Questionnaire Text

Benin 2013 Ethiopia 2007 Mexico 2020 South Africa 2007
Botswana 2001 Haiti 2003 Nepal 2011 Suriname 2012
Botswana 2011 Iraq 1997 Panama 2010 Thailand 1990
Burkina Faso 1996 Ireland 2011 Paraguay 1992 Trinidad and Tobago 2000
Cambodia 2013 Jamaica 1991 Paraguay 2002 Trinidad and Tobago 2011
Cameroon 2005 Jamaica 2001 Peru 1993 Uganda 2002
Colombia 2005 Lesotho 2006 Philippines 1990 Uruguay 2006
Costa Rica 2000 Mali 1987 Philippines 1995 Zambia 2000
Costa Rica 2011 Mali 1998 Philippines 2000 Zambia 2010
Dominican Republic 2010 Mauritius 1990 Sierra Leone 2004 Zimbabwe 2012
Ecuador 2001 Mauritius 2000 Sierra Leone 2015
Ecuador 2010 Mauritius 2011 South Africa 2001
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Benin 2013 — source variable BJ2013A_ILLMENTAL — Disability, mentally ill
Questionnaire form view entire document:  text  image
11. Type of disability
[] 00 No handicap
[] 01 Cerebral motor infirmity

Motor:
[] 02 Amputated
[] 03 Paralyzed

Visual:
[] 04 Amblyopic (visually impaired)
[] 05 Blind

Auditory/Verbal:
[] 06 Hard of hearing
[] 07 Deaf
[] 08 Mute

Intellectual:
[] 09 With Down syndrome
[] 10 Autistic
[] 11 Mentally impaired or retarded

Mental
[] 12 Mentally ill

Write down the codes for the three main declared disabilities

_ _ 1st
_ _ 2nd
_ _ 3rd
Questionnaire instructions view entire document:  text  image
Section 2: Individual characteristics of household members

Questions 1 [order number] to 12 [residency status] apply to all persons to count in the household.

11. Type of Handicap

A handicap is defined as a limitation of physical and/or mental abilities of a person, due to a deficiency that is congenital or acquired during one's existence. In other terms, it is a disadvantage of which a person suffers following an infirmity or incapacity and that prohibits them for totally or partially fulfilling a task that is otherwise normal given their age, sex, and different cultural factors. Any person incapable of fulfilling alone all or some necessities of a normal individual or social life, as a result of a deficiency, congenital or not, of their physical or mental capacities is considered handicapped.

Below is the list of elementary handicaps that the 4th GPHC of Benin has retained:

[] 00. No handicap

Mental handicap
[] 12. Mentally ill - A person suffering from an illness characterized by the presence of delirious ideas and/or hallucinations during which the patient is not conscious of their personality troubles.

Ask the following question:

Q: "Does [the respondent] exhibit one [or some] physical or mental handicap[s], apparent or non-apparent?"

NB: when the handicap is manifestly visible, note it down and go to the following question;
At most three main declared handicaps can be registered for a person suffering from several infirmities.

[] Write down in the 1st, then the 2nd, then the 3rd grid corresponding to the registration order number of the counted person, respectively the 1st, then potentially the 2nd, then potentially the 3rd handicap.

[Page 54]

If the counted person does not suffer from any handicap

Write down "00" in the boxes of the first grid, "00" in the boxes of the second grid, and "00" in the boxes of the third grid.

If the counted person suffers from one handicap:

Note the code corresponding to the modality of the 1st handicap in the boxes of the first grid;
Then write down "00" in the boxes of the second grid and "00" in the boxes of the third grid.

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Botswana 2001 — source variable BW2001A_DISMNTL — Mental illness
Questionnaire form view entire document:  text  image
C1. List all members of this household (from questions A1 or B1) ____

C2. Serial number (from questions A2 or B2) _ _

C3. Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 61 Moderate retardation
[] 62 Severe retardation
[] 63 Mental cases
Questionnaire instructions view entire document:  text  image
131. Columns C1/C2/C3: Disability

Q: Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 52 Inability to use 2 arms
[] 62 Severe retardation
[] 63 Mental illness

You should read out the list of disabilities to the respondent as a reminder to him or her of the types of disabilities to which we are referring. Be very tactful in asking these questions so as not to cause offence or embarrassment.

If anyone does have a disability, enter the person's first name in column C1, then enter in column C2 the same serial number that you assigned to this person in column A2 or B2. A person from Part A will have serial numbers 01, 02 or 03, etc., whilst Part B will have serial numbers 91, 92 or 93, etc.

A disabled person has incapacities as a result of physical or mental deficiencies such as bodily abnormalities, defects and impairments. Impairments are defects of structure or functions of the body which give rise to personal inabilities to perform necessary activities. The defects and impairments might occur from birth, or may be brought about by disease, injury or just old age.

Defect of Seeing: A person wearing glasses will not usually be defined as having a defect of seeing. Only if, when wearing glasses, the person cannot count the fingers of a hand from a distance of 3 metres will you record him as having a seeing defect. If the defect is in one eye, code 11, and, if the defect is in both eyes, code 12. If there is complete blindness in one eye enter 13; if there is blindness in both eyes enter 14.

Defect of Hearing: If a person cannot hear a whisper at a distance of 2 metres, that person is said to have a defect of hearing. If the defect is in one ear enter code 21, if both ears are affected, enter code 22. If there is complete deafness in one ear enter 23; if the deafness is in both ears enter 24.

Defect of Speech: A person who makes unintelligible speech, stammers or speaks with an abnormal voice is said to have a defect of speech. If this defect applies, enter code 31.

Inability to Speak: For a person who cannot speak at all (i.e. is completely dumb or mute), enter 32.

Inability to Use One or Both Legs: For a person who has one leg lame or a leg or foot missing enter 41; if both legs are lame or both feet/legs are missing, enter 42.

Inability to Use One or Both Arms: For a person who has one arm lame or a hand or arm missing enter 51; if both arms are lame or both hands/arms are missing, code 52.

Mental Retardation: A person who is capable of taking care of himself/herself but who cannot adjust to a situation needing ordinary skills consistent with age is said to be moderately retarded, and the code should be 61.

A person who, despite good physical condition, is incapable of doing normal daily self-care activities consistent with age is said to be severely mentally retarded. For this condition enter 62.

If a person suffers from a combination of any of the listed disabilities, enter the applicable codes, e.g. if there is a defect of hearing in two ears and a defect of speech enter 2231. After you have recorded the disability code(s) for a particular person, fill the remaining boxes with dashes.

Mental Case: This situation must not be confused with retardation, as this is abnormal perceptions associated with delusional misinterpretation of events; or it could be said to be thinking so disordered as to prevent the patient making a reasonable appraisal of his situation or having reasonable communication with others (as defined in http://www.hyperguide.co.uk/mha/contents).

The relevant portion of the sample questionnaire is shown below.

Example: Itumeleng does not hear at all in one ear, hence his name and serial number in C1 and C2. The type of disability, which is not hearing in one ear, is shown by code 21.


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Botswana 2011 — source variable BW2011A_DISINTEL — Intellectual impairment
Questionnaire form view entire document:  text  image
C. Disability

3. Does any listed persons (from section A or B) have any of the following disabilities:

[] 11 Partial sighted
[] 12 Total blindness
[] 21 Partial hearing
[] 22 Deafness
[] 31 Partial speech impairment
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 43 Inability to use 1 arm
[] 44 Inability to use 2 arms
[] 45 Inability to use the whole body
[] 51 Intellectual impairment
[] 61 Mental health disorder
[] 71 Missing 1 leg
[] 72 Missing 2 legs
[] 73 Missing 1 arm
[] 74 Missing 2 arms
Questionnaire instructions view entire document:  text  image
Part C of the questionnaire: Disability

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

177. Columns C1/C2/C3: Disability
Q. Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

11. Partial sighted
12. Total blindness
21. Partial hearing
22. Deafness
31. Partial speech impairment
32. Inability to speak
23. Inability to use 1 leg
24. Inability to use 2 legs
43. Inability to use 1 arm
44. Inability to use 2 arms
45. Inability to use the whole body
51. Intellectual impairment
61. Mental health disorder
71. Missing 1 leg
72. Missing 2 legs
73. Missing 1 arm
74. Missing 2 arms

You should read out the list of disabilities to the respondent as a guide on the types of disabilities you are referring to. Be very tactful in asking these questions so as not to cause offense of embarrassment.

If anyone does have a disability, enter the person's first name in column C1, then enter in column C2 the same serial number that you assigned to this person in column A2 or B2. A person from Part A will have serial numbers 01, 02 or 03, etc., whilst a person from Part B will have serial numbers 91, 92 or 93, etc.

A disabled person has incapacities as a result of physical or mental deficiencies such as bodily abnormalities, defects and impairments. Impairments are defects of structure or functions of the body which give rise to personal inabilities to perform necessary activities. The defects and impairments might occur from birth, or may be brought about by disease, injury or just old age.

Enter the stated disabilities a person has from any of the following codes.

11. Partial sighted
This refers to a person who cannot count fingers from a distance of three meters.
12. Total blindness
This refers to a person who cannot see completely.
21. Partial hearing
This refers to a person who cannot hear a whisper at a distance of two meters even with hearing aids.
22. Deafness
This refers to a person who cannot hear completely
31. Partial speech impairment
This refers to a person who makes unintelligible/unclear speech or stammers and whose speech is not easy to hear.
32. Inability to speak
This refers to a person who cannot speak at all (i.e. completely dumb or mute).
41. Inability to use 1 leg
This refers to a person who has one lame leg.
42. Inability to use 2 legs
This refers to a person who has two lame legs.
43. Inability to use 1 arm
This refers to a person who has one lame hand/arm.
44. Inability to use 2 arms
This refers to a person who has two lame hands/arms.
45. Inability to use the whole body
This refers to a person who cannot use their entire body.
51. Intellectual impairment
This refers to a person with a normal IQ level who begins to show strange behavior, thinking, acting, or talking in a different way than other people. The onset occurs later in life after a period of normal development.
61. Mental health disorder
This refers to a handicap of abnormal intellectual functioning with onset during the developmental period associated with impaired maturation, learning, and social maladjustment. The Intelligence Quotient (IQ) is below normal.
71. Missing 1 leg
This refers to a person who has one missing leg.
72. Missing 2 legs
This refers to a person who has two missing legs.
73. Missing 1 arm
This refers to a person who has one missing arm.
74. Missing 2 arms
This refers to a person who has two missing arms.

[Table omitted]


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Burkina Faso 1996 — source variable BF1996A_DISAB — Handicap
Questionnaire form view entire document:  text  image

Entire Population
[Questions P01 to P14 were asked for all persons.]


P10. Principal nature of handicap

[] 00. No handicap
[] 01. Paralysis of upper extremities
[] 02. Paralysis of lower extremities
[] 03. Quadriplegic
[] 04. Amputation of upper extremities
[] 05. Amputation of lower extremities
[] 06. Amputation of upper and lower extremities
[] 07. Leprosy
[] 08. Mental retardation
[] 09. Insanity
[] 10. Blind
[] 11. Deaf
[] 12. Mute
[] 13. Deaf-mute
[] 14. Other


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Cambodia 2013 — source variable KH2013A_DISPSYC — Disability, mental illness
Questionnaire form view entire document:  text  image
For all persons
[Questions 10 to 25 were asked of all persons]

18. Physical/mental disability, if any:

If the person is physically/mentally disabled, give the appropriate code number from the list below. Otherwise enter 0.

Type of disability

[] 1 In seeing
[] 2 In speech
[] 3 In hearing
[] 4 In movement
[] 5 Mental retardation
[] 6 Mental illness
[] 7 Any other (specify) ____
[] 8 Multiple disability (specify by code) ____
Questionnaire instructions view entire document:  text  image
52. Instructions for filling-in column 1 to 25 of Form B: part 2

You have to collect information in part 2 for all persons mentioned in statement 1.1 and statement 1.2 of part 1. Some of the following questions have been answered in part 1. Therefore there will be no need to ask these questions again. In such cases all you have to do is to copy the information in the appropriate column.

71. Column 18: physical/mental disability, if any

This question is a sensitive one and should be canvassed without offending the feelings of the respondent or other members of the household. The purpose of this question is to elicit the information whether the respondent has any physical/mental disability. If he/she has no such disability put (0) in column 18. The types of disabilities identified for survey purpose are given below:

71.1 In seeing:
(i). A person who cannot see at all (has no perception of light) or has blurred vision even with the help of glasses or contact lens will be considered as having disability in "Seeing" or visually disabled.
(ii) A person with proper vision only in one eye will also be treated as visually disabled
(iii)A person may have blurred vision and difficulty in seeing, but would not have tested whether her / his eye-sight would improve by using spectacles. Such persons also would be treated as visually disabled.

71.2 In speech:
(i). A person would be recorded as having speech disability, if she/he is dumb or he cannot speak at all.
(ii)A person whose speech is not understood by a listener of normal comprehension and hearing would be treated as having speech disability.
[p. 29]
(iii) A person who speaks single words only and is not able to speak in sentences has speech disability
(iv) A person who stammers to that extent that the speech cannot be understood is having speech disability.

