Questionnaire Text

Brazil 2000 Mauritius 2011 Puerto Rico 2010 Trinidad and Tobago 2011
Brazil 2010 Mexico 2000 Puerto Rico 2015 Uganda 2014
Cambodia 2019 Mexico 2010 Puerto Rico 2020 United States 2010
Colombia 2005 Mexico 2020 Rwanda 2012 United States 2015
Costa Rica 2011 Morocco 2004 Senegal 2013 United States 2020
El Salvador 2007 Morocco 2014 South Africa 2011 Uruguay 2006
Israel 2008 Myanmar 2014 South Africa 2016 Uruguay 2011
Laos 2015 Panama 2010 Suriname 2012 Vietnam 2009
Malawi 2008 Peru 2017 Tanzania 2012 Vietnam 2019
Mauritius 2000 Philippines 2010 Trinidad and Tobago 2000
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Brazil 2000 — source variable BR2000A_DISWALK — Ability to walk/climb stairs
Questionnaire form view entire document:  text  image

4.13 How do you evaluate your ability to climb stairs? (If you use a prosthesis, cane, or other facilitating device, make your evaluation based on when you're using them)
[] 1 incapable
[] 2 severe permanent difficulties
[] 3 some permanent difficulties
[] 4 no difficulty

Questionnaire instructions view entire document:  text  image

Question 4.13 - How do you evaluate your ability to walk/go up stairways? (If the person uses some type of braces, cane or other aid, make your evaluation when he or she is using such equipment)

According to the person's statement, mark:

1 - Unable - for persons who say they are unable to walk or go up stairways without another person's help, due to handicap in walking arising from permanent damage to the nervous system;
2 - Severe permanent difficulty - for persons who say they have great permanent difficulty in walking or going up stairways without the help of another person, even with the use of prostheses or other auxiliary equipment;
3 - Some permanent difficulty - for persons who say they have some permanent difficulty in walking or going up stairways without the help of another person, even with the use of prosthesis or other auxiliary equipment;
4 - No difficulty - for persons who say they have no difficulty walking or going up stairs without the help of another person, even if this requires the use of prosthesis or other auxiliary equipment. Children who have not yet attained the phase of walking or are still learning should be included on this category.


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Brazil 2010 — source variable BR2010A_DISMOB — Permanent difficulty walking
Questionnaire form view entire document:  text  image

6. Resident characteristics


Disability - for all residents


6.16 Do you have any permanent difficulty in walking or climbing stairs?
(If you use a prosthesis, cane or assistive device, make your evaluation while using it)

[] 1 Yes, cannot do it at all
[] 2 Yes, major trouble
[] 3 Yes, some difficulty
[] 4 No, no difficulty

Questionnaire instructions view entire document:  text  image

6.16 - Do you have difficulty walking or climbing stairs?
(If using a prosthetic limb, a cane or other walking aid, use them to determine walking ability)

Depending on the situation, record:
1 - Yes, unable to walk: A person who declares himself/herself unable to walk or climb stairs without the help of another person, because of physical disability.
2 - Yes, has difficulty walking: A person that has great difficulty walking and/or climbing stairs without the help from another person, even when using prosthesis or walking aids.
3 - Yes, some difficulty walking: A person that has some difficulty walking and/or climbing stairs without the help from another person, even when using prosthesis or walking aids.


[page 200]

4 - No, can walk very well: A person that does not have any difficulty walking and/or climbing stairs, even if she/he uses prosthesis or walking aids. Include children who have not yet learned how to walk and have no motor difficulties.


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Cambodia 2019 — source variable KH2019A_DISMOBIL — Having difficulty by walking or climbing step
Questionnaire form view entire document:  text  image
Form B household questionnaire part 2

Individual particulars
[This section except for questions 6 and 8 are to be completed by all persons]

[Questions 17-22 of this section are to be answered by persons aged 5 years and older]

17. Functional difficulty

17.3 Do you have difficulty walking or climbing step?

[] 1. No -- no difficulty
[] 2. Yes -- some difficulty
[] 3. Yes -- a lot of difficulty
[] 4. Cannot do at all

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Colombia 2005 — source variable CO2005A_LIMWAL — Permanent limitation for walking
Questionnaire form view entire document:  text  image
39. Does [the respondent] have permanent limitations for: (basic)

39.1 Mobility or walk?
[] 1 Yes
[] 2 No

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Costa Rica 2011 — source variable CR2011A_DISLOWER — Disability, difficulty with walking
Questionnaire form view entire document:  text  image
12. Does [the respondent] have a permanent limitation?? (You can mark multiple options)

[] 1 Seeing, even with glasses or contacts on
[] 2 Hearing
[] 3 Speaking
[] 4 Walking or going up steps
[] 5 Using arms or hands
[] 6 Intellectually (retarded, Down?s syndrome, other)
[] 7 Mentally (bipolar, schizophrenic, other)
[] 8 None of the above
Questionnaire instructions view entire document:  text  image
Question 12: Population with disability

12. Does [name] have a permanent limitation...? (You can mark multiple options)

[] 1 seeing, even with glasses or contacts on
[] 2 hearing
[] 3 speaking
[] 4 walking or going up steps
[] 5 using arms or hands
[] 6 intellectually (retarded, Down's syndrome, other)
[] 7 mentally (bipolar, schizophrenic, other)
[] 8 none of the above

This question is asked of all the habitual residents of the household. In the case of the babies, it should be considered that they do not have permanent limitations if there is no medical opinion that indicates otherwise.

As can be observed in this question you can mark various responses that refer to the following permanent limitations.

Walking or going up steps: this includes the people that present permanent difficulties walking from one place to another, inside or outside the dwelling, or going up steps in a dwelling, buildings, or means of transportation. This excludes: the people with temporary injuries or burns that are found in rehabilitation and could recover.


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El Salvador 2007 — source variable SV2007A_DISMOB — Limitations in movement or walking
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5. Do you/does the person have any permanent limitation in:


Moving or walking

[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

Question 5: Do you/does this person have any permanent disability in
If a person has more than one permanent disability you may circle all of them; you do not need to limit yourself to a single response. Exclude temporary disabilities caused by fractured limbs or illness.


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Israel 2008 — source variable IL2008A_DISMOBIL — Difficulty walking inside the house or up and down the stairs
Questionnaire form view entire document:  text  image
Questions on daily functioning
The following questions relate to difficulties in performing certain activities due to health, physical or mental problems which have continued for 6 months or more.

40. Do you have difficulties walking in your home or going up and down stairs?

[Question 40 asked of persons 5 years and older]
[] 1 No - have no difficulties
[] 2 Yes - have slight difficulties
[] 3 Yes - have great difficulties
[] 4 Can't walk at all
Questionnaire instructions view entire document:  text  image
Part F: Daily Functioning

2. Instructions for answering questions
A wide variety of questions can help us learn about the country's residents' level of functioning and ability to cope in their daily life. In the population census survey we examine these issues through questions about the level of difficulty a person experiences when performing different activities.
Each question in this part is separate from the others and does not depend on the other questions. Therefore, each question is asked regardless of the answer received for the previous question.
a. The introduction
An introduction sentence appears before the questions, explaining the framework within which the questions are asked. The introduction presents the subject of the questions and explains the type of difficulties that should be addressed. The introduction is read out once and refers to the series of questions that follows.
In the questions, you should refer to difficulties which are the result of a health, physical or mental problem, lasting six months or more. This time frame was determined in order to focus on long-term and permanent difficulties and avoid collecting data on temporary difficulties, such as a person who broke his leg but will fully recover within a short time.

Question 5.20 - Do you experience any difficulty in walking inside house, or going up and down stairs?

[] 1. No - no difficulty
[] 2 Yes - little trouble
[] 3 Yes - it is very hard
[] 4 Cannot at all

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Laos 2015 — source variable LA2015A_DISMOBIL — Difficulty walking or climbing stairs
Questionnaire form view entire document:  text  image
B. For all persons in the household

Do you have any difficulty with the following activities?

Q13. Walking/climbing stairs
[] 1. No difficulty
[] 2. Yes, some difficulty
[] 3. Yes, a lot of difficulty
[] 4. Cannot do at all
Questionnaire instructions view entire document:  text  image
Questions Q11, Q12, Q13, Q14, Q15, Q16: Do you have the following difficulties?
The purpose of the question is to know the difficulties in seeing, hearing, walking or moving, remembering or concentrating, self-caring, speaking, and communicating in the daily life of the household members (except in the case of injury that prevents movement from time to time).
 
