Hello! 

I can't seem to find the information. For e.g., a participant selected the « Difficult » and the « Very Difficult » options for the same question in a 4 option Likert scale question (« How easy or difficult is it to obtain services for clients suffering from depressive symptoms ? »). 

So far, in this thread, people seem to say to treat those answers like missing values, or to create a separate question for the second answer. But this does not apply specifically to Likert-type questions. https://www.researchgate.net/post/How_do_you_handle_survey_questions_where_participants_select_more_than_one_response/1

I've also heard from researches and students to re-code and choose the selected response that has the highest value (in the e.g. above I would choose « Very Difficult »). 

Any literature reference would be welcome!

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