71.3 In Hearing:
(i). A person who cannot hear at all (deaf) or can hear only loud sounds will be
considered as having hearing disability
(ii) A person who is able to hear, only by using hearing - aid will be treated as disabled
under this category.
(iii) If a person cannot hear through one ear though her/ his other ear is
functioning normally, should also be considered as having hearing disability.

71.4 In movement:
(i). If a person does not have leg/s or arm/s or hand/s or there is absence of all the fingers or toes or a thumb she/he is disabled in movement
(ii) If any part of the body is deformed (Example: hunch back), the person will be treated as disabled under this category
(iii) A person who cannot move herself/himself or without the aid of another person or without the aid of stick, wheel chair etc., will be treated as disabled under this category.
(iv)A person will be treated as disabled in movement if she /he is unable to move or lift or pick up any small article placed near her/ him.
(v) A person who may not be able to move normally because of problems of joints like arthritis and has to invariably limp while moving, will also be considered to have movement disability.
(vi)Very short statured persons (dwarfs) are considered as having movement difficulty.

71.5 Mental Retardation: This refers to
(i). A person with lower intelligence or has delayed development (walking, talking, learning etc).
(ii) One who lacks comprehension appropriate to her/ his age.
(iii)A person who has difficulty in communicating her/his needs and generally depends on her/his family members for performing daily routine.
Note: mental Retardation is generally from birth. If the person has got mental impairment at a later age, it may be mental illness

71.6 Mental Illness. This refers to:
(i). A person who exhibits unusual behavior like talking/laughing to self, staring in space, excessive fear and suspicion without reason.
(ii) A person who has problems like loss of memory, depression etc which are usually related to old age
(iii) Exhibits other symptoms indicative of mental disturbance
Note: a mentally ill person may or may not take medicines for her/his illness. It should be left to the respondent to report whether a member of the household is mentally disabled and no argument may be made on this issue.

71.7 Any other (specify)
Examples are: specific learning difficulties, Epilepsy which is not controlled and which limits daily function etc. Even if you find it difficult to categorize based on the explanation given by the person, then also write code 7.

Multiple Disabilities: this refers to a person having more than one disability described above

71.8 If a person is disabled as mentioned above enter code according to the following list:
[p. 30]
Disability code
[] 1 In seeing
[] 2 In speech
[] 3 In Hearing
[] 4 In movement
[] 5 Mental retardation
[] 6 Mental illness
[] 7 Any other (specify)
[] 8 Multiple disabilities (In this case write 8 and specify the disabilities within brackets. Example: 8(1,4) or 8 (,2,3,4), 8 (2,7-Epileptic fit), 8(4,5).

71.9. The disability of a person will be decided with reference to the date of enumeration. Persons with temporary disability on the date of enumeration will not be considered as disabled. For example, a person's movement may have been restricted because of some temporary injury and she/he is likely to return to his normal state after sometime, such a person will NOT be treated as disabled.


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Cameroon 2005 — source variable CM2005A_DISAB — Disability
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]

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Colombia 2005 — source variable CO2005A_LIMSOC — Permanent limitation for socialization
Questionnaire form view entire document:  text  image
39. Does [the respondent] have permanent limitations for: (basic)

39.7 Maintain relationships with others due to mental or emotional problems?
[] 1 Yes
[] 2 No

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Costa Rica 2000 — source variable CR2000A_DISAB — Disability
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.


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Costa Rica 2011 — source variable CR2011A_DISMI — Disability, mental illness
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.

Mentally (bipolar, schizophrenic, other): people that because of some mental condition have permanent limitations for relating with the rest of the people or for obtaining interpersonal abilities.

[p. 149]

In this case it does not include people with psychiatric or psychological treatment with which they can function daily without any limitation. It also excludes the people with dyslexia, insignificant attention deficit disorder, temporary depression, introverted attitudes, shyness, problems of insomnia, stress, or other states of transitional moods, popularly known as "nervous breakdowns."


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Dominican Republic 2010 — source variable DO2010A_DISMNTL — Mental problems
Questionnaire form view entire document:  text  image
Section VI - Personal characteristics

34. Does [the respondent] have permanent difficulty with any of the following?

Read slowly all the possible answers, and fill in every time there is a "yes" or "no" accordingly.
j. Does he/she have mental problems?
[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
Question 34. Does [the respondent] have any of the following disabilities?
This question is designed to gather data about certain types of disabilities in the population. A disability is the result of a deficiency in an individual's activity or their ability to perform physically. Therefore, a disability represents a disruption in a person's level (of personal life).
Read, to the interviewee, each type of disability and fill in the bubble according to the informant's answers. Remember to read each option one by one and immediately fill in the answers accordingly.
The correct way to read the question is:

  • Does [the respondent] have permanent difficulty seeing, even though he/she uses glasses?
  • Does [the respondent] have permanent difficulty hearing, even though he/she uses a hearing aid?
  • Does [the respondent] have permanent difficult walking or climbing stairs?
  • And so on, until all questions are asked.

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Ecuador 2001 — source variable EC2001A_DISABTYP — Type of disability
Questionnaire form view entire document:  text  image

4. Does the person have any permanent physical, sensorial, or mental disability? (Incapacity)
[ ] 1 Yes

[ ] 1 To see (blindness, only shadows)
[ ] 2 To move or use his/her body (paralysis, amputations)
[ ] 3 Is deaf or uses hearing aids? (deaf, deaf/mute)
[ ] 4 Mental retardation
[ ] 5 Psychiatric Illness (craziness)
[ ] 6 Multiple (two or more of the above)
[ ] 7 Other (disfigurations, internal organs)

[ ] 2 No
[ ] 9 Don't know

Questionnaire instructions view entire document:  text  image

Question 4.- Do you have any physical, sensory, or mental disability? (Handicap)

[There is a picture of question 4 from this section of the enumeration form.]

Mr. Enumerator, this question deals with identifying a handicap in the person being enumerated. As an orientation, it's important to consider the following:

Permanent disability: physical, sensory, or mental

This is a permanent difficulty in doing an activity that is considered normal, due to irreversible effects from an incurable congenital or acquired disease.

In seeing (blindness, only shadows).- Mark box 1 when the person being enumerated cannot see or can only see shadows, with one or both eyes, and therefore needs help to get by. People that use lenses because of myopia or similar diseases are excluded from this category.

In moving or using their body (paralysis, amputations).- Mark box 2 if the person in question has a physical disability manifested by an absence of or decrease in the ability to move any part of their body: legs, arms, hands, etc. For example: paralytics who can't walk or only do so with some apparatus; people who can't use their upper body due to the aftereffects of a brain hemorrhage, bone marrow injury, polio, etc.; people who can't move parts of their body because they don't have them due to amputations; people who suffer from involuntary movements of their body.

Is deaf or uses a hearing device (deafness, mute and deaf).- Mark box 3. People who can't hear or who use devices (hearing aids or sound amplifiers) to hear should be considered in this category; in general these are deaf people or those known as deaf-mutes.

Mentally retarded.- Mark box 4 when the person being enumerated has a decreased degree of intelligence due to mental retardation. In some populations these people are called "innocents," "silly ones", or "mutes" (not because of deafness). People affected by Down syndrome, microcephaly, cretinism, autism, etc. are in this group.

[p. 39]

Psychiatric illness (insanity).- Mark box 5 if the person suffers from mental disorders and, despite having a good level of intelligence, demonstrates strange behaviors that impede them from getting along with others. These people are usually referred to as being insane.

Multiple (two or more of the previous).- Mark box 6 if the person being enumerated suffers from various disabilities simultaneously, for example: deaf-blind, blind-paralytic, etc.

Other (disfigurement, internal organs).- Mark box 7 when the person being enumerated has disfiguring problems that primarily affect their esthetic appearance and which don't impede their ability to move, such as: dwarfism, noticeable scars from wounds or burns, leprosy, etc. Include people who have severe problems with their internal organs, like those whose life depends on the use or an artificial kidney (weekly dialysis).

Mark no, box (2), if the informant indicates that they don't have any permanent physical, sensory, or mental disability (handicap) and continue with question 5.

Mark unknown, box (9), in those cases where the information is being provided by a third party who doesn't know if the person being referred to has any physical, sensory, or mental disability (handicap) or not, and continue with question 5.

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Ecuador 2010 — source variable EC2010A_DISMENT — Mental disability
Questionnaire form view entire document:  text  image
For all persons
[Questions 1-18 were asked of all persons.]


9. The disability of [the respondent] is:

More than one answer is allowed.

[Question 9 was asked of all persons who reported having a permanent disability that has lasted for more than one year.]

[] 1 Intellectual? (mental retardation)
[] 2 Physical/motor? (paralysis and amputations)
[] 3 Visual? (blindness)
[] 4 Auditory? (deafness)
[] 5 Mental? (psychiatric illnesses, craziness)

Questionnaire instructions view entire document:  text  image

[Section 4]


Step 10: Section 4, information about the Population / B: General Characteristics, is divided into three parts: The first part corresponds to the questions that go from question one to ten.

[A copy of part of section 4B of the census questionnaire is omitted here.]

Tips:

(A) The information of the first person corresponds to the one listed this same section in subsection A - identification by person; row 1 (page 4 of the census questionnaire).

  • Follow the sequential order of the questions.

(B) Begin with the head of household (male or female), and for the rest of persons it register them according to the order established in relation to the head of the household. For each household, there should only be one head of household, and he/she will be registered as person 1.
(C) Register the exact age of the person in years completed. If a boy or girl is younger than one year, register 0 (zero).
(D) Pay attention to the leaps in question 5 and question 8.
(E) It will be registered that yes he/she has a citizenship certificate, even if it has been stolen or lost.

  • Pay attention to the instructions that are indicated in questions 3 and 9.
  • In question 7, do not include the insurance of the IESS.

(F) Remember that the question 9 can have several alternatives of answers.

  • The disabilities are of permanent nature and that prevent him/her from doing activities that other people would do without difficulty. If any person mentions that his/her hip hurts, that he/she has to use glasses because he/she no longer sees well, or that he/she must use an apparatus to hear because he/she no longer hears well, these will not be registered as disabilities.
  • If a person does not speak (mute person), register alternative 4 and note it in observations.


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Ethiopia 2007 — source variable ET2007A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image
Section 3: Details of persons in the household

Disability status

11. If yes, what is [the respondent]'s type of difficulty or problem?

[] 1 Blind
[] 2 Seeing difficulty
[] 3 Deaf
[] 4 Hearing difficulty
[] 5 Unable to speak
[] 6 Speaking difficulty
[] 7 Dear and unable to speak
[] 8 No functional upper limbs
[] 9 No functional lower limbs
[] 10 Body movement problem
[] 11 Learning difficulties
[] 12 Mental problem (go to 13)
[] 13 Other
Questionnaire instructions view entire document:  text  image
Question 11:- Type of Disability or Problem?

For each household members that are identified as disabled or having mental problem under question 10, type of disability or problem should be identified and the correct code should be marked for this question. Enumerators should mark a correct response for those identified as disabled or having mental problem by associating the type of disability mentioned by respondents with the explanations given below.

List of the Type of Disability or Problem is provided below

1 = Blind:- Code 1 will be marked for those household members who mentioned that both of their eyes are blind due to accident occurred during or after birth.

2 = Have Seeing Difficulties
This refers to persons whose both eyes partly see because of the defects occurred to them during or after birth. Persons who have seeing difficulties are those who cannot count fingers with both of their eyes at a distance of two meters or those who cannot identify the feature of a person standing four meters away from them.
Note: Members who became one eye blind due to defects occurred to them and have similar problems mentioned above with the remaining eye are regarded as persons having seeing difficulties. Therefore, code 2 should be marked for disabled persons whose both eyes partly see.
3 = Deaf and those who can speak
For persons who were exposed to the problem of not hearing with both ears due to the defects occurred to them during or after birth meaning those who cannot even hear loud noise but can speak shade/mark code 3.

4 = Who have Hearing Difficulties
Code 4 will be shaded for persons who are not totally hearing with one ear and partly hear with other ear or those who hear partly with both ears due to defects that had occurred to them during or after birth Partly hearing means hearing only loud noise or not clearly hear.

5 = Dumb and those who can hear
Code 5 should be shaded for persons who became dumb/ totally unable to speak/ due to defects occurred to them during or after birth but who can hear.

6 = Have speaking Problem
Code 6 should be shaded for persons who does not speak like what normal person does or those who couldn't be clearly heard when they are speaking due to defects that had occurred to them during or after birth.

7 = Deaf and Unable to Speak
Code 7 should be shaded for persons who became deaf and dumb due to defects that had occurred to them during or after birth.

8 = Non Functioning Upper Limbs/Gripping; Stretching, .../
This refers to household members whose hands not functioning due to defects that had occurred to them during or after birth. It includes unable to use hands / for example for grasping, for writing/ due to lack of strength or weakness; feebleness, paralysis and others. These problems could be caused by problems of Nervous system, malformation of bone muscle, extremely shortened or elongated of hands. Therefore, based this explation code 8 will be shaded for those who mentioned problems related to hands or mainly related to hands.

9 = Non functioning Lower Limbs/Standing; Walking . .../
This refers to household members who cannot use their legs for various functions due to defects that had occurred to them during or after birth. It includes unable to use legs due to lack of strength or weakness; feebleness, paralysis and others. These problems could be caused by problems of nervous system, malformation of bone muscle, extremely shortened or elongated of legs. Therefore, based on this explanation code 9 will be shaded for those who mentioned problems related to legs or mainly related to legs.

