Questionnaire Text

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Section C. Household information

Disability

10. In this household, does any person have?

E. Mental deficiencies

[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
Disability

Question 10: In this household, does any person present: Total blindness?; total deafness?; Total muteness?; total loss or disability of any arm or leg?; mental deficiency?
Complete the question by reading each of the options and mark the circle or circles that correspond to the answer obtained. Remember that every notation will be in terms of total disability.

Below we present some cases and the manner of registering the answer:

a) If the person can only see out of one eye, mark the 'no' circle for total blindness.

b) If the person is a deaf-mute, mark both circles 'yes' for total deafness and total muteness.

c) If the person was born without a leg and uses an artificial leg for walking, mark the circle 'yes' for loss or disability of any arm or leg.

d) If the person broke an arm and it is in a cast, mark the circle 'no' in all of the options.

e) If the person uses a hearing device, mark the circle 'no' for total deafness.

f) If the person has cerebral paralysis, suffers from down syndrome, etc., mark the circle 'yes' in mental deficiency.