Questionnaire Text
Questionnaire form
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Part B: Individual data
15. Type of disability ____
Questionnaire instructions
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Handicap column number (21)
The type of the person's handicap is specified either because of impairment or more such as:
The loss of one of the eyes or both of them / the loss of one of the hands or both of them / the loss of one of the legs or both of them or the person is either deaf or mute, poliomyelitis, paralysis and handicap, mental retarded, mentally subnormal and mongolism.