10 = Body Movement Difficulties
This includes household members who due to defects that occurred to them during or after birth lost body balance for sitting, stagger, severe jerking unable to stand or move from place to place, unable to coordinate body movement /for instance eye and hand, turning neck/, unable to use body due to lack of strength,. It includes unable to use legs due to lack of strength or weakness; feebleness, paralysis and others. These problems may be caused by problems of nervous system, malformation of bone muscle, lack or extremely shortened or elongated of legs. Therefore, except problems of upper and lower limbs that are mentioned above code 10 will be shaded for those who mentioned body movement difficulties.

11= Mental Retardation
This refers to persons whose level of cognition, understanding of their surrounding social relationships and intelligence are extremely low compared to what is expected of their age. Among such people there are differences due to variations in the type and extent of injuries. Mentally retarded persons can be classified into three categories depending on their leaning capacities.
Learning Capacities
Children under this category though they have mental retardation, they can read, write and do mathematics and other subjects/ until limited grade level/. Studies show that they can attend formal education up to junior secondary level. Usually most of them cannot go beyond primary school level. Except their retardation in academic learning there are not significantly different from others.

Training Capacities
Though children under this category generally have mental retardation problem, they may have the capacity of training different skills of assisting themselves and developing social relationships. For this they need continuous training. However, it is not appropriate to force them to learn reading and writing skills as they lack the capacity.

Unable to train
This includes persons who can't help themselves and who always seek continuous and full assistances of others. They need the assistances of others in day to day routine activities such as feeding, wearing clothes and others. Besides thinking problem, some may have problems of usage of words, movement, social and emotional. Because of this, it is difficult for them to train on practical activities. After relating the situation of members' mental problem with the explanations given for mental retardation enumerators should shade code 11 if the case is verified to be mental retardation.
12 = Mental Disturbance
These are members who have no disability but have different cases related to mental problems. Thus, in question 12 enumerators should immediately shade code 12 for members identified to have mental disturbance in question 11. Enumerators should be cautious that members with mental retardation and epilepsy problems will not be considered as having mental disturbance.

13 = Others
Code 13 should be shaded for members who found to have other type of disability different from those mentioned above.
Note: When you encounter members who mention more than one disability probe the respondent to identify one which is the most severe and then shade the appropriate code.

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Haiti 2003 — source variable HT2003A_MENTALILL — Disability, mental illness
Questionnaire form view entire document:  text  image

10. Does this person have a disability? (Check off as many boxes as apply)
[] 01 No disability
[] 02 Blind
[] 03 Deaf
[] 04 Mute
[] 05 Upper limbs
[] 06 Lower limbs
[] 07 Mentally retarded
[] 08 Mental illness [problème mental]
[] 09 Other


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Iraq 1997 — source variable IQ1997A_HANDICAP — Kind of disability
Questionnaire form view entire document:  text  image

The fields (71, 72) are filled for all handicapped persons without recognition to the sex or age.


71. Type of disability

[] 1 No hearing
[] 2 Dumb
[] 3 No hearing and dumb
[] 4 Lost one eye
[] 5 Lost both eyes
[] 6 Lost one leg
[] 7 Lost both legs
[] 8 Lost one hand
[] 9 Lost both hands
[] 10 Insane
[] 11 Paralysis
[] 12 Others ____

Questionnaire instructions view entire document:  text  image

71. The type of Handicapped:
Indicated by the sign (x) in the square opposite to the type of handicapped the person had. If the person is blind the sign is put in the square opposite to the phrase (lost 2 eyes) if one of his legs is cut the sign is put in the square opposite to the phrase (lost 1 leg), if the person has lost one leg and one eye at the same time the state is recorded in the special space for that and so on.

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Ireland 2011 — source variable IE2011A_DISSPSYCH — Psychological disability
Questionnaire form view entire document:  text  image
16. Do you have any of the following long-lasting conditions or difficulties?
(f) A psychological or emotional condition
[] Yes
[] No
Question 16 -- Do you have any of the following long-lasting conditions or difficulties?
For the purpose of this question a long lasting condition or difficulty is one which has lasted or is expected to last 6 months or longer, or that regularly re-occurs.
Questionnaire instructions view entire document:  text  image
Questions 16 and 17. The results of questions 16 and 17 coupled with other questions will provide important data on the number of people whose activities are reduced because of a disability and the effect of the disability on their lives. The questions are slightly different to those asked in 2006. In question 16, vision and hearing impairments have been separated and there is a separate category for intellectual disabilities. The questions were chosen after pre-Census consultation with experts from the various disability umbrella bodies and government departments.

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Jamaica 1991 — source variable JM1991A_DISTYP — Type of disability
Questionnaire form view entire document:  text  image

3.7. Do you / does [the respondent] suffer from any long standing illness, disability or infirmity?
[] Yes
[] No (Go to Question 4.1)
[] Not stated


3.8. Does this limit your / [the respondent's] activities compared with most people of the same age?

[] Yes
[] No (go to Question 4.1)
[] Not stated


3.9. What type of disability of impairment do you / does [the respondent] have?

[] Sight only
[] Hearing only
[] Speech only
[] Physical disability only
[] Multiple disability
[] Slowness at learning or understanding
[] Mental retardation
[] Mental illness
[] Other (specify) ______
[] Not stated

Questionnaire instructions view entire document:  text  image

Section 3 - Characteristics

Questions 3.1 - 3.10 which comprise Section 3 provide some basic characteristics about the individual and are to be answered for all members of the household.


5.43 Question 3.7-3.10 General
These questions seek to determine whether the respondent has a physical or mental disability. In order to set the respondent at ease before asking these questions which might be seen as sensitive, begin by saying: "Now I would like to ask you some questions about any difficulty which you (or other members of the household) might have in carrying out every day activities due to mental or physical problems."

Disability - is defined as any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. Such restriction or lack of ability must be as a result of an impairment. A person has an impairment if he or she has suffered any loss or abnormality of mind or body.


5.44 Question 3.9 Type of Disability
The categories are for the most part self-explanatory.

Physical Disability only - score this if the person's only impairment is the loss of use of parts of the body e.g. arms, legs.

Multiple Disability - score this for any combination of impairments.

Slowness at Learning or Understanding - score this only for persons who have been medically tested and found to be 'slow'.

Mental Retardation - it is very important to distinguish between mental retardation and mental illness. Mental Retardation exists where the person is born with a mental problem. Score this where it has been determined that the disease is one with which the person was born.

Mental Illness - is an illness acquired after birth.


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Jamaica 1991 — source variable JM1991A_CHRONIC — Illness, disability, infirmity status
Questionnaire form view entire document:  text  image

3.7. Do you / does [the respondent] suffer from any long standing illness, disability or infirmity?
[] Yes
[] No (Go to Question 4.1)
[] Not stated

Questionnaire instructions view entire document:  text  image

Section 3 - Characteristics

Questions 3.1 - 3.10 which comprise Section 3 provide some basic characteristics about the individual and are to be answered for all members of the household.


5.43 Question 3.7-3.10 General
These questions seek to determine whether the respondent has a physical or mental disability. In order to set the respondent at ease before asking these questions which might be seen as sensitive, begin by saying: "Now I would like to ask you some questions about any difficulty which you (or other members of the household) might have in carrying out every day activities due to mental or physical problems."

Disability - is defined as any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. Such restriction or lack of ability must be as a result of an impairment. A person has an impairment if he or she has suffered any loss or abnormality of mind or body.


5.44 Question 3.9 Type of Disability
The categories are for the most part self-explanatory.

Physical Disability only - score this if the person's only impairment is the loss of use of parts of the body e.g. arms, legs.

Multiple Disability - score this for any combination of impairments.

Slowness at Learning or Understanding - score this only for persons who have been medically tested and found to be 'slow'.

Mental Retardation - it is very important to distinguish between mental retardation and mental illness. Mental Retardation exists where the person is born with a mental problem. Score this where it has been determined that the disease is one with which the person was born.

Mental Illness - is an illness acquired after birth.


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Jamaica 2001 — source variable JM2001A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image

[Questions 1.9 - 1.13 were asked of all persons]


1.13 What type of disability do you/does [the respondent] have?

[] 0 Sight only
[] 1 Hearing only
[] 2 Speech only
[] 3 Physical disability only
[] 4 Multiple disability
[] 5 Slowness of learning
[] 6 Mental retardation
[] 7 Mental illness
[] 8 Other
[] 9 Not stated

Questionnaire instructions view entire document:  text  image

5.49 Questions l.9-1.13: General
These questions seek to determine whether the respondent suffers from any chronic illness and or has a physical or mental disability. In order to set the respondent at ease before asking these questions which might be seen as very sensitive, begin by saying: "Now I would like to ask you some questions about any difficulty that you (or other members of the household) might have in carrying out everyday activities due to illness and to mental or physical problems."


[Question 1.9 is missing from the original document]


5.51 Question 1.13: Type of disability

The categories are self-explanatory. Note however the following:

Sight only: Score this for persons who are blind (only) or almost blind, indicating that the impairment is at a stage where even wearing eye glasses would not help.

Physical disability: Score this if the person's only impairment is the loss of use of parts of the body: e.g., arms.

Multiple disabilities: Score this for any combination of impairments.

Slowness of learning or understanding: Score this only for persons who have been subjected to testing and found to be slow at learning or understanding simple instructions.

Mental retardation: Score this for persons who function intellectually below a level regarded as normal for their age. In most cases the motor skills, language skills, and self-help skills develop at a much slower rate than in their peers. These persons exhibit decreased learning ability and are generally unable to meet the educational demands of school.

Mental illness: This could range from depression to insanity. In many instances persons suffering from some type of mental illness are able to function normally but require medication.


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Lesotho 2006 — source variable LS2006A_DISAB — Disability
Questionnaire form view entire document:  text  image
Section C. For all persons - Disability

18. Is (the respondent) disabled?

Note: State the main disability

[] 1 Amputation of fingers
[] 2 Amputation of arms
[] 3 Amputation of hands
[] 4 Amputation of toes
[] 5 Amputation of foot/leg
[] 6 Lame/ paralyzed limb
[] 7 Blind (total/ partial)
[] 8 Deaf (total/ partial)
[] 9 Speech problem
[] 10 Mental illness
[] 11 Mental retardation
[] 12 Not disabled [Skip to Question 21.]
[] 13 Other, specify ____
[] 99 Don't know [Skip to Question 21.]
Questionnaire instructions view entire document:  text  image
Part C of the questionnaire for all persons (Disability)

87. Column 18: Is (name) disabled.

Ask for the main disability and code according to the list.

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Mali 1987 — source variable ML1987A_DISAB — Handicap
Questionnaire form view entire document:  text  image

11. Disability / Handicap
____

Questionnaire instructions view entire document:  text  image

11. Disability [handicap]
This question deals with the principal illnesses or diseases which the Malian population suffers from. These illnesses are called disabilities because they contribute to the deterioration of the individual's state of health, a decline in their ability to work and a decrease in their output. In some cases they may even destroy any possibility of productive work. In this situation, ask the head of household the following question about every member of the household: "Does this person have a physical or mental disability?"
Write the answer in column 11 (Trypanosomiasis, insanity, leprosy, etc.)


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Mali 1998 — source variable ML1998A_DISAB — Disability / handicap
Questionnaire form view entire document:  text  image

Section B: Individual Characteristics


10. Disability / Handicap

[] 00 Nothing
[] 01 Blindness
[] 02 Difficult seeing
[] 03 Leprosy
[] 04 Tryponosomiasis
[] 05 Tuberculosis
[] 06 Mental disorder
[] 07 Onchocerciasis
[] 08 Deaf, mute, deaf and mute
[] 09 Difficult hearing
[] 10 Disability in the limbs

Questionnaire instructions view entire document:  text  image

1.2.1. Questions for ALL Household Members


10. Column P10: Handicaps

This question deals with the main disease source of disability or handicap that the Malian population is suffering from. These diseases are labeled "Handicap" because they contribute to ill health of the individual, to a slower economic activity, and to a lower level of productivity. In some cases they may even prevent any production effort. For this, the question to be asked to the household head for each household member will be: "Does name have any disability or handicap?"

The number corresponding to the given answer must be written in Column P10, while following the instructions given below [none was specified in this document].


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Mauritius 1990 — source variable MU1990A_DISAB1 — First reported disability
Questionnaire form view entire document:  text  image
In strict confidence
Ministry of Economic Planning and Development
Central Statistical Office

Population Census
Mauritius

Night of 1-2 July 1990

Notice

1. Persons by whom the return is to be made
In the case of:

(i) households: the Head of the household or person for the time being acting as head;
The head of a household is any adult member, whether male or female, who is acknowledged as head by the other members. A household is either (i) a person living on his own or (ii) a group of two or more persons who may or may not be related, but who live together and make common provision for food and other essentials for living. Two families living in one house constitute one household if they have common housekeeping arrangements, but should be considered as separate households if they have separate housekeeping arrangements and should then be entered on two separate census forms.
(ii) hotels, clubs, boarding houses: the Manager or other person for the time being in charge of the premises;
(iii) hospitals, infirmaries, asylums, prisons or any other residential institution: the Chief Resident Officer or other person for the time being in charge of the institution;
(iv) Naval Forces, Air Forces, the Special Mobile Force or the Police Training School: the Commanding Officer or the officer presently in charge;
(v) ships, barges or other vessels in any port or harbor in Mauritius: the Captain, master or other person for the time being in charge of the vessel;
(vi) persons arriving after midnight on the night 1-2 July 1990 and who have not been enumerated elsewhere: the person specified above by whom the return is to be made with respect to the persons present at midnight on 1 July 1990 in any of the premises mentioned above;
(vii) persons not included in any of the above-mentioned categories: the person in respect of whom the return is to be made.