The data collection is divided according to categories of disabilities as follows:

Q13: Difficulties in walking or movement:
Refers to people who cannot walk or have difficulties walking/moving from one place to another.


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Malawi 2008 — source variable MW2008A_DISAB1 — Type of disability, first
Questionnaire form view entire document:  text  image

[Questions P9-P13 were asked of usual residents]


P13. Does [the respondent] have difficulty or problems in the following? If yes, what are the causes?

Type of disability:

[] 0 None
[] 1 Seeing
[] 2 Hearing
[] 3 Speaking
[] 4 Walking / climbing
[] 8 Other


Causes:

[] 1 Congenital
[] 2 Disease / illness
[] 3 Injury / accident
[] 4 Not known
[] 8 Other

Questionnaire instructions view entire document:  text  image

Questions for usual members of households
Questions P09 to P013 should only be asked to the usual members of that household.


P13. Type and causes of disability
Ask the respondents whether there any members of the household who should be classified as disabled. In this case, disability refers to physical or mental handicap, which inhibits an individual's ability to work or participate in normal activities. Furthermore, the enumerator should ask for the causes of disability.

If the person has multiple disabilities and the first to be mentioned is "1" in the first row, ask for the cause and shade the appropriate code in the first row under cause. If the disability to be mentioned second is "Walking", shade 4 in the second row, ask for the cause and shade it in the second row under cause.

Note: The enumerator should probe the type of disability in order not to confuse with current illness.


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Malawi 2008 — source variable MW2008A_DISAB2 — Type of disability, second
Questionnaire form view entire document:  text  image

[Questions P9-P13 were asked of usual residents]


P13. Does [the respondent] have difficulty or problems in the following? If yes, what are the causes?

Type of disability:

[] 0 None
[] 1 Seeing
[] 2 Hearing
[] 3 Speaking
[] 4 Walking / climbing
[] 8 Other


Causes:

[] 1 Congenital
[] 2 Disease / illness
[] 3 Injury / accident
[] 4 Not known
[] 8 Other

Questionnaire instructions view entire document:  text  image

Questions for usual members of households
Questions P09 to P013 should only be asked to the usual members of that household.


P13. Type and causes of disability
Ask the respondents whether there any members of the household who should be classified as disabled. In this case, disability refers to physical or mental handicap, which inhibits an individual's ability to work or participate in normal activities. Furthermore, the enumerator should ask for the causes of disability.

If the person has multiple disabilities and the first to be mentioned is "1" in the first row, ask for the cause and shade the appropriate code in the first row under cause. If the disability to be mentioned second is "Walking", shade 4 in the second row, ask for the cause and shade it in the second row under cause.

Note: The enumerator should probe the type of disability in order not to confuse with current illness.


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Malawi 2008 — source variable MW2008A_DISAB3 — Type of disability, third
Questionnaire form view entire document:  text  image

[Questions P9-P13 were asked of usual residents]


P13. Does [the respondent] have difficulty or problems in the following? If yes, what are the causes?

Type of disability:

[] 0 None
[] 1 Seeing
[] 2 Hearing
[] 3 Speaking
[] 4 Walking / climbing
[] 8 Other


Causes:

[] 1 Congenital
[] 2 Disease / illness
[] 3 Injury / accident
[] 4 Not known
[] 8 Other

Questionnaire instructions view entire document:  text  image

Questions for usual members of households
Questions P09 to P013 should only be asked to the usual members of that household.


P13. Type and causes of disability
Ask the respondents whether there any members of the household who should be classified as disabled. In this case, disability refers to physical or mental handicap, which inhibits an individual's ability to work or participate in normal activities. Furthermore, the enumerator should ask for the causes of disability.

If the person has multiple disabilities and the first to be mentioned is "1" in the first row, ask for the cause and shade the appropriate code in the first row under cause. If the disability to be mentioned second is "Walking", shade 4 in the second row, ask for the cause and shade it in the second row under cause.

Note: The enumerator should probe the type of disability in order not to confuse with current illness.


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Mauritius 2000 — source variable MU2000A_DISAB1 — First reported disability
Questionnaire form view entire document:  text  image
[Population census form]

11. Disability _ _ _

Does the person experience any disability (i.e., any limitation to perform a daily-life activity in a manner considered normal for a person of his/her age), because of a long-term physical/mental condition or health problem?
Write 'yes' or 'no'.

[] Yes
[] No

If 'yes', insert as many disabilities as applicable as follows:
[] SPCH - speaking and talking disabilities
[] EAR - hearing and listening disabilities even with hearing aid
[] EYE - seeing disabilities even with glasses
[] MTION - walking, running, and other ambulation disabilities
[] MANU - manual activity disabilities such as fingering, gripping, and holding
[] LEARN - disturbance of ability to learn and acquire education
[] BEH - disturbances of behavior, maladjustment, and liability to self-injury
[] CARE - inability to look after oneself with regard to personal care and hygiene, feeding, etc.
[] OTHER - other disabilities (specify)
Questionnaire instructions view entire document:  text  image
7. Instructions on how to fill in the census form

Column 11 - Disability
Write 'Yes' if the person, because of a long-term physical/mental condition or health problem, experiences any disability, i.e. any limitation to perform any daily-life activity in a manner considered normal for a person of his/her age. Long-term physical/mental condition or health problem is one that has lasted or is expected to last for six months or more.
A long-term disability or handicap is one that has lasted or is expected to last for six months or more.
Then describe the disabilities using the following abbreviations:

SPCH- speaking and talking disabilities;
EAR- hearing and listening disabilities even with hearing aid;
EYE- seeing disabilities even with glasses;
MTION- walking, running and other ambulation disabilities;
MANU- manual activity disabilities such as fingering, gripping and holding;
LEARN- disturbance of ability to learn and acquire education;
BEH- disturbances of behaviour, including antisocial behaviour, maladjustment and liability to self injury;
Are included under this category:
- conduct that is embarrassing, aggressive, extremely overactive, psychopathic and delinquent;
- disturbances of appearance such as personal uncleanliness, careless dressing and bizarre appearance;
- disturbances resulting from loss of consciousness, fits and blackouts;
- inability to correctly locate external objects events, and himself in relation to time and space and understand relations between objects and persons and to cope with specific situations.
CARE- Personal care and hygiene disabilities, i.e. inability for the person to look after himself/herself in regard to basic physiological activities, such as excretion and feeding, and caring for himself/herself, such as hygiene and dressing;
OTHER- other disabilities (specify).

If the person has no long-term disability or handicap, write 'No'.


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Mauritius 2011 — source variable MU2011A_DISMOBIL — Difficulty walking or climbing stairs
Questionnaire form view entire document:  text  image
Individual form

P12B. If [Yes] at P12A, state the severity of all applicable difficulties as follows:

C. Walking or climbing stairs

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all
Questionnaire instructions view entire document:  text  image
6. Population census topics and their usefulness

P12A and P12B - Disability
The question provides information which is needed for the formulation and implementation of programs in support of the disabled (e.g. special education, employment and social aid).

8. How to fill in the Population Census Questionnaire

P12A and P12B - Disability
[figure omitted]
This question should be asked tactfully to obtain information as to whether the person has any difficulty to perform a daily-life activity (as listed at P12B - A to I) considered normal for his/her age. If the answer is "Yes", ask for the severity of all applicable difficulties as follows:

1. Some difficulty
2. A lot of difficulty
3. Cannot do at all

[figure omitted]
Shade the degree of severity for all applicable difficulties. If a difficulty is not applicable, leave the corresponding boxes blank.
If a person has reported that he/she is experiencing "I - Other difficulties" at P12B, specify the nature of the difficulty in the adjacent boxes.
[figure omitted]


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Mexico 2000 — source variable MX2000A_DISMOB — Disability, mobility
Questionnaire form view entire document:  text  image

6. Type of disability

This person has limitation for:

Read all the options and circle the affirmative responses.

1 Moving, walking, or needs assistance
2 Using arms and hands
3 Is deaf or uses a hearing aid
4 Is mute
5 Is blind or only sees shadows
6 Has some retardation or mental deficiency
7 Has other physical or mental limitation.
_____Write the limitation.

8 Has no physical or mental limitation (Continue with number 8)

Questionnaire instructions view entire document:  text  image

6. Type of Disability

A disabled person is one who has some physical or mental limitation, which limits their ability to carry out activities in their house, school, or job, such as walking, dressing, bathing, reading, writing, hearing, etc.

