Questionnaire Text

Questionnaire form view entire document: text image

C. Health

Ask the head of household or other eligible respondent. Circle the code of the correct answer.

C1. Seeing difficulties

Is there anyone in this household who has difficulty seeing so that he/she needs assistance in walking around outside during the daytime?

[] 1 Yes
[] 2 No

Questionnaire instructions view entire document: text image

Cl. Difficulty seeing
"Difficulty seeing" means that a person has difficulty seeing when walking during the daylight hours, and that person must be helped by others; for example: their sight might be blurred, hazy, unable to distinguish things, etc.

Ask the question as follows:
"Is there anyone in this household who has difficulty seeing and needs someone to help him/her when walking during the daylight hours?"
Circle the code according to the respondent's answer.