2. Persons in respect of whom the return is to be made

(i) All persons who spend census night 1-2 July 1990 on the premises whether they are members of the household, visitors, guests, boarders or servants;
(ii) all persons who arrive on the premises and join the household on Monday July 2 1990 without having been enumerated elsewhere; and
(iii) all temporarily absent members of the household, i.e. all persons who usually live in the household, but who are away on census night, for example, on a business trip, on vacation, in hospital or studying abroad; include them even if you know that they are being enumerated elsewhere.

3. Legal provisions

(i) The Census is taken by the Central Statistical Office under the Statistics Act. Every person is required by law to give to the person responsible for making the return such information as may be necessary to enable the return to be made. No use may however be made of such information by the person to whom it is given except for the purpose of making the return.
(ii) Any person who refuses or neglects to fill in the form or to supply the particulars required therein or who knowingly makes in this form any statement which is untrue in any material particular shall commit an offence under the Statistics Act, and shall, on conviction, be liable to imprisonment for a term not exceeding one year and to a fine not exceeding Rs. 1,000.
(iii) All information obtained in the course of the Census is treated as confidential. No information about named individuals is ever passed on by the central Statistical Office to any other Government Department or to any other Authority or person. All enumerators and other officers engaged in the taking of the Census are under oath and are liable to prosecution if they improperly disclose any information which has come to their knowledge while performing their duties.

4. Completion of the form

The form should be completely filled in by the person designated in section 1 above. If any difficulty is experienced, particularly with columns 24 to 37, guidance should be sought from the Enumerator when he calls to collect the form. If the answers are incomplete or inaccurate, the enumerator will ask any questions necessary to enable him to complete or correct the form.
The information should be entered in the space provided using ink or a ball-point pen. Nothing should be written in the boxes which are reserved for codes.

5. Collection of the form

The form will be collected on 2 or 3 July 1990 by the appointed enumerator.
Before completing the census form, please consult the guide which is in both English and French.

Declaration
I declare that the information in this return is true to the best of my knowledge and belief.

Signature or mark of the person making the return: ____
Signature of authorized officer: ____

Please do not write anything in the boxes
Complete a line for every person present on Census night (1-2 July 1990) and also for every person who usually lives in the household but was absent on Census night.
See instructions in section 2 on front page.

11 Disability ____

Does the person have any long-term disabilities or handicaps which limit his/her participation in individual and/or social activities which are considered normal for a person of his/her age?
Write 'yes' or 'no'.
If 'yes', insert as many disabilities as applicable as follows:
[] LF - Incomplete use of legs/feet
[] AF - Incomplete use of arms/fingers
[] EYE - Partial or total loss of sight even with glasses
[] EAR - Partial or total loss of hearing
[] SPCH - Partial or total loss of speech
[] SLOW - Slow development/learning difficulties
[] BEH - Behaviour problems/mental disability
[] CFB - Loss of consciousness, fits, blackouts
[] OTHER - Other disabilities (specify)
Questionnaire instructions view entire document:  text  image
7. Instructions on how to fill in the census form
The Census form has to be filled in completely by the head of the household.
A household is either one person living alone, or a group of persons, who may or may not be related, but who live together and make common provision for food and other essentials for living. The head of household is any adult member, whether male or female, who is acknowledged as head by the other members.

The census form can contain information for up to 10 persons. If there are more than ten persons, continue on a new form which can be obtained from the Census enumerator. Please note that nothing should be written in the shaded boxes [][]: they are reserved for inserting codes.

[Next page]

After completing the form, have it ready so that the enumerator can collect it on Monday 2 July 1990 or soon after. If you are not sure how to complete any of the entries, please ask the enumerator to help you when he or she calls. He or she will also check your answers and ask any questions necessary to complete the form and correct inaccurate entries.

Column 11
Disability
Write 'yes' if the person has any long-term disability or handicap which limit his/her participation in individual and/or social activities which are considered normal for a person of his/her age, Also describe the disabilities using the abbreviations given in column 11 of the Census form.
A long-term disability or handicap is one that has lasted or is expected to last for six months or more.

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


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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_DISPSYCH — Disturbances of behaviour
Questionnaire form view entire document:  text  image
Individual form

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

H. Disturbances of behavior, including antisocial behavior, maladjustment and liability to self-injury

[] 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 2020 — source variable MX2020A_DISPSYC — Has a mental problem or condition
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
Does he/she have any mental problems or conditions? (Autism, Down syndrome, schizophrenia, etc.)
[] 5 Yes
[] 6 No
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.

Degree of difficulty
Answer categories that consider the magnitude or intensity of the person's difficulties or limitations in performing activities of daily living and are expressed in numerical codes ranging from 1 to 4.

[Figure omitted: image with text]

[p. 313]

- No difficulties. When the respondent states that they have no difficulty, between 0 and 4 percent.
- Little difficulties (light and moderate difficulties). It refers to the presence of a limitation or difficulty that still allows you to develop most of your activities; It comprises percentages between 5 and 24, synonymous with "little, slight or little difficulty" and between 25% and 49%, synonymous with "medium, regular difficulty".
- Great difficulties (serious difficulties). It is considered a level that significantly limits the person, comprising a percentage of between 50 and 95 and it is a synonym for "great or extreme difficulty".
- It cannot do it. Severe level of difficulty that a person can reach in an activity at a given time. The percentage ranges from 96 to 100 and is a synonym with "total or complete difficulty".

To apply the second part of question 10. Disability, read verbatim: "Do you have any mental problems or conditions?"; if in doubt, mention the examples in parentheses and circle the corresponding code according to the answers 5. Yes or 6. No.

It considers that mental problems or conditions are situations where, due to some altered state of mental health (from birth, as a result of an illness or mental and behavioral disorder, injury, or aging process), the person has difficulty participating in activities of community social life and interacting with other people in an appropriate manner to the context and social environment (e.g., family, school, work, neighbors, etc.).

Altered mental health status includes conditions such as autism, Down syndrome, schizophrenia, mental retardation (mild or severe), and so on.


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Nepal 2011 — source variable NP2011A_DISAB — Type of disability
Questionnaire form view entire document:  text  image
Personal Information

[12] What is the physical and mental disability of [the respondent]?

[] 1 No disability
[] 2 Physical disability
[] 3 Blind and low vision
[] 4 Deaf and hard of hearing
[] 5 Deaf-blind
[] 6 Speech problem
[] 7 Mental illness
[] 8 Intellectual disability
[] 9 Multiple disabilities
Questionnaire instructions view entire document:  text  image
Individual information
After collecting the introductory and household information of data sheet 1, there are questions for individual information collection on the right side of the page. To write individual information, a row has been allocated for each member of the family. Sequence and rules for information collection have been put accordingly. In line with this, ask the question and fill the information. The response of each individual question should be written in the respective column.

Column 12: is there any kind of physical or mental disability in [the respondent]?

[] 1 No disability
[] 2 Physical disability
[] 3 Vision disability
[] 4 Hearing disability
[] 5 Deaf and blind
[] 6 Speech related disability
[] 7 Mental disability
[] 8 Intellectual disability
[] 9 Multiple disabilities
[p. 58]

This question has been put to record information on physical and mental condition of each person to be enumerated. Some people might have one type of different types of physical or mental problem (disability) or do not have any kind of disability. At the time of enumeration, there might be members with disability in a family. While enumerating disabled persons, this should be done at their usual living place.

Definition of disability: Disability is the condition that creates problems in running daily activities normally and full participation in social life due to problems in body parts and physical system of a person, coupled with activity limitations and participation restrictions in the physical, social, and cultural environment, as well as communication. For the purpose of enumeration, different types of disabilities have been divided into eight different categories as above. In order to understand whether a person has disability or not, the following description has be illustrated.

1. No disability - At the time of enumeration, if a person has no disabilities, circle the reference 1 to indicate it.

2. Physical disability: A physical disability is a limitation on a person's physical functioning, mobility, dexterity, or stamina due to various problems in the structure and movement of spinal curve, muscle, joints, and bones. E.g. (of body parts) - if there are weak, thin, and deformed hand/leg, bending body or any kind of impairments that restricts the general movement of these body parts, such condition should be understood as physical disability. For example: The disabilities caused by polio, cerebral palsy, epilepsy, loss of physical organs, muscular dystrophy, spinal cord injury, club feet, rickets, bone deformities, etc. are physical disabilities. Short heights also fall under physical disability. If a person has any of the above stated physical disability, circle the reference 2.

3. Vision disability: Generally if a person has problems in seeing things clearly around him/her, sees the things blurry, or cannot see at all, it is vision disability. In other words, if a person does not have clear knowledge about an object's picture, size, types, and color due to vision impairment, it is vision disability. Vision disability has two types - (a) Blindness, and (b) Low vision.

(a) Blindness: If a person cannot identify or see his fingers from 10 feet distance even with treatment like medicine, surgery, and use of glasses, or cannot read the first line of the Snellen chart, such person is considered with blindness.

(b) Low vision: If a person cannot identify or see his fingers from 20 feet distance even with treatment like medicine, surgery, and use of glasses or cannot read the fourth line of the Snellen chart, such person is considered with weak vision.

If a person has any type of vision disability stated above (blindness and low vision), circle the reference 3.

4. Hearing disability: The problems of a person in the structure of hearing organs, identification of voice, its distance and location, loudness and quality is the hearing disability. Hearing disability are of two kinds - (a) Deaf and (b) Low hearing.

(a) Deaf: A person who is unable to hear, has unclear voice or inability to speak, and needs sign language for communication is deaf. The person is considered deaf who even cannot hear the sound above 80 decibels. In simple sense, a person should be considered deaf if he cannot hear the communication of two persons near him or completely unable to hear.

[p. 59]

(b) Low hearing: A person who cannot hear sounds clearly but speak clearly with minimum hearing and has to put a hearing device to hear is a person with low hearing or moderate hearing loss. Generally, the person who cannot hear sounds that are less than 65-80 decibels sound is a low hearing person.

If any person has the hearing problems stated above, circle the reference 4.

NB: Generally the person who cannot speak or his/her spoken voice is unclear is call dumb. But actually, they are low hearing people. Such person generally cannot hear clearly. But all the people who cannot hear would not be dumb. If a person cannot speak clearly or the spoken voice is unclear and are unable to hear, circle the reference 4.

5. Deaf and blind: The person having both problems of deaf and blind is considered with deaf and blind disability. If there is a person with such problem in the family, circle reference 5.

6. Speech related disability: The person who has difficulty in speaking, unclear voice, has problem of repeating words or letters while speaking due to the uneasiness in the speech related organs is the person with speech related disability. If a person has speech related disability, circle the reference 6. The person with cleft lips or palate is also counted under speech related disability.

7. Mental disability: Mental disability is a kind of illness. This illness may appear to a person at any age or situation due to failure, distress, or depression. It does not come with birth and can be healed with treatment. A person who has difficulty in daily living due to mental illness or distress should be understood as a person with mental disability. If a person has such problem, circle the reference 7.

8. Intellectual disability: The condition which creates problems or limitations to perform age or environment appropriate intellectual activities due to lack of intellectual development before the age of 18 should be understood as intellectual disability or mentally retarded problem. Intellectual disability is not a disease, it is a state. It might come along with birth. In simple words, the state where required help of others for daily activities of life (e.g. for eating, dressing, going to toilet, care, etc.) or has low memory power (quick forgetting) or slow in learning as per the age should be understood as mentally retarded. Similarly, persons with no sign of adaptive behaviors along with the age development, showing unusual reaction, repeating the same activity or unable to be close to other persons or acute mental illness, autism are also come under intellectual disability and to indicate the status of such person, circle the reference 8.

9. Multiple disabilities: If a person has two or more than two disability problems among the above stated disabilities from 2 to 8, circle the reference 9.


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Panama 2010 — source variable PA2010A_DISAB — Disability
Questionnaire form view entire document:  text  image

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

Ask this question if, on the list of occupants of the dwelling (Chapter IV), the name of the person who has the circle number 1 marked (Yes) in question 4 (disability). In the case to the contrary, mark circle 8, None.

7. What type of physical or mental disability do you have?

[] 1 Blindness
[] 2 Deafness
[] 3 Mental retardation
[] 4 Cerebral paralysis
[] 5 Physical deficiency
[] 6 Mental problems
[] 7 Other (Specify)
[] 8 None.

Questionnaire instructions view entire document:  text  image

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


Question No. 7: What type of physical or mental impediment do you have? (Mark the most serious)
[For persons who stated they have any mental or physical disability in question 4.]
This question is asked in order to capture the population that suffers from some type of physical or mental impediment, which prevents them to function normally.
[p. 142]
Disability: Any restriction or lack (due to impairment) of ability to perform an activity in a way or within a range considered as normal for a human being.
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, otherwise mark circle 8 "None".
Consider [as a physical or mental impediment] the following:

Blindness: The person who completely lacks vision or see very little (visually impaired), an impairment that cannot be normalized using lenses, treatments and other optical aids. Include people who are blind from birth, or who suffer from diseases such as glaucoma, toxoplasmosis, and infections caused by various accidents (hit in the eye, various injuries, among others).

