Questionnaire Text

Questionnaire form view entire document:  text  image
B. For all persons in the household

Do you have any difficulty with the following activities?

Q16. Communicating
[] 1. No difficulty
[] 2. Yes, some difficulty
[] 3. Yes, a lot of difficulty
[] 4. Cannot do at all
Questionnaire instructions view entire document:  text  image
Questions Q11, Q12, Q13, Q14, Q15, Q16: Do you have the following difficulties?
The purpose of the question is to know the difficulties in seeing, hearing, walking or moving, remembering or concentrating, self-caring, speaking, and communicating in the daily life of the household members (except in the case of injury that prevents movement from time to time).
 
The data collection is divided according to categories of disabilities as follows:

Q16: Difficulty in speaking or communicating (A mute or deaf person ):
Refers to people who cannot speak aloud or have speech disorders that cause problems in communicating with others or those who have disorders of the vocal organs that make them unable to communicate comprehensibly.
The answer codes for Q11 to Q16 are as follows:

1) No difficulty in seeing;
2) A little difficulty;
3) High difficulty;
4) Unable.

 
For example: Mr. A has the following difficulties:

- No difficulty in seeing;
- A little difficulty in hearing;
- Highly difficult in walking or moving, the cause is due to a car accident;
- No difficulty in memorizing or meditating;
- No difficulty in self-care;
- No difficulty in speaking or communicating.

 
[A table is omitted below]