This question obtains information from people who have long term or permanent disabilities or limitations.

Long term disabilities are those that exist for more than six months, or which are expected to last for at least that long.

[Depiction of this completed question on the enumeration form]

When a person has more than one limitation or disability, circle the codes of the affirmative responses. The following people can be considered to have disabilities:

[P. 68]

Those who cannot, or are limited in, moving or walking due to a partial or total lack of legs, or those who, having complete legs, cannot move them; they generally need help from other people, from a wheel chair, walkers, or an artificial foot or leg. This includes invalids, people with polio, people who have had one or both legs (or a portion of them) amputated, among others.

Those who cannot, or are limited in, using their arms or hands due to a partial or total lack of arms, hands, or fingers; or those people who, having both their arms, have lost the ability to move them, such that they cannot grab or move objects, push, throw, pull, dress, bathe, or perform other actions; those with one hand/arm are an example.

Those who cannot hear with one or both ears, those who only hear high pitched noises, or those who use any kind of hearing aid. For example, those who only hear with one ear, and those who only hear when they are spoken to very loudly.

Those who cannot speak. In this case, do not include babies who are not yet able to talk.

Those who are blind, those who see with only one eye, and those who only distinguish large shapes, or shadows.

People with mental retardation, who learn slowly, those who have Down syndrome, etc.

[Depiction of this completed question on the enumeration form, and a related drawing]

Any physical or mental disability or limitation other than the previous should be registered as it is reported to you, in the space write the disability.

If, after having read through the options, they report that the person does not have any disabilities, circle code 8 and go on to question 8. use of health services.

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Mexico 2010 — source variable MX2010A_DISWALK — Disability walking, moving, going up and down
Questionnaire form view entire document:  text  image
III. Personal characteristics

Now I am going to ask you about (name): ________
Copy the name of the person from section II

For all persons
[Questions 1-10 are asked of all persons.]


10. Disability
Does [the respondent] have difficulty doing the following activities in his/her daily life:

Read all the options and circle those with an affirmative answer.

[] 10 Walking, moving, going up and down [the stairs]
[] 11 Seeing, even when using glasses
[] 12 Speaking, communicating or conversing
[] 13 Hearing, even when using a hearing aid
[] 14 Getting dressed, bathing or eating
[] 15 Paying attention or learning simple things
[] 16 Has any mental limitations
[] 17 This person does not have any physical or mental difficulties (go to 12)

Questionnaire instructions view entire document:  text  image
6.5 Section III. Characteristics of the people

In this section the information of the people who inhabit the dwelling, like the sex, age, level of studies, income, among others, is obtained.

Before requesting the information for each person, copy all the names in the spaces designated for them, and for each person start with the phrase: "Now I'm going to ask about (mention the name of the person you previously noted)", so that the informer knows about whom you will be asking the information.

For all persons
[Questions 1-11 are for all persons.]


10. Disabilities
This question identifies the people who have difficulties completing activities in daily life such as walking, seeing, speaking or communicating, listening, learning, or attending to their personal care.

For each question consider the following:

  • Ask all the people who live in the dwelling.
  • You can circle up to six codes when a person declares more than one difficulty.


People with disabilities are those who:
  • Have difficulties and limitations moving or getting around, going up stairs because of the lack of one or a part of one's leg; this also includes those whose legs are impaired or display movement restrictions, in such a way that they need the help of another person, wheelchair or other apparatus, like walkers or artificial legs.
  • Display total loss of vision in one or both eyes, as well as those with weak vision and those who while using glasses can't see very well because of their advanced visual problem.
  • Have difficulty communicating with others, due to the speech limitations or because they can't chat or converse in a comprehensible way. Remember to not include small children in this situation because due to their young age they still have natural difficulty speaking because they are still learning to do so.
  • Can't hear, as well as those who display difficulties hearing (weak audio), in one or both ears, or those who even while using an audial device have listening difficulties due to the advanced state of the problem.
  • Can't attend to their own personal care or display difficulties and limitations completing activities such as bathing themselves, getting dressed, or consuming food.
  • Declare limitations or difficulties learning a new task of paying attention for a determined amount of time, as well as limitations remembering information, or performing activities that should be completed in daily life.
  • This also includes the people who declare a mental problem like mental retardation or alternative conduct and behavior.


If the person declares that he/she has some sickness or suffering (diabetes, cancer, arthritis, among others), ask what limits or prevents him/her to complete the daily activities in the dwelling, work, or at school, according to the options of the responses indicated in the question.

[p. 98]

When the person discloses information or knows the response by direct observation, use the confirmation of the other members of the dwelling, but never record the response without verifying the information with the informer.

If after having read all the response options, they declare that the person doesn't have difficulties, circle code 17 and continue to question 12 "Indigenous languages" if the person is age 3 or older; if not, continue to the following person.

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Mexico 2020 — source variable MX2020A_DISMOBIL — Difficulty walking, going up or down
Questionnaire form view entire document:  text  image
10. Disabilities: In day-to-day life, does [the respondent] have difficulty:

Read all options and circle one code for each option: for codes 2, 3, 4 or 5, apply question 11
Walking, going up or down?
[] 1 No difficulty
[] 2 Little difficulty
[] 3 Great difficulty
[] 4 Unable to do it
Questionnaire instructions view entire document:  text  image
15.3 Section III. People characteristics

In this section, information is obtained for each of the people living in the housing unit.

Before requesting data for each resident, copy the details from Section II. List people and general data, their names, gender, and age, and write them down in the spaces provided. Do not forget to correct the person number when using more than one questionnaire.

[Figure omitted: image with text]

For the respondent to know who to provide the information about, start with the sentence: "Now I'm going to ask you about...", and mention the name of the person you previously wrote down.

Apply questions 1 through 11 for all the people who are habitual residents, including children, as well as elderly people.

10. Disability
This question identifies the degree of difficulty people have in performing some activities in their daily lives, such as seeing, hearing, walking, remembering or concentrating, providing self-care, speaking, or communicating. Also, if they have any mental problems or conditions.

The question consists of two parts. The first part asks about the degree of difficulty in six activities of daily living. The second part identifies people who have a mental problem or condition.

[p. 309]

[Figure omitted: image with text]

To ask these questions, consider the following:

- Apply them to all people living in the housing unit.
- You must circle seven codes for each person.
- In infants and young children, there are cases in which congenital anomalies, illnesses, or injuries are detected that imply difficulties or limitations from birth or in the first years of life. If so, record the difficulty or limitation in the activity stated by the respondent, but if the respondent mentions that the child cannot perform some activity because they are still small, that is, it is typical of the growth stage of babies and small children, do not record it as a limitation. If in doubt, confirm each of the options with the respondent.
- If the person states that they have difficulties typical of an older adult, or that they have any disease or condition such as diabetes, cancer, or arthritis, among others, ask what limits them or prevents them from carrying out their daily activities according to the answer options indicated in the questions.
- In case the respondent anticipates the answer for one or all of the people in the housing unit, it is important that when recording the information corresponding to each one, you confirm whether or not they present some degree of difficulty for each of the activities indicated. Also, check for any mental problems or conditions by circling the appropriate code. Never record the response without confirming the information; this will ensure that the entire population with a limitation or disability is identified.
[p. 310]
- For the application of the first part, read the complete question with each of its six complementary options, as well as each of the four degrees of difficulty, wait for the answer, and circle a code for each type of activity.
- If the respondent expresses discomfort when you apply the DISABILITY question, even though they gave you a general answer for all the residents of the housing unit, make it clear that you have to ask the question for each of them, in order to identify the people with limitations or disabilities, without omitting any of them.
Activity limitations
Keep in mind that activity limitations are difficulties a person may have in performing certain tasks of daily living due to a health problem such as:

- Visual difficulties, to distinguish the shape, size, and color of a visual stimulus at short and long distances and even wearing glasses (frame, contact, or intra-ocular lenses), the person cannot see well due to the advanced stage of a disease or problem visual; as well as total loss and weakness of sight in one or both eyes.
- Hearing difficulties, in one or both ears and who, even using a hearing aid or implant, cannot hear due to the advanced stage of a disease or hearing problem, or those with total or partial hearing loss
[p. 311]
- Walking or mobility difficulties, going up or down steps or slopes using their legs, due to the total or partial lack of legs or immobility of them.
- Difficulties remembering or concentrating due to problems recalling, focusing, keeping attention, recording and storing information, as well as retrieving it when necessary; exclude those activities related to the process of growth or development of the child population (younger than 3 years old). Remember that they are the result of a birth or health condition.
[p. 312]
- Difficulties bathing, dressing, or eating due to problems in performing self-care tasks or limitations in washing, caring for their own body, dressing (includes taking clothes from where they are usually kept, buttoning, tying laces, etc.), eating and drinking, or taking care of their own health. It excludes those activities related to the growth or development process of the child population (younger than 3 years old).
- Communicating or speaking difficulties, are those problems in producing and transmitting messages through oral (spoken) language, such as expressing a fact or telling a story; it includes the loss or restriction of speech, as well as difficulties in maintaining and understanding a conversation. It excludes limitations related to the growth or development process of the child population (younger than 3 years old).