[There is a picture to the left of the text.]
Deafness: The person who cannot hear nor talk, even with the help of hearing aids, and who communicates through signs but with normal intelligence.

[There is a picture to the right of the text.]
Mental retardation: A person with intellectual capacity below normal. This is evidenced by a poor school performance, adaptive and behavioral problems, and delayed mental and social development. A typical case is a "mongoloid" (Down's syndrome).

[There is a picture to the right of the text.]
Cerebral Paralysis: The persons who at birth or during the first three years of life suffered an injury or brain damage that prevent them from moving normally, having stiff muscles or coordinating movements. They usually have problems with hearing or vision, mental or speech problems, or have convulsions.

[There is a picture to the right of the text.]
Physical disability: Person who has difficulty performing skillfully activities, activities of daily living or move independently because of an accident, illness, stroke or amputation. Also, those persons having malformations that physically limit them or, those who were born lacking a limb.

[There is a picture to the right of the text.]
[p. 143]
Mental problems (mental disorder): this refers to person with impaired general and specific mental functions that are originated in organic mental disorders, autism, schizophrenia, psychosis, personality disorders, Alzheimer, Parkinson's disease, among others; and people with all types of dementia; any deficiency that prevents them from carrying out activities of daily living, socializing with other people, among others. This person has difficulties interacting with others (family, friends and strangers), because she has mental or nervous problems.
Other: Mark this box if the person has developmental disorders, it also applies to children who, according to their age, do not crawl, do not walk or do not speak when that is expected and do not have a definite diagnosis that would allow them to be placed in one of the above categories. That is, include the person who does not have any kind of disability described in the above categories (circles 1-6).
None: Mark this circle when the person in the list of occupants stated to not have any physical or mental disability, circle 2 of Chapter IV of the list of occupants. Remember in this case, not to ask the question.

Example: The head of the house said that his son Arturo, age 9, was born blind.
[Below the text, there is a sample image of the form.]

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Paraguay 1992 — source variable PY1992A_OTHDIS — Other disabilities
Questionnaire form view entire document:  text  image
Section IV. Population information


5. Do you have any physical or mental disability?

Mark more than one response if appropriate
(Blind = doesn't see)
(Deaf = doesn't hear)
(Mute = doesn't speak)
(Paralyzed = doesn't walk)

[] 1 Yes

[] 1 Blind
[] 2 Deaf
[] 3 Mute
[] 4 Paralyzed
____ Other

[] 6 No

Questionnaire instructions view entire document:  text  image

Question 5: Does he/she have any physical or mental impediment?

5. Does he/she have any physical or mental impediment?
Mark more than one answer if it corresponds.
(Only blind=does not see)
(Deaf=does not hear)
(Mute=does not speak)
(Paralyzed=does not walk)

[] 1 Yes

[] 1 Blind
[] 2 Deaf
[] 3 Mute
[x] 4 Paralyzed
Other ____


No []


This question had as its objective the number of disabled persons in the population.

This question is difficult and we request special attention and care on the part of the enumerators.

You should not omit any person, whatever his/her age or sex.

This question can have various answer for one persons. This means that one person can be deaf, mute, and have difficulty for walking, in which case you should mark all of the disabilities.

A disability, as the name indicates, impedes that a person fulfill a function, such as speech, walking, listening, communicating his/her ideas, take care of him/herself, work independently without help, etc.

After asking the question, you should wait a moment, it can be that it is difficult to decide whether or not to tell about a defect of a relative. If the enumerator observes a person with a disability in the home, he/she should note the information when he/she is sure of the information for this person, without needing to ask the question.

[page] 26

This question has 4 pre-established specified answers and an open option: Others. The pre-established answers are:

1. Blind. Person who cannot see, whether since birth or because he/she lost his/her sight due to illness or accident. Do not include persons who can see, but with difficulty.
2. Deaf. Person who is totally deaf, since birth or due to illness or accident. Do not include persons who hear with difficulty.
3. Mute. Person who cannot speak, since birth or due to illness or accident. Do not include persons who speak with difficulty.
4. Paralyzed. All person who has difficulty, cannot move arms and/or legs, needs help for many of his/her normal activities.
5. Other. If the person presents an impediment that is not established above, you should mark this box. The options are the following:
a. Mental retardation. Person who habitually does not learn what is taught, does not understand what is said to him/her, does not speak well. This includes mongoloid persons.
b. Does not hear well: Persons who, without being deaf, have serious hearing problems that make it difficult to study and/or work.
c. Behavior: Persons who have visible behavior problems that does not permit him/her to study and/or work. They are persons who are normally categorized as crazy or trarova [local term that is synonymous with crazy].
d. Physical Deficiency: All persons who have some physical impediment that, without being paralyzed, such as minor paralysis, deformed arms and/or legs, hydrocephalus (large head).
e. Other impediments: If the impediment found cannot be classified in one of the above groups, you should specify it.

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Paraguay 2002 — source variable PY2002A_DISAB — Disability
Questionnaire form view entire document:  text  image
Chapter I. Disability information

36. Is there any person in this household who has a permanent physical or mental disability? ... Such as for example:

[] 1 Yes - Write on one line the name, surname, age, and disability (or disabilities) of the person, followed by the cause(s).
[] 6 No - Go on to Chapter J

Write down the impediment

List of possible impediments:

[] 1 Paralysis or diminished strength (kangy) of legs or arms
[] 2 Missing a part of the body
[] 3 Deaf (hears nothing)
[] 4 Does not hear well, needs or uses a hearing aid
[] 5 Mute (doesn't speak)
[] 6 Speaks with great difficulty
[] 7 Blind in both eyes (sees nothing)
[] 8 Blind in one eye
[] 9 Sees poorly, even with glasses
[] 10 Down syndrome (mongoloid)
[] 11 Mental retardation
[] 12 Crazy (dementia)
Questionnaire instructions view entire document:  text  image
I. Information about disabilities

Do not forget to ask this question.

Question 36: Is there a person in this household who has a permanent physical of mental disability?

Exclude the incapacities due to temporary problems, such as broken bones or illnesses.


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Paraguay 2002 — source variable PY2002A_DISAB2 — Second disability
Questionnaire form view entire document:  text  image
Chapter I. Disability information

36. Is there any person in this household who has a permanent physical or mental disability? ... Such as for example:

[] 1 Yes - Write on one line the name, surname, age, and disability (or disabilities) of the person, followed by the cause(s).
[] 6 No - Go on to Chapter J

Write down the impediment

List of possible impediments:

[] 1 Paralysis or diminished strength (kangy) of legs or arms
[] 2 Missing a part of the body
[] 3 Deaf (hears nothing)
[] 4 Does not hear well, needs or uses a hearing aid
[] 5 Mute (doesn't speak)
[] 6 Speaks with great difficulty
[] 7 Blind in both eyes (sees nothing)
[] 8 Blind in one eye
[] 9 Sees poorly, even with glasses
[] 10 Down syndrome (mongoloid)
[] 11 Mental retardation
[] 12 Crazy (dementia)
Questionnaire instructions view entire document:  text  image
I. Information about disabilities

Do not forget to ask this question.

Question 36: Is there a person in this household who has a permanent physical of mental disability?

Exclude the incapacities due to temporary problems, such as broken bones or illnesses.


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Paraguay 2002 — source variable PY2002A_DISAB3 — Third disability
Questionnaire form view entire document:  text  image
Population Information

Chapter E. For all persons.

Enumerator: Keep in mind the following instructions for questions 7, 8 and 9:

a. Mark "in this place" if referring to the same district in which the person is being enumerated;

b. Mark "in another place" if referring to another district, and specify the name of the district, whether it is a city/town or company [compañía]/colony [colonia]/indigenous community, and the name of the department.

c. If you marked "in another country," write the name of the country.

For office use only:

_ _ _ Disability
_ _ _ Disability
_ _ _ Disability

_ _ Ethnicity
Questionnaire instructions view entire document:  text  image
I. Information about disabilities

Do not forget to ask this question.

Question 36: Is there a person in this household who has a permanent physical of mental disability?

Exclude the incapacities due to temporary problems, such as broken bones or illnesses.


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Peru 1993 — source variable PE1993A_MENTAL — Mental illness
Questionnaire form view entire document:  text  image

5. Do you have any of the following disabilities?
Circle one or more numbers, as appropriate:

[] 1 Total blindness
[] 2 Total deafness
[] 3 Muteness
[] 4 Mental retardation
[] 5 Mental illness
[] 6 Polio
[] 7 Loss or paralysis of upper extremity
[] 8 Loss or paralysis of lower extremity
[] 9 Other (specify) ____
[] 0 No disability

Questionnaire instructions view entire document:  text  image

For All People
[Applies to questions 1 - 6]


Question No. 5: Do you have any of the following disabilities:
Read the question and each one of the options. Then, circle one or more numbers, based on the informant's answers.
[There is a picture of question 5 in this section of the Enumeration Form.]
If the informant reports having a physical handicap that is not included in any of the alternatives, you should circle number 9 (Other) and write it on the corresponding line.
If the informant reports not having any handicap, circle number 0.


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Philippines 1990 — source variable PH1990A_DISAB — Disability
Questionnaire form view entire document:  text  image

Disability

P11. Does [respondent] have any physical or mental disability?

Encircle code

1 Yes
2 No, skip to P13.


P12. What type of disability does [respondent] have?

___ Enter appropriate code listed below.
If others, specify.

1 Blindness
2 Deafness
3 Muteness
4 Deafness/Muteness
5 Speech Impairment
6 Mental Illness
7 Mental Retardation
8 Orthopedic Handicap
9 Multiple Disability
0 Others, specify

Questionnaire instructions view entire document:  text  image

P11 and P12 Disability

Disability refers to any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being. Data on disability will enable planners to prepare plans for rehabilitation, education development and preventive programs.

P11 - Does ____ have any physical and mental disability?

Ask the question in P11, "Does ____ have any physical or mental disability?" for all persons. If the answer is Yes, encircle 1 in P11 and ask the question in P12, "What type of disability does ____ have?". Otherwise, encircle 2 in P11 and enter a dash (-) in P12.

P12 - What type of disability does ______ have?

A person is considered physically or mentally disabled if he has any of the following impairments:

1 Blindness - if one eye or both eyes are reported totally blind and have no vision.

2 Deafness - if one ear or both ears are reported the incapable of hearing sounds or noises. A person can be completely deaf or partially deaf. Completely deaf persons do not hear sounds or noises at all. Partly deaf persons can hear or respond to loud noises only, but not to soft or low noises. Persons who are partly deaf hear a little when people speak to them.

3 Muteness - if the person is unable to speak or utter words.

4 Deafness and Muteness - if the person is reported to be both deaf and mute.

5 Speech Impairment - if the person can speak but not sufficiently clear to be understood. This also includes those people who can only make meaningless sounds.

6 Mental Illness - if the person suffers from schizophrenia, manic depressive illness, psychosis, or severe depression characterized by strange behavior.

7 Mental Retardation if the person has disorders/damage of the brain resulting in mental retardation.

8 Orthopedic handicap - if the person suffers from bone deformities or has the following impairments:

- absence or deformity of one or both hands or arms
- absence or deformity of one or both feet or legs
- fractures
- severe scoliosis kyphosis third degree burns, etc.


9 Multiple Disability - if the person is reported to have a combination of two or more disabilities.

0 Others - if the answer does not fall in any of the pre-coded answers, write the answer as stated by the respondent on the space provided. Examples: cancer, leprosy, paralysis, cerebral palsy, cross-eyed, etc.


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Philippines 1995 — source variable PH1995A_DISABTYP — Type of disability
Questionnaire form view entire document:  text  image

All Persons
[Applies to questions P1-P10]


P8. Does [respondent] have any problem with his/her eyes, ears, speech, communication, legs, arms or any combination of these impairments?
Encircle code.

[] 1. Yes
[] 2. No. Skip to P10.


P9. What type of disability does [respondent] have?

[] 01. Cannot see with both eyes (TOT-BLIND)
[] 02. Absence of one eye with low vision on the other eye (PART-BLIND)
[] 03. Can see form or movement but not details of objects (color, surface, lines) (LOW VISION)
[] 04. Cannot hear with both ears (TOT-DEAF)
[] 05. Cannot hear with one ear but with moderate hearing loss on the other ear (PART-DEAF 1)
[] 06. Can hear speech but cannot discriminate the words (PART-DEAF 2)
[] 07. Cannot say words (MUTE)
[] 08. Can say words but stammers (includes cleft-palate and hare-lip with speech defect) (SPEECH DEFECT)
[] 09. Loss of one or both arms/hands (NO ARM)
[] 10. Loss of one or both legs/feet (NO LEG)
[] 11. Paralysis of one or both upper extremities (PARA-ARMS)
[] 12. Paralysis of one or both lower extremities (PARA-LEGS)
[] 13. Paralysis of one arm and one leg (PARA-COM)
[] 14. Paralysis of all four limbs (QUADRIP)
[] 15. Can learn simple communication, elementary health and safety habit and simple manual skills, but does not progress in functional reading or arithmetic (REGARDED)
[] 16. Mentally ill (INSANE)
[] 17. Others, specify (includes multiple disabilities and other combination of arm-leg impairment/paralysis) (OTHER)

Questionnaire instructions view entire document:  text  image

Disability (P8 and P9)

To identify household members who may have disabilities, a "screening" question is asked in column P8. For each household member, ask the respondent "Does _________ have any impairment of his/her eyes, ear, speech, communication, legs, arms, or any combination of these?" If the answer is YES, encircle " 1 " in P8 and ask the question in column P9: "What type of disability does ________ have?". If the answer in P8 is NO, encircle "2" and place a dash (--) in P9.

