Questionnaire Text

Questionnaire form view entire document:  text  image
Part B: Individual data

15. Type of disability ____

Questionnaire instructions view entire document:  text  image
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.