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Morocco 2004 — source variable MA2004A_DISAB — Type of handicap or disability
Questionnaire form view entire document:  text  image
Individual form / population structure


Handicap
[All household members]

14. Type of handicap

[] 1 Mobility (limbs)
[] 2 Visual (blind)
[] 3 Hearing (deaf)
[] 4 Vocal (mute)
[] 5 Mental
[] 6 Chronic disease

Questionnaire instructions view entire document:  text  image

Handicap
A handicapped person is anyone who is unable to practice daily activities in a normal way (without the help of others or tools) because of mental or corporal handicaps. It is not automatic that a handicapped person not be economically active. In fact, there are handicapped people who practice activities in different areas. There are different types of handicaps: mobile, visual, hearing, vocal and chronic diseases.
For all household members

Q14: Type of handicap
1 Mobility (limbs): total or partial
2 Visual (blind): total or partial
3 Hearing (deaf): total or partial
4 Vocal (mute): total or partial
5 Chronic disease (heart, diabetes)


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Morocco 2014 — source variable MA2014A_DISMOBIL — Difficulty walking or climbing stairs
Questionnaire form view entire document:  text  image
Difficulties in carrying out everyday activities

For all members of the household, specify the degree of difficulty the person has in
[Questions 16 to 21 were asked of all household members]

18. Waling or climbing stairs

[] 0 Without difficulty (SD)
[] 1 Slight difficulty (DL)
[] 2 Considerable difficulty (GD)
[] 3 Unable to do so (IN)

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Myanmar 2014 — source variable MM2014A_DISMOBIL — Disability walking
Questionnaire form view entire document:  text  image
For all members of the household (1 through 18)
[Question 1 through 18 were asked of all persons living in the household.]

9. Disability: does [the respondent] have any difficulty...?

i. Seeing, even if wearing glasses
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
_ ii. Hearing, even if using hearing aid
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
_ iii. Walking, climbing steps, carrying items
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
_ iv. Remembering or concentrating
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
Questionnaire instructions view entire document:  text  image
Disability section

137. Disability serves as an umbrella term for impairments, activity limitations or participation restrictions (ICF, 2005). While it is desirable to collect information on all aspects of disability, this aim cannot be achieved in censuses or even in surveys not dedicated to disability. However, tge census can be used to obtain data on selected aspects of disability.

138. Disability can be measured for a variety of purposes. Each purpose can be related to different dimensions of disability or different conceptual components of disability. Hence, there is a need for a clear link between the purpose of measurement and the operationalization of the indicators of disability.

139. In order to collect disability information, the questions to identify persons who are at greater risk than the general population of experiencing restrictions in performing complex activities (such as activities of daily living) or participating in roles (such as working) if no support were accorded to them. Measurements intended to identify this 'at risk' population represent the most basic end of the spectrum of activities (i.e. activities such as walking, remembering, seeing, hearing). This 'at risk' group would include persons with limitations in basic activities who may or may not also experience limitations in more complex activities and/or restrictions in participation. This in turn may depend on whether or not they use assistive devices or have a supportive environment.

140. The questions on disability ask about difficulties the person may have when doing certain activities, because of a health or other problem.

Objective: The purpose of the introduction is to get the respondent to focus on difficulties they may have that are the result of some physical or mental health problem. Since persons living in developing countries may not have access to modern medicine, which would provide a diagnosed 'condition', the term problem was substituted. However, the term "condition" can be interchangeably used with the term "problem" if that facilitates the respondent understanding the context. We are interested in establishing difficulties that occur within a health or social life context rather than those caused by a lack of resources.
Definitions: Health refers to the general condition of the body or mind with reference to soundness, vitality, and freedom from disease. Problem refers to the respondent's perception of a departure from physical, mental or emotional well-being. This includes specific health problems such as a disease or chronic condition, a missing limb, organ, or any type of impairment. It also includes more vague disorders not always thought of as health-related such as senility, depression, retardation, drug dependency, accidental injuries, etc.

143. Ask "does [the respondent] have difficulty walking or climbing steps or lifting objects or gripping?"

a. No- no difficulty
b. Yes - some difficulty
c. Yes - a lot of difficulty
d. Cannot do at all
Objective: The purpose of this question is to identify persons who have some limitation or problems of any kind getting around on foot or lifting items by hand. It may or may not contribute to difficulty in doing their daily activities. They can have a problem walking more than a block, or short or long distances, or the problem can be that they can't walk up or down steps without difficulty. They may not be able to walk any distance without stopping to rest or they may not be able to walk without using some type of device such as a cane, a walker or crutches. In some instances, they may be unable to stand for more than a minute or two and need a wheelchair to get from place to place. Difficulties walking can include those resulting from impairments in balance, endurance, or other non-musculoskeletal systems. Any difficulty with walking (whether it is on flat land or up or down steps) that they consider a problem should be captured.
Definition/s: Walking refers to an individual using his/her legs in such a way as to propel themselves over the ground to get from point A to point B. The capacity to walk should be without assistance of any device or human. If such assistance is needed, the person has difficulty walking.

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Panama 2010 — source variable PA2010A_DIFFWALK — Difficulty walking
Questionnaire form view entire document:  text  image

[Questions 1 - 9 were asked of all individuals.]

6. Health limitations


c. Do you have any permanent difficulty for walking or getting around?

[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

[For persons of all ages]
[Questions 1 to 12a]


Question No. 6: Health limitations
This question has no relation to question 4 (anyone in this household has any physical or mental disability?) in Chapter IV, list of occupants.
The purpose of this question is to know the living conditions of people with permanent limitations to do their daily activities, i.e. to know if these limitations are due to problems in different functions or structures of their bodies. It is also aimed at determining the amount of limitations found in activities that a person actually does, as opposed to the activities she would like to do or can do, but she does not because of various personal or environmental reasons.

Limitations to do an activity: this means, having difficulty with an activity that involves:

Increased effort to do the activity
Discomfort or pain when doing the activity
Slowness in doing the activity
Changes in the way of doing the activity

With this question we want to establish if the respondent has any limitation.
If the respondent answers "Yes", mark circle 1.
If the answer is "No" mark circle 2.
Notice that a limitation could be:
a. Mild, moderate or low: Symptoms, signs or consequences exist and generate some difficulty to perform activities of daily living. The person is independent in self-care activities (dressing, eating, bathing, grooming, etc.); however, there are very specific activities that she cannot perform given her condition.

[p. 139]
b. Many limitations or distress: Symptoms, signs or consequences cause a decrease or a significant incapacity in the ability of a person to perform most activities of daily living, even self-care activities may be affected.
c. Extreme / cannot do it or very severe disability, either total or absolute: such as blindness, deafness, paralysis, among others. The symptoms, signs or consequences prevent them to conduct activities of daily living.

Read slowly the alternatives and mark the corresponding circle, according to the responses given by the respondents, being those yes or no.
You should remember that:
a. Do you have trouble hearing, even with hearing aids?: Refers to people who have serious or major difficulties, even with the use of hearing aids or other technical assistance for hearing; sirens, alarms, warning devices, among others. It also refers to people who, due to a loss or decrease in hearing, are unable to understand a conversation in a normal tone. People with total deafness in one ear (i.e. listen well only in one ear), should be included in this disability.
b. Do you have difficulty viewing, even when you wear glasses?: Refers to people with serious and important problems of vision, whether near or long distance vision, or problems to sense the presence of light, so they see blurry or see shades, even with glasses or lenses, whatever the cause.
c. Do you have difficulty walking or moving permanently?: Refers to difficulty standing or walking for long periods of time (greater than or equal to 30 minutes) or long distances. They include people with difficulties in maintaining and changing body parts in different positions, or prostrate people with no possibility of movement in their own bed. It also includes getting up, lying down and standing up, in the case of people with major difficulties in making and maintaining those positions. Example: people with paralysis of the four limbs (tetra or quadriplegia); elderly or, that situation that requires them to be in bed due to a deficiency of mobility (extreme obesity).