For the POPCEN, the specific types of disabilities and their respective codes are found in the Codes Sheet. Be sure to use this list as your guide in probing for information and for coding the responses in column P9. Descriptions of the disabilities are given below. Use the key words (in bold type capital letters after each type of disability) as the write-in entries.

01 - Cannot see with both eyes. [Refers to a person with total lack of vision of both eyes (totally blind)]. TOT-BLIND

02 - Absence of one eye with low vision in the other eye. [Refer to a person with no vision in one eye whether with or without an eyeball but low vision in the other eye (partially blind).] PART-BLIND

03 - Can see form or movement but not details of objects (color, surface, lines). LOW VISION

04 - Cannot hear with both ears. [Refers to a person with total deafness.]
TOT-DEAF

[p. 93 ]

05 - Cannot hear with one ear but with moderate hearing loss on the other ear. [Refers to a person with one ear totally deaf while the other ear can still react or recognize sounds (partially deaf).] PART-DEAF1

06 - Can hear speech but cannot discriminate the words. [Refers to a person whose both ears can recognize sounds but cannot determine the words (partially deaf).] PART-DEAF2

07 - Cannot say words. [Refers to a person who cannot talk (e.g. mute -- this is because of lack of training on speech development or caused by accident or sickness that damage the vocal cord or tongue.] MUTE

08 - Can say words but stammers (includes cleft-palate and hare-lip with speech defect). SPEECH DEFECT

09 - Loss of one or both arms/hands. [Refers to a person without one or both arms/hands either acquired from birth or amputated as a result of accident or sickness] NO ARM

10 - Loss of one or both legs/feet. [Refers to a person with one or both legs or feet missing, either congenital or amputated as a result of accident or sickness.]
NO LEG

11 - Paralysis of one or both upper extremities. [Refers to a person who cannot use his/her arms and hands either one or both (e.g. stroke victim) and the paralysis is permanent).] PARA-ARMS

12 - Paralysis of one or both lower extremities. [Refers to a person who cannot move either one or both feet and the paralysis is permanent.] PARA-LEGS

13 - Paralysis of one arm and one leg. PARA-COM

14 - Paralysis of all four limbs. [Refers to a person who is a quadriplegic.]
QUADRIP

15 - Can learn simple communication, elementary health and safety habit and simple manual skills, but does not progress in functional reading or arithmetic. [Refers to people with severe mental retardation.] RETARDED

[p. 94]

16 - Mentally insane. [Refers to a person who is suffering from nervous breakdown/mental illness or one who is insane.] INSANE

17 - Others, specify. [Refers to disabilities other than the above, including multiple disabilities and other combination of other arm-leg impairment/paralysis.]
OTHER


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Philippines 2000 — source variable PH2000A_DISABTYP — Type of disability
Questionnaire form view entire document:  text  image

P13. Does [respondent] have any physical or mental disability? (If no skip to P15)

[] Yes
[] No


P14. What type of disability does [respondent] have?
(Please see code book)
_ _

Questionnaire instructions view entire document:  text  image

P13 and P14 Disability

Disability refers to any restriction or lack of ability (resulting from an impairment) to perform an activity in the manner or within the range considered normal for a human being. Impairments associated with disabilities may be physical, mental, or sensory motor impairment such as partial or total blindness and deafness, muteness, speech defect, orthopedic handicaps, and mental retardation. Data on disability will enable planners to prepare plans for rehabilitation, education development and preventive programs.

To identify household members who may have disabilities. A "screening" question is asked in column P13. For each household member, ask the respondent "Does _____ have any physical or mental disability?" If the answer is Yes, draw an "x" mark on the circle before YES in

P13 and ask the question in P14: "What type of disability does ____have?" If the answer in P13 is NO, draw an "x" mark on the circle before NO in P13 and skip to P15.

The specific types of disabilities and their respective codes are listed in the Code Book. Be sure to use this Code Book as your guide in probing for information and for coding the responses in column P14. If the answer of the respondent is other than the types of disability listed, write in the space provided the answer of the respondent. The descriptions of the disabilities are given below:

Code 01
No useful sight in any of the two eyes. (Cannot distinguish objects in front of him). Persons may have some light perception (e.g., can realize that it is midday or midnight), but do not have usable sight. They need Braille materials for reading.
Short name: Tot-Blind

Code 02
With better eyesight than totally blind: can distinguish objects in front of him. However, even with eyeglasses cannot distinguish large letters. Practically, this person can walk without hitting his head against the wall, but cannot read anything. Included here as persons with severely limiting vision situations: central only or the sides only or only like a pie of a cake. Persons who can see some objects so that they can walk better and do some activities, but they cannot read printed text even with eyeglasses. They need Braille materials for reading.
Short name: Part-Blind

Code 03
With the better eye, even with eyeglasses, cannot distinguish regular size letters. Practically, can only read the bigger headlines in the newspapers. Included here are persons with limiting vision situations: central only or the sides only or only like a pie of a cake. Persons who, even with appropriate eyeglasses, need large print text (i.e., at least 18 points font) to read at a distance of one foot (30 cm.)
Short name: Low vision

Code 04
Cannot realize any regular sound. Practically the person does not react when somebody claps his hands behind his back. Person may still hear the blowing of a horn of a truck, or the beat of a drum, cannot understand words even with a hearing aid. Mute: There are almost no mute people. The normal case is the so-called "deaf-mute" which is for people who, because of deafness, did not learn to talk but they have all what is physically necessary to talk. Treat them as deaf.
Short name: Tot-Deaf

Code 05
Can hear speech but cannot discriminate the words. [Refers to a person whose both ears can recognize sounds but cannot determine the words (partially deaf).]
Short name: Part- Deaf

Code 06
Person can understand words only if spoken very loud or close to the ear and (normally) has severe difficulties if there are other noises (e.g.,) of other people speaking in the room. Person can be helped with a hearing aid but still has difficulties understanding normal speech.
Short name: Hard-Hear

Code 07
Person at least 15 years old, is object of ridicule or has severely limited job opportunities because of either: - a general stammering problem which makes normal speech extremely difficult - or a cleft-palate or hare-lip that cannot be solved by current medical procedures.
Short name: Oral defect

Code 08
Person has only one useful hand. One arm is not usable (e.g., amputated, deformed or paralyzed arm). Included here are two artificial arms if they are rather useful (i.e., both arms are missing but are replaced with artificial arm).
Short name: One hand

Code 09
Person has no useful hands. Both arms are not usable (e.g., amputated, deformed and missing).
Short name: No hands

Code 10
Person has only one useful leg: walks with crutches and/or artificial leg and/or braces. Note (1) Walking with an artificial leg can be considered if it really prevents the person from holding most jobs. (2) If the person has two legs amputated but in such a way that artificial legs can be used, the person can still go to most places, including going up the stairs. It may be slower, but it is surely very different from a person in a wheelchair who cannot even climb a single step without help.
Short name: One leg

Code 11
Person has no useful legs or two legs unusable (e.g., normally sits in a wheelchair.)
Short name: No legs

Code 12
Regular/Mild cerebral palsy: person can still walk and do most activities or might only be slightly awkward and require no special assistance.
Short name: Cr-Quadrip

The term cerebral refers to the brain's two halves, or hemispheres, and palsy describes any disorder that impairs control of body movement. Thus, these disorders are not caused by problems in the muscles or nerves. Instead, faulty development or damage to motor areas in the brain disrupts the brain's ability to adequately control movement and posture. An individual with cerebral palsy may have difficulty with fine motor tasks, such as writing or cutting with scissors; experience trouble with maintaining balance and walking; or be affected by involuntary movements, such as uncontrollable writhing motion of the hands or drooling.

Code13
Severe cerebral palsy: person is severely affected by the cerebral palsy or might be unable to walk and need extensive, lifelong care.
Short name: Cs-Quadrip

Code14
Regularly intellectually impaired: can be trained to be toilet trained, to wash himself, eat on his own and follow single instructions. Included here are those with Down Syndrome (Mongoloids) and most autistic (persons with autism). Note, not included are slow learners and persons who can travel alone.
Short name: Ir-Retarded

Code15
Severely intellectually impaired: cannot be toilet trained, eat alone, severe autism, etc.
Short name: Is-Retarded

Code16
Regularly impaired by mental illness: actually under psychiatric care or should be under psychiatric care (but do not have the money) as well as patients who recovered within the last three years (to consider the problem that so many becomes sick again). Included here are most persons with epilepsy even if the origin of their problem is very different, people treat them a bit the same as the mentally ill, they have more difficulties obtaining jobs, etc.
Short name: Pr-Mentally ill

Code17
Severely impaired by mental illness: persons needing hospitalization or having been hospitalized within the last three years (as mentioned above, to consider the fact that so many become sick again).
Short name: Ps-Mentally ill

Code18
Regularly multiple impaired. Multiple impairment is always a severe disability, yet among those with multiple impairment, one can be much lighter than the others whom we call severely multiple handicapped. Examples, are one arm and one leg unusable, mentally retarded and some physical defect.
Short name: Mr-Impairment

Code19
Severely multiple impaired. Examples are both legs and both arms paralyzed (quadriplegic); deaf and blind, and severely cerebral palsied and blind.
Short name: Ms-Impairment

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Sierra Leone 2004 — source variable SL2004A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image

P15. Disability
Is [the respondent] disabled?
[] 1 Yes
[] 2 No (go to P19)


Disability
[Questions 16-18 were asked of persons who are disabled, per question P15]


P16. Type of disability

[] 01 Limited use of legs
[] 02 Loss of leg(s)
[] 03 Limited use of arms
[] 04 Loss of arm(s)
[] 05 Serious problem with back spine
[] 06 Hearing difficulty
[] 07 Unable to hear (deafness)
[] 08 Sight difficulty
[] 09 Blindness
[] 10 Speech impairment
[] 11 Unable to speak (mute)
[] 12 Mental retardation
[] 13 Mental illness (strange behavior)
[] 14 Epileptic
[] 15 Rheumatism
[] 16 Others (specify) ____

Questionnaire instructions view entire document:  text  image

Section 1 - Population
Columns P1 to P18 -- These should provide particulars of all members who slept in the household/institution on census night. They therefore apply to all persons.


Columns P15 - P18 -- Disability
105. It is absolutely important that this information is collected as accurately as possible, which means that the question applies to everybody in the household. You must be particularly careful to distinguish between actual disability and other forms of illnesses.

106. For example, you may be told that a member of the household has had tuberculosis or has been suffering from backache or stomach pains for a very long time. These are not disabilities for the purpose of these questions. It may be necessary to see the persons who have been reported as being disabled. This

[p.15]

will give you an opportunity to determine whether the persons) is/are disabled according to the specifications below.

107. Somebody is disabled if he/she is blind, crippled, deaf, dumb, mentally retarded or has lost limbs), etc.


P15 -- Whether person is disabled
108. Ask, "Is [the respondent] disabled?" If the answer is "Yes", ask the second question relating to the type of disability (question P16) before you make any entry. If you are satisfied that the type of disability falls within our prescribed category, you can then fill in P15 and P16. This is necessary to avoid messing up the questionnaire.


P16 -- Type of disability
109. Ask for the type of disability and record the appropriate code refer to the code list). For example, "Limited use of legs" is 01, "Loss of legs" is 02, etc.

110. Some people may have more than one disability. In such cases, record the most serious one.


P16 Type of disability

[] 01 Limited use of legs
[] 02 Loss of legs)
[] 03 Limited use of arms
[] 04 Loss of arms)
[] 05 Serious problem with back spine
[] 06 Hearing difficulty
[] 07 Unable to hear deafness)
[] 08 Sight difficulty
[] 09 Blindness
[] 10 Speech impairment
[] 11 Unable to speak mute)
[] 12 Mental retardation
[] 13 Mental illness strange behaviour)
[] 14 Epileptic
[] 15 Rheumatism
[] 16 Othersspecify)


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Sierra Leone 2015 — source variable SL2015A_DISAB — Disabled
Questionnaire form view entire document:  text  image
All persons [Questions P01-P20]

[Section II was answered for all persons who selected living in occupied housing units in question I15]

Disability [Questions P15-P19]

P15. Does [the respondent] suffer from any form of disability?

If 2 or 3 go to P20

[] 1. Yes
[] 2. No
[] 3. Don't Know
Questionnaire instructions view entire document:  text  image
Section 2: Population characteristics

Columns (P01) to (P20) -- These should provide particulars of all persons who slept in the household on census night. The questions therefore apply to all persons irrespective of age or sex, except P13 which applies to persons 5 years and above.

Columns (P15 to P19) disability
120. It is absolutely important that this information is collected as accurately as possible. These questions apply to everybody in the household. You must be particularly careful to distinguish between actual disability and other forms of illnesses.

