 online email voucher. Please can I confirm whether you have internet access to receive this?
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No | 2 | - |
| Refused incentive | 3 | - |
Ask if confirmed internet (H6=1)
Thank you. I have the email address [DS: insert email from sample] on record for you. Is that the best email to send the online email voucher to?
| Option | Response |
|---|---|
| Write in email | - |
| Confirm email: (DS to program check for matching) | - |
Please note that due to processing time this may take around two to four weeks to be sent.
Ask if no internet (H6=2)
We can send out a Love2Shop voucher, which can be used in a variety of shops, by post. Please can you let me know your address?
If necessary: The address you provide will only be used to send the voucher and not for any other purposes.
Please read back address to them to confirm correct
| Option | Number | Response |
|---|---|---|
| Write in postal address including postcode | - | - |
| Refused incentive | 1 | - |
Ask all
Finally, with your permission, the Department for Work and Pensions and the Department of Health and Social Care would like to link your answers to other information held by them, so that they can analyse the results. This would help the DWP and DHSC improve [If WorkWell participant: the support they provide to people who have similar circumstances to yourself or if comparison group: the work and health support they provide].
Your answers may be linked to your medical records.
The information you provide will be treated in strict confidence and will not affect your dealings with the Department for Work and Pensions, the Department of Health and Social Care, nor any benefits you may be claiming. The research findings will be published online, but they will not identify you.
Would it be ok for us to let DWP and DHSC match their records to your answers?
| Option | Number | Response |
|---|---|---|
| Yes | 1 | - |
| No | 2 | - |
Ask all
Just to confirm, you have the right to have a copy of your data, change your data, or withdraw from the research at any point. You can find out more information about your rights under the new data protection regulations by going to iffresearch.com/gdpr
On behalf of the Department for Work and Pensions, the Department of Health and Social Care and IFF Research, thank you very much for helping us with our research today.
Thank respondent and close interview
Finally, I would just like to confirm that this survey has been carried out under IFF instructions and within the rules of the MRS Code of Conduct. Thank you very much for your help today.