[p. 140]
[People with physical disabilities can use wheelchairs (electric or manual) or walking with difficulty, sometimes with crutches or a cane.
They [those using wheelchairs and those walking with difficulties] have different degrees of autonomy; some can climb up some steps; some just use a wheelchair to get around, for short periods or permanently. However, they are considered disabled because there are activities that they cannot do, even with technical assistance.]
d. Do you have any permanent difficulty using your arms and / or hands?: It refers to the difficulty of moving the upper limbs (arms and hands) that generates limitation to grab.
e. Do you have any permanent difficulty speaking or communicating?: Refers to severe or important difficulties to pronounce words or to generate and send messages by voice. For example: people with serious language disorders produced by brain injuries, stroke, head trauma, or language disorders associated with dementia, mental retardation, cleft palate, stuttering, confusion of words, among others.
f. Do you have any permanent difficulty learning?: It refers to the difficulty of learning in a normal way, abstract content such as mathematical operations, complex concepts, retention of ideas for long periods. It involves learning, understanding, and applying what is learned, and also involves the ability to focus, read, write, solve problems and make decisions at an expected level.

[There is a sample image of the form.]
[p. 141]
Remember that all questions must have an answer, either "Yes" or "No"
Example:
The respondent stated that she listens well and sees well with lenses, she has problems with her knees and has trouble bending and walking long distances. The doctor told her that she suffers from arthritis and the disease is lifelong lasting. She has no difficulty moving her arms and hands yet. She has no problems to speak or learn, because at age 50 she began a course in English.
[There is a sample image of the form.]
Ask this question, if in the list of occupants (Chapter IV), the name of a person has been marked with circle 1 in question 4 (disability), otherwise mark circle 8 "None".

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Peru 2017 — source variable PE2017A_DISMOBIL — Moving or walking disability, using arms or legs
Questionnaire form view entire document:  text  image
Section V. Characteristics of the population

9. The following are some questions to find out if you have any permanent difficulty or limitation that prevents you from carrying out your daily activities normally. Do you have any permanent difficulty or limitation for:

(Read each alternative and fill in only one oval)

[] 1 Seeing, even when wearing glasses?
[] 2 Hearing, even with hearing aids?
[] 3 Speaking or communicating, even using sign language or other language?
[] 4 Moving or walking to use arms and/or legs?
[] 5 Understanding or learning (concentrating and remembering)?
[] 6 Relating to others based on thoughts, feelings, emotions, or behaviors?
[] 7 None
Questionnaire instructions view entire document:  text  image
For all persons
[Questions 1 to 10 are asked of all persons]

Question 9: Permanent difficulty or limitation

The following are some questions to find out if you have any permanent difficulty or limitation that prevents you from carrying out your daily activities normally, do you have any permanent difficulty or limitation for:

  • If, when reading each option to the respondent, he/she answers affirmatively, then fill in the corresponding oval.
  • Option 7, "none", should not be read. Fill it in only when the respondent answers that he/she does not have any permanent limitation or difficulty.


Disability: When a person has some permanent difficulty that limits him/her in one or more of the essential activities of daily living in the manner and amount expected for their age.

Seeing, even when wearing glasses: When the person has any sensory limitation as a result of the lack or dysfunction of the organ of vision, which totally or partially restricts the perception of light and images.

Hearing, even with hearing aids: When the person has some limitation in the sense of hearing (ear), which totally or partially restricts the detection and discrimination of sounds, their localization and the differentiation of speech from other sounds.

Speaking or communicating, even using sign language or other language: When the person presents some limitation in voice and speech, or in other way that prevents him/her from communicating with others and performing daily activities.

Sign language: Sign language, or signed language, is a natural language of gesture-spatial expression and visual perception (or even tactile perception by certain people with deaf/blindness).

Moving or walking to use arms and/or legs: When the person presents some motor limitation, to grip or hold objects or to stretch the arms; in the displacement or movement to walk, move from one place to another, use stairs, bend or kneel.

Understanding or learning (concentrating and remembering): When the person has limitations to develop activities of intellectual nature, i.e., the difficulty he/she has in comprehending, retaining, understanding, analyzing and transmitting ideas. Example: people with mental retardation, brain injury, meningitis with seizures.

Relating to others based on thoughts, feelings, emotions, or behaviors: When the person presents some psychic limitation, referred to mental disorders (addictive, psychotic, anxiety and personality disorders) that make it difficult or permanently prevent him/her from relating to others based on thoughts, feelings, emotions or behaviors.


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Philippines 2010 — source variable PH2010A_DISWALK — Functional difficulty in walking or climbing steps
Questionnaire form view entire document:  text  image
Population Census Questions

For all 5 years old and over.
[Questions P13 to P16 were asked of persons 5 years or over.]

P13. Functional difficulty
Does [the respondent] have any difficulty/problem in ...?

Write X in the box corresponding to the answer for each difficulty/problem.
c. Walking or climbing stairs
[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Columns P13, P14 and P16 for All 5 Years Old and Over
Columns P13, P14 and P16 are to be accomplished only for household members five years old and over. Thus, if a household member is less than five years old leave columns P13, P14 and P16 blank.

P13-Functional Difficulty
As defined by the International Classification of Functioning, Disability, and Health (ICF) of the World Health Organization, functioning is an umbrella term for body functions, body structures, activities, and participation. It denotes the positive aspects of the interaction between an individual (with a health condition) and that individual's contextual factors (environmental and personal factors). Environmental factors include the physical world and its features, the human-made physical world, other people in different relationships and roles, attitudes and values, social systems and services, and policies, rules and laws. Personal factors are factors that relate to individual such as age, gender, social status, life experiences, and so on.
A person with difficulty in functioning may have activity limitations, which means difficulties an individual may have in executing activities. An activity limitation may range from a slight to a severe deviation in terms of quality or quantity in executing the activity in a manner or to the extent that is expected of people without the health condition. In general, functional difficulties experienced by people may have been due to their health conditions. Health conditions refer to diseases or illnesses, other health problems that may be short
or long lasting injuries, mental or emotional problems, and problems with alcohol or drugs. A health condition may also include other circumstances such as pregnancy, ageing, stress, congenital anomaly, or genetic predisposition. Difficulty is usually manifested when a person is doing an activity with increased effort, discomfort or pain, slowness, or changes in the way he/she does the activity.
[pg. 119]
For the purpose of this census, functional difficulty is classified into six core categories. The concepts and definitions are based on ICF. These difficulties are the following:

Difficulty in walking or climbing steps

Walking refers to an individual using his/her legs in such a way as to propel himself/herself over the ground to get from one point or place to another. The capacity to walk should be without assistance of any device or human. If such assistance is needed, the person has difficulty in walking.
The purpose of this question is to identify persons who have some serious limitation or problems of any kind getting around on foot. It may or may not contribute to difficulty in doing their daily activities. They can have a problem walking more than a block or some short distance, or the problem can be that they cannot walk up or down the steps without difficulty. They may not be able to walk any distance without stopping to rest or they may not be able to walk without using some types of device such as cane, a walker, or crutches. In some instances, they may be totally unable to stand for more than a minute or two and need a wheelchair to get from one place to another. Any difficulty with walking (whether it is on flat land or up or down steps) that they consider a problem should be reported.

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Puerto Rico 2010 — source variable PR2010A_DIFFPHYS — Ambulatory difficulty
Questionnaire form view entire document:  text  image
[Question 18 was asked of persons age 5 and above.]

18. b) Does this person have serious difficulty walking or climbing stairs?

[] Yes
[] No
c) Does this person have difficulty dressing or bathing?
[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Answer person questions 18a through 18c if this person is 5 years old or over.

18a-18c. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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Puerto Rico 2015 — source variable PR2015A_DIFFPHYS — Ambulatory difficulty
Questionnaire form view entire document:  text  image
G Answer question 18a-c if this person is 5 years old or over. Otherwise, skip to the questions for person 2 on page 12.

18.

b. Does this person have serious difficulty walking or climbing stairs?
[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Questions 7-48 are a continuation of the questions for each person. Questions 7-48 are a continuation of the questions for each person. (Questions 1-6 appear on pages 2, 3, and 4 of the questionnaire.)

Answer person questions 18a through 18c if this person is 5 years old or over.

