Questionnaire Text

Questionnaire form view entire document:  text  image

15 Has disabled persons?
(Check ?Yes if the household has disabled persons)
[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Question 15: Is anyone in the household disabled?
Fill out oval box "Yes" if there is any disabled person in the household, and fill out the appropriate oval box for the type of disability, and again fill out the oval box for actual number of disabled. Skip (leave blank) this question if there is no disabled person in the household.


Question 15: Disabled Persons
A person who, by birth or after birth, due to malfunction of different organs, could not lead normal life is called a disabled person. Ask the respondent whether any member of this household is disabled. If the answer is yes, then again ask whether the disabled person is blind or night blind. If the answer is yes, then ask the number of blind people, and fill out the appropriate oval box. If the disabled person is deaf and dumb, fill out the appropriate oval box on the right side of question. Continue in this way, if there is any mentally retarded person in this household, fill out the appropriate oval box on the right side of the question. If the disabled person is other than these categories, fill out according to number of the appropriate oval box on the right side of the question. If the number of disabled persons are more than three, fill out oval box 3 of the categories. If the household does not have any disabled person, then skip this question and go to question 16.