121. For example, you may be told that a member of the household has had tuberculosis or has been suffering from backache or stomach pains for a very long time. These are not disabilities for the purpose of these questions. It may be necessary to see the persons who have been reported as being disabled. This will give you an opportunity to determine whether the person(s) is/are disabled according to the specifications below.

122. Somebody is disabled if he/she is blind, crippled, deaf, dumb, mentally retarded, lost limb(s), speech impaired, is an albino, etc.

P15 -- Person disabled?
123. Ask, 'Does (name) suffer from any form of disability?' If the answer is 'Yes' ask the second question relating to the main type of disability in (P16) and the second type if any in P17. Before you make any entry be sure that you are satisfied that the type of disability falls within the prescribed categories.


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Sierra Leone 2015 — source variable SL2015A_MNDISAB — Main disability
Questionnaire form view entire document:  text  image
All persons [Questions P01-P20]

[Section II was answered for all persons who selected living in occupied housing units in question I15]

Disability [Questions P15-P19]

P16. Main type of disability

Answered only if the respondent answered yes to having a disability in P15.

[] 00 None
[] 01 Physical disability (Polio)
[] 02 Physical disability (Amputee)
[] 03 Blind or visually impaired
[] 04 Partially sighted
[] 05 Deaf
[] 06 Partially deaf
[] 07 Speech difficulties
[] 08 Mute/Dumb
[] 09 Mental difficulties
[] 10 Spinal injury/disability
[] 11 Psychiatric disability
[] 12 Epileptic
[] 13 Rheumatism
[] 14 Albinism
[] 15 Kyphoscoliosis (Hunch Back)
[] 16 Other
Questionnaire instructions view entire document:  text  image
Section 2: Population characteristics

Columns (P01) to (P20) -- These should provide particulars of all persons who slept in the household on census night. The questions therefore apply to all persons irrespective of age or sex, except P13 which applies to persons 5 years and above.

P16 and P17 - Type of disability
124. Ask for the type of disability and record the appropriate code (refer to the code list). For example, 'Physical disability (Polio) is 01; 'Physical disability (Amputee) ' is 02, etc.

125. Some people may have more than one disability. In such cases, record the most serious one as main in P16and the other as 2nd in P17.


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Sierra Leone 2015 — source variable SL2015A_SCDISAB — Second disability
Questionnaire form view entire document:  text  image
All persons [Questions P01-P20]

[Section II was answered for all persons who selected living in occupied housing units in question I15]

Disability [Questions P15-P19]

P17. Second type of disability

Answered only if the respondent answered yes to having a disability in P15.

[] 00 None
[] 01 Physical disability (Polio)
[] 02 Physical disability (Amputee)
[] 03 Blind or visually impaired
[] 04 Partially sighted
[] 05 Deaf
[] 06 Partially deaf
[] 07 Speech difficulties
[] 08 Mute/Dumb
[] 09 Mental difficulties
[] 10 Spinal injury/disability
[] 11 Psychiatric disability
[] 12 Epileptic
[] 13 Rheumatism
[] 14 Albinism
[] 15 Kyphoscoliosis (Hunch Back)
[] 16 Other
Questionnaire instructions view entire document:  text  image
Section 2: Population characteristics

Columns (P01) to (P20) -- These should provide particulars of all persons who slept in the household on census night. The questions therefore apply to all persons irrespective of age or sex, except P13 which applies to persons 5 years and above.

P16 and P17 - Type of disability
124. Ask for the type of disability and record the appropriate code (refer to the code list). For example, 'Physical disability (Polio) is 01; 'Physical disability (Amputee) ' is 02, etc.

125. Some people may have more than one disability. In such cases, record the most serious one as main in P16and the other as 2nd in P17.


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South Africa 2001 — source variable ZA2001A_DISEMOT — Disability - emotional
Questionnaire form view entire document:  text  image

Section A: Information for persons in the household -- ask of everyone
[Section A of this form, each question has 10 answer rows for writing individual answers for up to 10 individuals in the household. Only the first is shown here, which is exactly the same as the other nine.]


P-13. Disability

Does (the person) have any serious disability that prevents his/her full participation in life activities (such as education, work, social life)? Mark any that apply. Dot the appropriate boxes.
[] 0 = None
[] 1 = Sight (blind/severe visual limitation)
[] 2 = Hearing (deaf, profoundly hard of hearing)
[] 3 = Communication (speech impairment)
[] 4 = Physical (e.g. needs wheelchair, crutches or prosthesis; limb, hand usage limitations)
[] 5 = Intellectual (serious difficulties in learning)
[] 6 = Emotional (behavioural, psychological)

Questionnaire instructions view entire document:  text  image

Question P-13 -- Disability

"Does (the person) have any serious disability that prevents his/her full participation in life activities (such as education, work, social life)?"

Disability is a limitation or lack of ability that prevents a person from performing an activity within the range considered normal, or from behaving in a manner considered normal.

Read out the categories and dot the appropriate boxes. For this question you may have to dot more than one box. Encourage the respondent to name all serious disabilities a person has, e.g. if deaf and wheelchair-bound, dot 2 and 4.

Note that if 1 bad sight is corrected with glasses or 2 bad hearing with a hearing aid, it is not considered a disability for the census.

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South Africa 2007 — source variable ZA2007A_DISABE — Disability: emotional
Questionnaire form view entire document:  text  image

P-22 Disability type
What type(s) of disability does (the person) have?
[Question P-22 was asked of persons who had some kind of disability, per question P-21.]
Mark any that apply with an X.
Multiple disabilities are indicated by marking more than one selection.
Read out:
[] 1 Sight (blind/severe visual limitation
[] 2 Hearing (deaf, profoundly hard of hearing)
[] 3 Communication (speech impairment)
[] 4 Physical (needs wheelchair, crutches, etc.)
[] 5 Intellectual (serious difficulties in learning)
[] 6 Emotional (behavioural, psychological)

Questionnaire instructions view entire document:  text  image

(P-22) Disability type: What type/s of disability does (the person) have?
Ask only if "Yes, code 1" to P-21. Read out the options and then mark the appropriate option. If the respondent identifies more than one disability, mark all mentioned with an X.

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Suriname 2012 — source variable SR2012A_ILLMENTAL — Mental illness
Questionnaire form view entire document:  text  image
Personal module

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

P22. Does this person have any of the following chronic diseases?

Enter one of the following codes in each cell:
J. Mental
[] 1 Yes
[] 2 No
[] 7 Don't know
[] 9 No response

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Thailand 1990 — source variable TH1990A_DISABLE — Disability
Questionnaire form view entire document:  text  image

L27. Disability
Is (name) disable?
[] 0 Not disabled
[] 1 Blind
[] 2 Deaf
[] 3 Dumb
[] 4 Armless, legless
[] 5 Mentally retarded
[] 6 Insanity
[] 7 Paralyzed
[] 8 Others (specify) ____

Questionnaire instructions view entire document:  text  image

Column 27: Disability
[Ask everyone]

Ask: "Is ....... (name) ....... disabled?"
[] 0 Not disabled
[] 1 Blind (both eyes)
[] 2 Deaf (both ears)
[] 3 Mute
[] 4 Lost arms or legs
[] 5 Intellectually disabled
[] 6 Mentally handicapped
[] 7 Paralyzed
[] 8 Other (specify)
[] 9 Do not know


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Trinidad and Tobago 2000 — source variable TT2000A_DISBHV — Behavioral impairment (psychological, emotional problem)
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_ILLMNTL — Clinical mental disease
Questionnaire form view entire document:  text  image
Section 4: Health - For all persons

15(a). Chronic illness

Has (N) [the respondent] been diagnosed as suffering from any of the following illnesses?

[] 00 None
[] 01 Alzheimer's disease (AD)
[] 02 Arthritis (ART)
[] 03 Asthma (AST)
[] 04 Cancer (C)
[] 05 Clinical mental disease (CMD)
[] 06 Diabetes (DIA)
[] 07 HIV/AIDS
[] 08 Heart Disease (HD)
[] 09 Hypertension (HYP)
[] 10 Kidney Disease (KD)
[] 11 Lupus (L)
[] 12 Parkinson's disease (PD)
[] 13 Sickle Cell Anemia (SCA)
[] 77 Other (O)
[] 99 Not stated (NS)
Interviewer: Multiple responses can be shaded.
Questionnaire instructions view entire document:  text  image
Section 4 - Health

4.1. Chronic illness

This is defined as a prolonged or long continued illness for which no available cure exists. However, treatment can be used to control the symptoms of the illness.

The following categories are included in this section:

(i) Alzheimer's disease - This is a neurological disease characterized by loss of mental ability marked by a decline in cognitive functions such as remembering, reasoning, and planning. It usually occurs in old age.

(ii) Arthritis - This is a general term covering any inflammation of the joints.

(iii) Asthma - This is a respiratory disease affecting one's breathing.

(iv) Cancer - Cancer refers to a malignant tumor.

(v) Clinical mental disease - Any disease of the mind; the psychological state of someone who has emotional or behavioral problems serious enough to require psychiatric intervention.

(vi) Diabetes - Is a metabolic disorder that causes surplus sugar in the blood and urine.

(vii) HIV/AIDS - This is the condition caused by the Human Immune Deficiency Virus, which manifests itself in many ways.

(viii) Heart Disease - Any disease affecting the heart.

(ix) Hypertension - This occurs where a person's blood pressure is higher than what is considered normal as specified by a medical doctor.

(x) Kidney Disease - This refers to any disease affecting the kidney.

[p.14]

(xi) Lupus - Is a destructive type of skin disease marked by nodules.

(xii) Parkinson's disease - This is a degenerative disease of the brain that often impairs motor skills, speech, and other functions. It is characterized by shaking and difficulty with movement coordination.

(xiii) Sickle cell anemia - This is a severe hereditary disease occurring among the offspring of parents who have sickle- cell traits. It is a general or local deficiency in the amount or quality of red blood corpuscles or of hemoglobin in the blood or both.

It is important to note that these broad definitions are to clarify concepts for you. Do not attempt to diagnose respondents. Use the responses given by individuals, which should have been diagnosed by a medical doctor.


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Uganda 2002 — source variable UG2002A_DISAB1 — First disability/major disability
Questionnaire form view entire document:  text  image

For all persons


P13 Disability Does (name) have any difficulty in moving, seeing, hearing, speaking or learning, which has lasted or is expected to last 6 months or more? (If No write 10 and skip to P16, if Yes write codes for at most 2 mayor difficulties) ___ ___

Questionnaire instructions view entire document:  text  image

[Question P1 - P15 apply to all persons]


Disability
115. A person with a disability is defined as one who is limited in the kind of or amount of activities that he or she can do, because of ongoing difficulty (-ies) due to a long-term physical condition or health problem that has lasted six months or more. This includes all those difficulties that are expected to last more than six months.
116. Note that a person can have a fractured arm or leg due to a road accident and is expected to heal within three months. For purposes of the census, you should not record this person to have a difficulty since the difficulty is expected to last for a shorter period.
117. There are some clear cases of disability such as having lost a leg, or being crippled by polio that one cannot walk normally, or being mad. However, there are also many cases where it is not so clear. In such cases, common sense must be your guide. If the respondent indicates that the condition is not so serious as to prevent a person from living a full life, it should not be counted as a disability.
118. If a person has lost an arm, he or she is disabled. A person who has lost the tip of a finger in an accident should not be considered as disabled. In the same way a person whose sight is impaired but can live and work normally by wearing glasses while doing so is not disabled for purposes of the census.
Question P13: Disability
Ask, "Does (name) have any difficulty in moving, seeing, hearing, speaking difficulty, mental or learning difficulty, which has lasted or is expected to last 6 months or more?"
119. If the respondent declares anyone in the Household as disabled, use the codes in the questionnaire and describe the nature of the disability as best as you can. Some persons with disabilities have more than one type of disability. In this case you are required to take the two major forms of disability and assign the appropriate codes in the space provided. Note that the column for each person takes care of two types of disabilities.
120. It is quite common for persons in the Household to hide information about disabilities of their kin, especially the children. Ensure that you attempt to see and probe to obtain the truth.
121. Examples of such categories of persons include, those who have

  • Seeing difficulties: an individual could have a sight problem if he/she cannot see clearly objects that are close to him/her or is unable to figure out objects, which are at a distance. Note that if one wears glasses and ceases to have a problem with sight, then he/ she does not qualify to be recorded as having any seeing difficulties. A separate code for "Blindness" is provided for persons who cannot see at all. If a person has lost one eye, this does not automatically imply that he has a sight problem. Ask the respondent to find out if he/she has a sight difficulty and assign the appropriate code.
  • Hearing difficulties: This includes those who have difficulty in hearing i.e. not following a conversation in a normal voice even with use of a hearing aid. In case an individual has a hearing aid and is able to follow a conversation in a normal voice, then she/he does not have a hearing difficulty. A separate code for unable to hear (deaf) is included for those who cannot hear at all.
  • Speech impairment: Includes persons with problems of speech, even though they are able to hear. Those who are not able to speak at all are categorized as "Mute"
  • Mental Illness (Strange Behavior): This is characterized by strange behaviors and the most common description is mad.
  • Learning difficulty/Mental Retardation: This includes persons with learning difficulties in or out of school and persons mentally less developed than their age mates. They can be adults or children.
  • Epilepsy: This is a condition where a person has episodes of loss or change of consciousness that may last from a few seconds to over an hour. The loss of consciousness is sometimes accompanied by movement of body parts. The loss of consciousness is also called fit. Epilepsy fits are NOT accompanied by fever.
  • Rheumatism: This is of when the joints of a body are swollen, hot and painful. It is often accompanied by limited movement of the joint.