18a-18c. Mark the "yes" or "no" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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Puerto Rico 2020 — source variable PR2020A_DIFFPHYS — Ambulatory difficulty
Questionnaire form view entire document:  text  image
19b. Does this person have serious difficulty walking or climbing stairs?

[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Person questions 19

Answer question 19a-c if this person is 5 years old or over. Otherwise skip to the questions for Person 2 on page 19.

P19. Mark the "yes" or "no" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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Rwanda 2012 — source variable RW2012A_DISAB1 — Type of first major disability
Questionnaire form view entire document:  text  image
Section P: Characteristics of population

[Questions 7-13 were asked of all usual residents.]

12. Does the respondent have any difficulty or problem as listed below? If yes, what were the causes?

[Respondent can answer up to 5 disability/ cause pairs.]

Type of disability _
Cause of disability _

If none, write 0 in "Types of disability" and go to Question 13.
Types of disability
1. Seeing
2. Hearing
3. Speaking
4. Walking/ Climbing
5. Learning/ Concentrating
6. Other____
Causes of disability
1. Congenital
2. Disease/ Illness
3. Injury/ Accident
4. War/ Mines
5. Genocide
6. Now known
7. Other ____

[Table omitted.]

Questionnaire instructions view entire document:  text  image
P12: Type and cause of major disability
Ask: Does [the person] have any difficulty or problem as listed below? If yes, what were the causes?

A person is called disabled if during birth or after birth his/her body part or his/her mental is damaged, lack of body part or congenital malformation and fails to do activities that other persons who have no such problems could do.

The possible disabilities and their causes are follows:

Type of disability [D]
1 - Seeing
2 - Hearing
3 - Speaking
4 - Walking/Climbing
5 - Learning/Concentrating
6 - Other
Causes [C]
1 - Congenital
2 - Disease/Illness
3 - Injury/Accident
4 - War/Mines
5 - Genocide
6 - Not known
7 - Other

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Rwanda 2012 — source variable RW2012A_DISAB2 — Type of second major disability
Questionnaire form view entire document:  text  image
Section P: Characteristics of population

[Questions 7-13 were asked of all usual residents.]

12. Does the respondent have any difficulty or problem as listed below? If yes, what were the causes?

[Respondent can answer up to 5 disability/ cause pairs.]

Type of disability _
Cause of disability _

If none, write 0 in "Types of disability" and go to Question 13.
Types of disability
1. Seeing
2. Hearing
3. Speaking
4. Walking/ Climbing
5. Learning/ Concentrating
6. Other____
Causes of disability
1. Congenital
2. Disease/ Illness
3. Injury/ Accident
4. War/ Mines
5. Genocide
6. Now known
7. Other ____

[Table omitted.]

Questionnaire instructions view entire document:  text  image
P12: Type and cause of major disability
Ask: Does [the person] have any difficulty or problem as listed below? If yes, what were the causes?

A person is called disabled if during birth or after birth his/her body part or his/her mental is damaged, lack of body part or congenital malformation and fails to do activities that other persons who have no such problems could do.

The possible disabilities and their causes are follows:

Type of disability [D]
1 - Seeing
2 - Hearing
3 - Speaking
4 - Walking/Climbing
5 - Learning/Concentrating
6 - Other
Causes [C]
1 - Congenital
2 - Disease/Illness
3 - Injury/Accident
4 - War/Mines
5 - Genocide
6 - Not known
7 - Other

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Senegal 2013 — source variable SN2013A_DISMOBIL — Difficulty walking or climbing steps
Questionnaire form view entire document:  text  image
B. Individual characteristics

The entire population
[Questions B16 through B28 were asked of all resident persons.]

Population aged 1 year or older.
[Question B21 through B26 were asked of all resident persons age 1 or older.]

B21-B26. The following questions pertain to difficulties which you may have in carrying out certain activities due to a health problem.

Enter the corresponding codes to the answer given (see the bottom of the page)
B23. Does [the respondent] have any difficulties walking or climbing steps?
[] 0. No, no difficulties
[] 1. Yes, some difficulties,
[] 2. Yes, many difficulties
[] 3. not at all capable
Questionnaire instructions view entire document:  text  image
4.2. Part B: individual characteristics

B21/26: set of short questions on disability recommended for the censuses (population aged 1 year and over)
The questions about disability issues have been greatly altered in relation to what previous censuses proposed. It is about Senegal aligning itself with the progress made in this area. The United Nations, through their experts on global statistics, created in the 2000s a group of experts, the Washington group, which developed a series of short questions for censuses and surveys according to the Basic Principles of Official Statistics. These questions identify the majority of those most at risk in the general population who have limited or restricted participation in public life. It is not a question of identifying the handicap or the cause of disability, the question is to identify the limitations of the respondent (and/or one of his or her family members) to have/potentially have difficulty in performing actions linked to their lifestyle and related functions: seeing, hearing, walking, having cognitive faculty, taking care of themselves, and communicating. These are the areas the questions included in the census questionnaire concern.
The questions to ask relate to the difficulties that the respondent or a family member may have in fulfilling certain tasks in a sustainable manner (6 months or more, in a recurring manner):

1) Do you have difficulty seeing, even if you wear glasses?
- The answer of a person who wears glasses and has no difficulties will then be codified by choice 0 on the PDA.
- On the other hand, the answer of someone who wears glasses and who still has difficulties in seeing must be codified in 1 or 2 depending on the degree of difficulty in seeing.
2) Do you have difficulty hearing even with a hearing aid?
- In the same vein: the response of a person with a hearing aid (it is a device in the ear) but who would still have difficulty hearing would be codified in 1 or 2 depending on the degree of difficulty.
3) Do you have difficulty walking or climbing stairs?
4) Do you have trouble remembering or concentrating?
5) Do you have any difficulties (in taking care of yourself) in performing activities like washing yourself or dressing yourself?
[p. 41]
6) Using your usual (common) language, do you have difficulty communicating, (for example, to understand or make yourself understood by others)?

Each question has four response categories:

0 No, no difficulty,
1 Yes, some difficulties,
2 Yes, lots of difficulties,
3 Not at all able to do it.

The severity scale is used in the response categories to identify the full range of functional domains ranging from the most benign to the most severe form. This is very important because we will have a full range of the respondent's capabilities.
NB: This question concerns the population aged at least 1 year.
On the PDA, you will choose the answer on a drop-down list.


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South Africa 2011 — source variable ZA2011A_DIFFWALK — Difficulty walking or climbing stairs
Questionnaire form view entire document:  text  image
Section C: General health and Functioning
Ask of everyone listed in the flap.

P-12 Health and functioning
Does [the person have difficulty in the following?
Write the appropriate code [number from 1 to 6] in the box.

_ A. Seeing even when using eye glasses
_ B. Hearing even when using a hearing aid
_ C. Communicating in his/her language (i.e. understanding others or being understood by others)
_ D. Walking or climbing stairs
_ E. Remembering or concentrating
_ F. With self-care such as washing all over, dressing, or feeding
1. No difficulty
2. Some difficulty
3. A lot of difficulty
4. Cannot do at all
5. Do not know
6. Cannot yet be determined
Questionnaire instructions view entire document:  text  image
5. Section C: General health and functioning (remember to follow instructions)
Purpose: Helps to determine the number of people with disabilities in the country for planning and provision of services.

This section must be completed for every person listed on the questionnaire.

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South Africa 2016 — source variable ZA2016A_DISMOBIL — Difficulty in walking
Questionnaire form view entire document:  text  image
3. Person information

[3.7] Household members

[3.7.3] General health and functioning
Now, I am going to ask you health-related questions.

[3.7.3.5] Does the respondent have difficulty walking a kilometer [length of 10 soccer fields] or climbing a flight of steps?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot do at all
[] 5 Do not know

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Suriname 2012 — source variable SR2012A_DISMOBIL — Difficulty walking
Questionnaire form view entire document:  text  image
Personal module

All persons (health)
[Questions P21a to P23 were asked of all persons about their health.]

P21a. Does this person experience difficulty / problems (with):

N.B.: The person has had (or is expected to have) the complaint(s) for at least 6 months.

Enter one of the following codes in each cell:

[] Tick this box if A to G = 1, 5, 7 or 9, and proceed to P22.
C. Walking or going up and down stairs
[] 1 No difficulty / problems
[] 2 Some difficulty
[] 3 Much difficulty
[] 4 Not able to do this at all
[] 5 Doesn't apply, considering age
[] 7 Don't know
[] 9 No response

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Tanzania 2012 — source variable TZ2012A_DISWALK — Difficulty walking
Questionnaire form view entire document:  text  image
B. All persons
[Questions 1-19 were asked of all persons.]

