Yes=Y No=N Not applicable = N/A Space for noting any additional comments/questions 3. Do you know how to catheterise hygienically? 4. Do you know why you have to catheterise? 5. Can you order catheters yourself? D. MEDICATION 1. Do you know which medicines you are using? 2. Do you know why you are using these medicines? 3. Can you describe any side effects of these medicines? 4. Can you order your medicines yourself? 5. Can you pick up the medicines from the pharmacy yourself? E. TRANSFER 1. If you have a problem, do you know who to get in touch with? 2. Can you make an appointment with the doctor or nurse yourself? 3. Can you speak for yourself at a doctor’s or nurse’s appointment? 4. Would you like to have an appointment (or part of one) without your parent or parents being there? 5. Are you ready for the transfer to adult care? F. OTHER ASPECTS / AGREEMENTS
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