Questionnaire Text

Questionnaire form view entire document:  text  image
[Questions 1 - 8 are] For all individuals

8. Does ____ have any permanent disability, such as

[] 1 partial or total blindness?
[] 2 partial or total deafness?
[] 3 mental retardation?
[] 4 paralysis or amputation?
[] 5 mental illness?
[] Other (specify) ____
[] 7 None
Questionnaire instructions view entire document:  text  image

First block

For all persons


Question 8: Disability

The objective of this question is estimating the population of the country that presents any type of permanent deficiency that can be a disability to the person, making it hard to fulfill daily activities in an independent manner; and in this way to guide the programs of attention to these persons.

[To the right of the text is a form.]

Deficiencies can be by origin: congenital (since birth) or acquired (by sickness or accident).

Mark with "X" only one of the deficiencies, the most important, according to the situation of the person.

The most common deficiencies are:

1. Partial or total blindness: Consists of the partial or total loss of visual capability. Include: blind or cannot see in one or both eyes. Among the most frequent causes are: cataracts, glaucoma, diabetes, German measles, squint or others. Exclude: persons who can correct their deficiencies with glasses or contact lenses.

[Below the text is a picture of a blind man.]

2. Partial or total deafness: consists of the partial or total loss of aural capacity. Include: deaf persons of one or both ears, such as any person who has permanent difficulty in hearing or wears a hearing aid. Exclude: persons with temporary hearing problems.

[Below the text is a picture of a deaf man.]

3. Mental retardation: Mental retardation is characterized by significant difficulty in intellectual functioning and for learning (concepts and intellectual practices). Include: persons with Downs Syndrome (previously called mongolism) and all known grades of mental retardation. Exclude: persons with learning problems such as: dyslexia, attention deficit (lack of concentration and attention), others.

4. Paralysis, amputation: Understood as the loss, paralysis or difficulty of functioning or mobility of one of many parts of the body (foot, leg, hand, arm), or both, in some cases fingers. Include: persons with cerebral paralysis, with physical difficulties by polio, severe arthritis, by amputations, congenital physical malformations, such as persons with involuntary movements, like Parkinson's disease. Exclude: cases of muscular, head or back pain, rheumatism, tiredness, or temporary fractures.

[Below the text is a picture of two handicapped persons.]

[p. 63]

5. Mental illness: take into account all mental diseases that cause serious problems of adaptation and social behavior in persons. Include: severe psychiatric problems like psychosis, schizophrenia, neurosis, dementia, permanent depression, that makes it difficult to lead a life considered "normal". Exclude: persons affected by temporary depression, stress or other transitory states of mind, known popularly as suffering from "nerves".

6. Others: are those deficiencies by losses, scarcities or anomalies that are not included in the previous deficiencies. Include: chronic obstructive lung disease (EPOC), other lung insufficiencies, cystic fibrosis, harelip, hemophiliacs, mutes, epilepsy, among others. Exclude: any other common suffering or disease such as hypertension, ulcers, emphysema, bronchitis, diabetes, whenever they have caused consequences that are classified in previous categories.

7. None: are cases in which the person claims to not have any permanent deficiency.