Questionnaire Text

Questionnaire form view entire document:  text  image

16. Chronic disease, handicap
Has the person any chronic disease? _ _
Does the person have any predominant handicap? _ _ _
See code list

Questionnaire instructions view entire document:  text  image

16. Chronic illness/dominant handicap


b- Handicap
A handicap is the disadvantage that a person endures due to a disability or an infirmity which prevents him from fulfilling completely or partially a task that could normally be done by a person similar to him in age, sex, and different cultural factors.

One is considered handicapped if they need the assistance of specific equipment. As such, a handicapped person is one does not have complete physical or mental autonomy.

Here is a list of basic handicaps that the 3rd RGPH has retained:

Basic terms Code
No handicap 00
Deaf 01
Mute 02
Blind 04
Leprous 08
Upper limbs disabled 16
Lower limbs disabled 32
Mental illness 64
Albino 128
Other handicap 256


-Ask the following question:
Q. Does the surveyed person have a/any handicap/s?

NB: If the handicap is clearly visible, mark it and go on to the following question.
-Mark after the vertical line the handicap code or codes, on the dotted line corresponding to the order number of the surveyed person.


[Examples omitted]