Questionnaire Text

Questionnaire form view entire document:  text  image
VII. People in the census household

For all individuals
[Questions 1 - 8 were asked for all persons]

8. Disability

Do you have any physical or mental impediment, from birth or other cause?

(Circle one or more numbers as the case may be.)

[] 1 No disability
[] 2 Blind
[] 3 Deaf-mute
[] 4 Paralyzed
[] 5 Amputee
[] 6 Mentally retarded
[] 7 Other (specify) ____
Questionnaire instructions view entire document:  text  image

A. First block: personal characteristics (for all persons)

This part of the census form is designed to study the composition of the population according to the following characteristics: relationship to the head of household, sex, age, marital status, maternal orphanhood, ethnicity, and disabilities.

Questions 1-8 are presented to all enumerated persons, without exception, following the specific instructions presented below:


Question 8: disability

1. How to formulate the question

Do you have any physical or mental impediment, congenital or by another cause?

The following definition will help the enumerator investigate the question:

Disabled person: The person whose physical or mental well-being is temporarily or permanently disturbed, either from birth or during life because of illness or any type of accident.

2. How to record the data

One or more of the numbers corresponding to categories in the census form are circled.

If the enumerated person does not have a physical or mental disability, number "1. no disability" is circled.

3. Example:

[These instructions refer to a graphic of question 8 of the census form]