Disability

9. Walking

Does [the respondent] have difficulty walking or climbing steps?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to walk
[] 5 Not applicable
Questionnaire instructions view entire document:  text  image
Questions 6 to 11 aim to get information on the disability status of people in the communities.
Is [the respondent] an albino, or has difficulty seeing, hearing, walking or climbing stairs, remembering or concentrating, caring for him/herself such as washing or dressing, has a cleft palate, has spinal befida, has spinal cord injuries, mental illness, or psoriasis?

Questions description
These questions aim to obtain information about disability status in the communities.
Answers on these questions will enable the nation understand how many people have disabilities and types of disabilities, and thus allow the nation develop sustainable programs for this special group in the community.

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Trinidad and Tobago 2000 — source variable TT2000A_DISMOB — Limited mobility (climbing stairs, walking, standing)
Questionnaire form view entire document:  text  image
Section 3. Disability - For all persons

13. Type of disability

Does (N) [the respondent] have any difficulties in?

[] 01. Seeing (S.) (even with glasses if worn)
[] 02. Hearing (H.) (even with hearing aid if used)
[] 03. Speaking (SP.) (talking)
[] 04. Moving/Mobility (M./M.) (walking, standing, climbing stairs)
[] 05. Body Movements (B.M.) (reaching, crouching, kneeling)
[] 06. Gripping (G.)
[] 07. Learning (L.)
[] 08. Behavioral (B.)
[] 77. Other (O.) (specify) _______
[] 99. Not stated
Questionnaire instructions view entire document:  text  image
Section 3 - Disability

The main objective of this section is to obtain information on the prevalence of certain types of disabilities among the population. This information can be utilized for monitoring and evaluating national programmes and services concerning the equalization of opportunity, rehabilitation and the prevention of disabilities.

Further, the information would assist in identifying the special needs of persons with disabilities, such as access to buildings, educational reform, training enhancement and employment opportunities.

Question 12 - Longstanding disability

Disability is defined as any restriction or lack of ability (resulting from an impairment) to perform an activity in the manner or within the range considered to be normal for a human being.

For the purpose of the census, a disability is only a disability if it has a long lasting continuing consequence, that is, it is a disability provided it has lasted for at least six months or is expected to last for more than six months. Temporary conditions such as broken legs and other illnesses even though they may have restricted one's activities are not to be included.

This question is to be asked about every member of the family, regardless of age or current activity status.

[p.36]

The response positions for this question are:

1. Yes
2. No
3. Not stated

If the response is 1 go to question 13.

If 2 or 9 skip to question 14.

Question 13 - Type of disability

Multiple responses can be ticked.

01. Seeing (even with glasses if worn)
02. Hearing (even with hearing aids if used)
03. Speaking (talking)
04. Moving/mobility (climbing stairs, walking, standing)
05. Body movements (reaching, crouching, kneeling)
06. Gripping (using fingers to grip or handle objects)
07. Learning (intellectual difficulties, retardation)
08. Behavioral (psychological, emotional problem)
77. Other (bathing, dressing, eating etc.)

If the other category is ticked, please specify


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Trinidad and Tobago 2011 — source variable TT2011A_DISWALK — Disability in walking, climbing steps (moving or being mobile)
Questionnaire form view entire document:  text  image
Section 3: Disability - For all persons

13(b). Disability status

Does the long standing disability prevent (N) [the respondent] from doing any of the following?
[Respondents indicate both the activity and its level of difficulty]

[] 01 Seeing even if wearing glasses?
[] 02 Hearing even if using hearing aid?
[] 03 Walking, climbing steps? (Moving/being mobile)
[] 04 Remembering or concentrating? (Learning)
[] 05 Gripping?
[] 06 Speaking and understanding because of a physical, mental or emotional health condition?

Level:
[] a. Yes - some difficulty
[] b. Yes - a lot of difficulty
[] c. Cannot do at all
Interviewer: Multiple responses can be shaded.
Questionnaire instructions view entire document:  text  image
Section 3 - Disability

3.1. Disability

Persons with disabilities are defined here as those persons who are at greater risk than the general population for experiencing restrictions in performing specific tasks or participating in role activities.

[p.12]

Data about impairments (problems at the level of organs and anatomical structures) is different from data about activity limitations (limitations on the capacity of a person to act or behave in a desired manner, because of a health condition), which again is different from data about participation restrictions (limitations in what a person does that result from an interaction between impairments or activity limitations and barriers created by the person's environment).

Short-term disabilities due to temporary conditions such as broken legs and illness are excluded. Only disabilities lasting for at least six months or expected to last for more than six (6) months are to be included.

The following categories focus on whether the individual has any impairments:

(i) Seeing even if wearing glasses
(ii) Hearing even if using hearing aid
(iii) Walking or climbing stairs (Moving /being mobile)
(iv) Remembering or concentrating
(v) Gripping
(vi) Speaking and understanding because of a physical, mental or emotional health condition

Participation restrictions are problems an individual may experience in involvement in life situations. A participation restriction can be determined by comparing an individual's normal and regular involvement in activities with that expected of an individual without a disability.

The following categories focus on whether the individual has any participation/activity limitations:

(i) Taking care of himself/herself
(ii) Getting around within the home
(iii) Going outside the home
(iv) Working at a job or business.
(v) Undertaking educational activities
(vi) Participating in social activities

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Trinidad and Tobago 2011 — source variable TT2011A_DISWALK2 — Severity of walking, climbing steps disability
Questionnaire form view entire document:  text  image
Section 3: Disability - For all persons

13(b). Disability status

Does the long standing disability prevent (N) [the respondent] from doing any of the following?
[Respondents indicate both the activity and its level of difficulty]

[] 01 Seeing even if wearing glasses?
[] 02 Hearing even if using hearing aid?
[] 03 Walking, climbing steps? (Moving/being mobile)
[] 04 Remembering or concentrating? (Learning)
[] 05 Gripping?
[] 06 Speaking and understanding because of a physical, mental or emotional health condition?

Level:
[] a. Yes - some difficulty
[] b. Yes - a lot of difficulty
[] c. Cannot do at all
Interviewer: Multiple responses can be shaded.
Questionnaire instructions view entire document:  text  image
Section 3 - Disability

3.1. Disability

Persons with disabilities are defined here as those persons who are at greater risk than the general population for experiencing restrictions in performing specific tasks or participating in role activities.

[p.12]

Data about impairments (problems at the level of organs and anatomical structures) is different from data about activity limitations (limitations on the capacity of a person to act or behave in a desired manner, because of a health condition), which again is different from data about participation restrictions (limitations in what a person does that result from an interaction between impairments or activity limitations and barriers created by the person's environment).

Short-term disabilities due to temporary conditions such as broken legs and illness are excluded. Only disabilities lasting for at least six months or expected to last for more than six (6) months are to be included.

The following categories focus on whether the individual has any impairments:

(i) Seeing even if wearing glasses
(ii) Hearing even if using hearing aid
(iii) Walking or climbing stairs (Moving /being mobile)
(iv) Remembering or concentrating
(v) Gripping
(vi) Speaking and understanding because of a physical, mental or emotional health condition

Participation restrictions are problems an individual may experience in involvement in life situations. A participation restriction can be determined by comparing an individual's normal and regular involvement in activities with that expected of an individual without a disability.

The following categories focus on whether the individual has any participation/activity limitations:

(i) Taking care of himself/herself
(ii) Getting around within the home
(iii) Going outside the home
(iv) Working at a job or business.
(v) Undertaking educational activities
(vi) Participating in social activities

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Uganda 2014 — source variable UG2014A_DISWALK — Disability walking
Questionnaire form view entire document:  text  image
Section 1: Particulars of household members

For persons aged 2 years and above

P16 Does [the respondent] have difficulty walking or climbing steps? (Refer to code list P14-P17)

[] 1 No - no difficulty
[] 2 Yes - some difficulty
[] 3 Yes - a lot of difficulty
[] 4 Cannot do at all
[] 7 Not applicable
[] 8 Don't know

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United States 2010 — source variable US2010A_DIFFPHYS — Ambulatory difficulty
Questionnaire form view entire document:  text  image

b) Does this person have serious difficulty walking or climbing stairs?
[ ] Yes
[ ] No


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United States 2015 — source variable US2015A_DIFFPHYS — Ambulatory difficulty
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[G] - Answer question 18a-c if this person is 5 years old or over. Otherwise, skip to the questions for person 2 on page 12.