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Uganda 2002 — source variable UG2002A_DISAB2 — Second disability
Questionnaire form view entire document:  text  image

For all persons


P13 Disability Does (name) have any difficulty in moving, seeing, hearing, speaking or learning, which has lasted or is expected to last 6 months or more? (If No write 10 and skip to P16, if Yes write codes for at most 2 mayor difficulties) ___ ___

Questionnaire instructions view entire document:  text  image

[Question P1 - P15 apply to all persons]


Disability
115. A person with a disability is defined as one who is limited in the kind of or amount of activities that he or she can do, because of ongoing difficulty (-ies) due to a long-term physical condition or health problem that has lasted six months or more. This includes all those difficulties that are expected to last more than six months.
116. Note that a person can have a fractured arm or leg due to a road accident and is expected to heal within three months. For purposes of the census, you should not record this person to have a difficulty since the difficulty is expected to last for a shorter period.
117. There are some clear cases of disability such as having lost a leg, or being crippled by polio that one cannot walk normally, or being mad. However, there are also many cases where it is not so clear. In such cases, common sense must be your guide. If the respondent indicates that the condition is not so serious as to prevent a person from living a full life, it should not be counted as a disability.
118. If a person has lost an arm, he or she is disabled. A person who has lost the tip of a finger in an accident should not be considered as disabled. In the same way a person whose sight is impaired but can live and work normally by wearing glasses while doing so is not disabled for purposes of the census.
Question P13: Disability
Ask, "Does (name) have any difficulty in moving, seeing, hearing, speaking difficulty, mental or learning difficulty, which has lasted or is expected to last 6 months or more?"
119. If the respondent declares anyone in the Household as disabled, use the codes in the questionnaire and describe the nature of the disability as best as you can. Some persons with disabilities have more than one type of disability. In this case you are required to take the two major forms of disability and assign the appropriate codes in the space provided. Note that the column for each person takes care of two types of disabilities.
120. It is quite common for persons in the Household to hide information about disabilities of their kin, especially the children. Ensure that you attempt to see and probe to obtain the truth.
121. Examples of such categories of persons include, those who have

  • Seeing difficulties: an individual could have a sight problem if he/she cannot see clearly objects that are close to him/her or is unable to figure out objects, which are at a distance. Note that if one wears glasses and ceases to have a problem with sight, then he/ she does not qualify to be recorded as having any seeing difficulties. A separate code for "Blindness" is provided for persons who cannot see at all. If a person has lost one eye, this does not automatically imply that he has a sight problem. Ask the respondent to find out if he/she has a sight difficulty and assign the appropriate code.
  • Hearing difficulties: This includes those who have difficulty in hearing i.e. not following a conversation in a normal voice even with use of a hearing aid. In case an individual has a hearing aid and is able to follow a conversation in a normal voice, then she/he does not have a hearing difficulty. A separate code for unable to hear (deaf) is included for those who cannot hear at all.
  • Speech impairment: Includes persons with problems of speech, even though they are able to hear. Those who are not able to speak at all are categorized as "Mute"
  • Mental Illness (Strange Behavior): This is characterized by strange behaviors and the most common description is mad.
  • Learning difficulty/Mental Retardation: This includes persons with learning difficulties in or out of school and persons mentally less developed than their age mates. They can be adults or children.
  • Epilepsy: This is a condition where a person has episodes of loss or change of consciousness that may last from a few seconds to over an hour. The loss of consciousness is sometimes accompanied by movement of body parts. The loss of consciousness is also called fit. Epilepsy fits are NOT accompanied by fever.
  • Rheumatism: This is of when the joints of a body are swollen, hot and painful. It is often accompanied by limited movement of the joint.


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Uruguay 2006 — source variable UY2006A_DISMENT — Mental/interpersonal disability
Questionnaire form view entire document:  text  image

MS6a. Do you have permanent mental limitations that make it difficult to relate with others?
[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

MS6a. Do you have permanent mental limitations that make it difficult to relate with others?

This refers to people who have difficulty relating conventionally with others. They have difficulties controlling emotions and impulses and the verbally or physically aggressive manifestations with the interactions with others. These are people with alterations of the mental functions related with thought, memory, language, etc. For example: people who are psychosis carriers, autism, dementia, and other senile dementia including Alzheimer's etc.

Examples of question MS6a:
  • Susana had a problem at work, she believed that her workmates wanted to harm her and she was hearing "things". She was admitted, took psychiatric medicine, was reintegrated at work and didn't have difficulties. This corresponds to option "2".
  • It is hard for Juan to understand, he leaves suddenly, loses his memory. He forgets the name of things of daily use, for example, bread, key, etc. This corresponds to option "1".


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Uruguay 2006 — source variable UY2006A_PSYCHOL — Receives psychological attention
Questionnaire form view entire document:  text  image

MS7. Do you receive psychological attention?
[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

MS7. Do you receive psychological attention?

This question seeks to identify those people who currently or periodically attend meetings with a specialist of the field for psychological therapy. Those who go to complete vocational tests or whose consultation is a requirement to get a job should not be considered.

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Uruguay 2006 — source variable UY2006A_PSYCHIAT — Under psychiatric treatment
Questionnaire form view entire document:  text  image

MS8. Are you under psychiatric treatment?
[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

MS8. Are you under psychiatric treatment?

You should record option 1 ("Yes") for all those interviewed that currently are treated by a psychiatric doctor. A simple, first-time consultation should not be considered an affirmative response as long as it doesn't trigger a treatment.

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Zambia 2000 — source variable ZM2000A_DISMENT — Mental illness
Questionnaire form view entire document:  text  image
Special Group Population
15. Is any member of the household disabled in any way?
[] Yes (fill in Disability Supplement)
[] No
Questionnaire instructions view entire document:  text  image
5.4 Disability

You are about to start a rather sensitive topic. Prepare the respondent by telling him/her that you are now going to start asking questions on disability.
A person with a disability is defined as a person who is limited in the kind or amount of activities that he or she can do because of the ongoing difficulties due to a long term physical condition, mental condition or health problem. Short term disabilities due to temporary conditions such as broken legs and illness are excluded. Only disabilities lasting for more than six months should be included.

P15 Are You Disabled in any Way?
Find out whether this person is disabled and shade appropriately. If the respondent is not disabled, skip to P18.

P16 What is Your Disability?
Find out what disability the person has and shade appropriately. Also note that a person may have more than one disability. Shade all disabilities reported.

5.4.1 Types of Disability

a. Blind: Complete loss of sight.

b. Partially Sighted: Loss of one eye or poor sight but does not mean complete blindness.

c. Deaf: Complete loss of sense of hearing.

d. Hard of Hearing: Partial loss of sense of hearing, and not complete loss of sense of hearing.

e. Mentally Ill: Psychological disorder related to the individual's mental state or state of mind.

f. Ex-mental: Any person that has suffered from mental disorder before but is now rehabilitated/or medically treated/or is undergoing rehabilitation.
g. Mentally Retarded: Any individual that is either very slow to learn or has deficiency of mental intellect (slow in grasping things, difficulties in remembering things, very slow at responding).

h. Physically Handicapped: Any person with a physical abnormality relating to the loss of bodily limbs or any deformity in the bodily stature, eg, the epileptics and lepers.

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Zambia 2010 — source variable ZM2010A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image
P17. What is [the respondent's] disability?
Mark all those that apply

[] 1 Blind
[] 2 Partially sighted
[] 3 Deaf and dumb
[] 4 Deaf
[] 5 Hard of hearing
[] 6 Dumb
[] 7 Mental illness
[] 8 Intellectual
[] 9 Speech impairment
[] 10 Physically disabled
[] 11 Mentally retarded
[] 12 Other
Questionnaire instructions view entire document:  text  image
4.12 Disability

You are about to start a rather sensitive topic. Prepare the respondent by telling him/her that you are now going to start asking questions on disability.

A person with a disability is defined as a person who is limited in the kind or amount of activities that he or she can do because of the ongoing difficulties due to a long term physical condition, mental condition or health problem. Remember that people who have just become amputees should be included as disabled. Short term disabilities due to temporary conditions such as broken legs and illness are excluded.

P-17: What is [the respondent's] disability?

Find out whether this person has difficult in the following and shade appropriately. Also note that a person may have more than one disability. Shade all disabilities reported (multiple responses are allowed).

4.12.1 Type of disability

1. Blind: Complete loss of sight in both eyes.
2. Partially Sighted: Loss of one eye or poor sight but does not mean complete blindness.
3. Deaf and Dumb: Complete loss of sense of hearing and speech. The lack or loss of the ability to hear and speak.
4. Deaf: Complete loss of sense of hearing. The lack or loss of the ability to hear.
5. Hard of hearing: Partial loss of sense of hearing but not complete loss of sense of hearing e.g. the person who uses hearing aids.
6. Dumb: Complete lack of ability to speak.
7. Mental illness: A condition of mental illness with a substantial, adverse and long-term effect on one's ability to carry out normal day-to-day activities.
8. Intellectual: Intellectual disability is a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior, which covers many everyday social and practical skills. This disability originates before the age of 18.
9. Speech impairment: This is a condition of people who fail to produce meaningful sound words.
10. Physically Disabled: Any person with a physical abnormality relating to the loss of bodily limbs or any deformity in the bodily stature, e.g., the epileptics and leper.
11. Mentally Retarded: Any individual that is either very slow to learn or has defficiency of mental intellect (slow in grasping things, difficulties in remembering things, very slow at responding).
12. Other: Any other disability not mentioned above.

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Zimbabwe 2012 — source variable ZW2012A_DISPSYC — Mental illness
Questionnaire form view entire document:  text  image
14. Does (the respondent) have any of the following disabilities?

[Question was asked of all persons.]
i. Strange behaviors/ mental illness
[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
Section B: For all Persons
Begin by saying, "I would like information on ALL people who stayed at this household on the census night. This information is on the names of the persons, their relationship to head of household, their age and sex, survivorship of their parents etc. It is important that you give me as accurate information as possible about each person".

Q14 Disability
The intention here is to capture data pertaining to disability of a moderate to severe nature. The question should be asked to all persons.
Definitions:

a) Impairment: is any loss or abnormality of psychological or anatomical structure or function. (It refers to organs/systems of the body).

b) Disability: refers to any restriction or lack of ability to perform an activity in a manner within the range considered normal for a human being (refers to the person and function).

c) Handicap: is a disadvantage for a given individual resulting from an impairment or disability that limits or prevents the fulfilment of a role that is normal (depending on age, sex, social and cultural factors) for that individual (limitations experienced by people with disabilities in their interactions with society.)

Example:

- Impairment: Paralysis of lower limbs after injury
- Disability: Inability to walk
- Handicap: Unable to get employment

Because there is no adequate transport, buildings are not accessible and potential employers do not wish to employ someone with a disability.

Impairment: Mild mental retardation
Disability: Difficulty learning
Handicap: Unable to attend school because teachers do not know how to work with children who are mentally retarded.

In Zimbabwe, the terms disability, impairment and handicap have been used interchangeably to refer to persons with disabilities. Reference has been made to children who are mentally handicapped, people who have visual impairment or people who are physically disabled. To the users, the meaning is only an exercise in semantics.

Classification of disability for Purposes of identification
Disability is difficult because it is not a well-defined condition. Different countries have used different definitions and census methodologies to come up with estimates of prevalence rates.
Developed countries have counted even those with minor disabilities as disabled while developing countries have only counted those that have moderate to severe conditions that need rehabilitation intervention. These are people whose conditions permanently prevent them from performing activities in a manner considered normal for human beings. A person may have minor impairment (e.g. amputation of two toes) but functions normally. Such a person is not considered disabled.

When identifying people with disabilities, the difficulties that they may have as a result of their conditions are classified as follows by World Health Organization:

a) Difficulty moving (physical disability)
b) Totally Blind
c) Difficulty seeing
d) Difficulty speaking
e) Deaf
f) Difficulty hearing
g) Difficulty learning/mental handicap
h) Chronic fits
i) Strange behavior/mental illness
j) Lack of feeling in hands or feet/leprosy
k) Albinism

For the 2012 Census, Zimbabwe will classify people with moderate to severe disabilities according to the same categories.

Explanation of Disabilities and Examples of Conditions That May Cause Disabilities

Condition:

i) Strange Behavior /Mental illness - mostly in adults

- It is NOT intellectual or learning disability
- Behavior change started at an older age;
- He/she has not always behaved this way;
- May not talk to anyone anymore;
- May talk too much, more than before;
- May become angry/ excited for no reason or may frighten other people;
- May hear voices that other people do not hear or see things other people do not see (hallucinations);
- Person may stop keeping clean or dressing properly;
- Person may speak or move around in a strange way;
- May show no feelings or interest in other people;
- May start collecting rubbish and look less and less tidy;
- May believe that she/he is someone important;
- May begin to believe things that are obviously not true (paranoia).