Questionnaire Text

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.
h. Speaking?
[] 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.