18.

b) Does this person have serious difficulty walking or climbing stairs?

[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Answer person questions 18a through 18c if this person is 5 years old or over.

18a-18c. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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United States 2020 — source variable US2020A_DIFFPHYS — Ambulatory difficulty
Questionnaire form view entire document:  text  image
19b. Does this person have serious difficulty walking or climbing stairs?

[] Yes
[] No
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Person questions 19

Answer question 19a-c if this person is 5 years old or over. Otherwise skip to the questions for Person 2 on page 19.

P19. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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Uruguay 2006 — source variable UY2006A_DISMOBIL — Mobility disability
Questionnaire form view entire document:  text  image

MS3. Do you have permanent limitations walking, even when using canes, crutches, or prosthetics?
[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

MS3. Do you have permanent limitations walking, even when using canes, crutches, or prosthetics?

This question seeks to find out if the person has difficulties with locomotion, just as in the earlier cases it's important that you ask the entire question, that's to say that you only mark "Yes" when the person, even with canes, crutches, or prosthetics has problems walking.

This refers to the people who a wheelchair daily and permanently and those who have permanent difficulties walking even with external help (crutches, walker, Canadian canes, rods, prosthetics, etc.) This excludes any person with a temporary difficulty as a cause of fractures, the application of casts, that's in a postoperative period, or rehabilitation treatment for less than a year, etc.

Examples of question MS3.
  • Gabriela, of 80 years, can't walk because she gets tired a lot due to a cardiac sickness. This corresponds to option "1".
  • Federico has moved in a wheelchair for the last 4 months, but will only use it until he recuperates from the accident. This corresponds to option "2".


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Uruguay 2011 — source variable UY2011A_DISMOB — Permanent difficulty walking or going up stairs
Questionnaire form view entire document:  text  image
Disabilities

The following questions deal with the permanent difficulties that the people can have with carrying out certain habitual activities due to a health problem.

43. Respond to the following questions:

Does [the respondent] have permanent difficulty with:

43.3 Walking or going up stairs (PerDi04)
(For people 2 years or older)

[] 1 Does not have any difficulty
[] 2 Yes, some difficulty
[] 3 Yes, much difficulty
[] 4 Yes, [the respondent] cannot do it
Questionnaire instructions view entire document:  text  image
8.9 Disabilities

The objective of this module is to know the number of people that have some permanent difficulty seeing, hearing, walking, or learning, as well as the level of severity.

Disability is any limitation of activity and restriction in participation coming from a deficiency that permanently affects a person and his or her ability to become involved in daily life within his or her physical and social environment.

  • Activity is the completion of a task or action by a person.
  • Limitation of activity refers to the difficulty that a person could have in carrying out or performing daily activities and that originates in a deficiency (for example: seeing, hearing, walking, learning, etc.).
  • Restriction of participation refers to the problems that a person can experience when involved in vital situations, originating in a deficiency.  For example with work, with learning, with recreation, etc.
  • Deficiency refers to problems with body functions or structures, such as a significant alteration or loss.

In order to consider that a person has a determined disability, the limitation of activity and the restriction of participation should be permanent and always originating from a deficiency, this referring to the field of health.  This means that limitations and restrictions originating from socioeconomic or cultural factors.

The deficiencies, that should be part of or express a state of health, can include abnormalities, defects, losses, or any other deviation of body structures.  They don't necessarily indicate that the individual has a sickness or should be considered sick.  For example, the loss of a leg is a deficiency but not a disorder or a sickness.

Important: The difficulty or limitation of activity must be current, in other words, it must be affecting the individual at the moment of the investigation, and permanent, that's to say long lasting in time, affecting and expected to affect for a period of time greater than a year.

[p. 111]

Consequently, the short-term difficulties due to temporary, or transitory conditions such as fractures or sicknesses (for example, he or she does not walk because the leg is fractured and in a cast, he or she does not speak because of a sharp hoarseness caused by a cold, etc.) are excluded.

The options of response for the questions of the module are the following.

  • Yes, some difficulty
  • Yes, much difficulty
  • Yes, he/she cannot do it (see, hear, walk, learn)
  • Doesn't have any difficulty

Does he/she have permanent difficulty with walking or going up stairs?

For people two years of age or older.

The purpose of this question is to detect the number of people that have limitations walking or that have difficulties with locomotion.

Just like the previous cases, it is important to formulate the whole question and only mark "yes" when the person, even with a cane, crutches, or prosthetic, has problems walking.

In case of an affirmative response, consult about the grade of the said difficulty and record the corresponding option.


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Vietnam 2009 — source variable VN2009A_DISWALK — Difficulty walking
Questionnaire form view entire document:  text  image

8. Check if the respondent was born before April, 2004 (5 years or older). [If yes, go to] Q9; otherwise, ask the next [person]
[Questions 9-16 were asked of persons age 5 or older]


11. Does [the respondent] have any difficulty:
If yes, how difficult is it? A little, very difficult, or unable.

a) Seeing (even if wearing glasses)?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

b) Hearing?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

c) Walking?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

d) Remembering or paying attention?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

Questionnaire instructions view entire document:  text  image

Question 11: Does [the respondent] have any difficulty when...?
This question aims at the collection of information on disabilities of the respondent. The question is divided into 4 sub-questions to ask the respondent of the four abilities of seeing (even if wearing glasses), hearing, walking, and remembering or attention concentration. Therefore the enumerator must ask each of the abilities individually (three dots in [...] will be replaced by each of the above-mentioned abilities when interviewing).

For example: firstly, the enumerator asks "Does [the respondent] have any difficulty when seeing, even if wearing glasses?" If the answer is "No", the enumerator marks (x) in the small box next to code "1" (no difficulty), and asks the second ability "Does [the respondent] have any difficulty hearing?" If the answer is "Yes", the enumerator asks the respondent, "How difficult is it: difficult, very difficult or unable?" Basing on the answer of the respondent in combination with looking at the respondent (if he/she is present), the enumerator marks (x) in the appropriate small box. After that, the enumerator will ask about the next ability. Continue as such until the last ability, "Remembering or attention concentration".

[Graphic example omitted]

Note: Generally, the determination of the level of disability of the above-mentioned abilities is done by the respondent him/herself. However, a person who is clearly disabled cannot be classified as "No difficulty" on the ability that the person faces the problem, even he/she has answered "No difficulty". For example: a man with a bad eye cannot be classified as "No difficulty", even he answered that "he views things normally". Similarly, if a leg of the respondent is truncated, then that man cannot be classified as "No difficulty" even he answered that "he walks normally", etc.

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Vietnam 2019 — source variable VN2019A_DISMOBIL — Difficulty walking
Questionnaire form view entire document:  text  image
Part 1. Information on household members

The next questions are about difficulties a person faces when performing certain activities due to health reasons.

13. Does [the respondent] have any difficulty with:

(If yes: How difficult is it? difficult, very difficult or completely unable)
c) Walking on the ground? (even if there is someone to support or aid equipment used)
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable
Questionnaire instructions view entire document:  text  image
Part V: Instructions on how to question and record information on the census form

Part 1: Information about members of the household
Part 1 of the Census form consists of 41 questions, numbered sequentially from Question 1 to Question 41.

The respondent is the head of the household or a person knowledgeable about members of the household. For information on employment and birth history of women, DTV needs to interview DTDT face-to-face and collect information. In addition, for other information about members of the household, if the head of the household or the information provider is not knowledgeable, DTV also needs to interview DTDT face-to-face and record the information.

Question 13: Does [the respondent] have any difficulty when [...]?
This question is intended to gather information about difficulties a person may encounter in performing certain activities due to health problems/long term health problems, including difficulties due to the effects of old age, but does not include difficulties due to the children being young or not yet proficient in taking care of themselves (help from adults).

DTV asks about the conditions and level of difficulty of each person and in turn according to each ability, including vision, hearing, walking up the stairs, memory, self-care, and communication. Therein:

-Vision, even with glasses: DTV asked about the conditions and level of difficulty of DTDT when seeing. In case people have difficulty and have to wear glasses, DTV asks if they still have difficulty when wearing glasses and if so, the level of difficulty.

-Hearing, even with a hearing aid: DTV asks about the conditions and level of difficulty of DTDT when hearing. In case people have difficulty and have to use a hearing aid, DTV asks if they still have difficulty when using a hearing aid and, if so, the level of difficulty.