[Population census form]
11. Disability _ _ _
Does the person experience any disability (i.e., any limitation to perform a daily-life activity in a manner considered normal for a person of his/her age), because of a long-term physical/mental condition or health problem?
Write 'yes' or 'no'.
[] Yes
[] No
If 'yes', insert as many disabilities as applicable as follows:
[] SPCH - speaking and talking disabilities
[] EAR - hearing and listening disabilities even with hearing aid
[] EYE - seeing disabilities even with glasses
[] MTION - walking, running, and other ambulation disabilities
[] MANU - manual activity disabilities such as fingering, gripping, and holding
[] LEARN - disturbance of ability to learn and acquire education
[] BEH - disturbances of behavior, maladjustment, and liability to self-injury
[] CARE - inability to look after oneself with regard to personal care and hygiene, feeding, etc.
[] OTHER - other disabilities (specify)
7. Instructions on how to fill in the census form
Column 11 - Disability
Write 'Yes' if the person, because of a long-term physical/mental condition or health problem, experiences any disability, i.e. any limitation to perform any daily-life activity in a manner considered normal for a person of his/her age. Long-term physical/mental condition or health problem is one that has lasted or is expected to last for six months or more.
A long-term disability or handicap is one that has lasted or is expected to last for six months or more.
Then describe the disabilities using the following abbreviations:
SPCH- speaking and talking disabilities;
EAR- hearing and listening disabilities even with hearing aid;
EYE- seeing disabilities even with glasses;
MTION- walking, running and other ambulation disabilities;
MANU- manual activity disabilities such as fingering, gripping and holding;
LEARN- disturbance of ability to learn and acquire education;
BEH- disturbances of behaviour, including antisocial behaviour, maladjustment and liability to self injury;
Are included under this category:
- conduct that is embarrassing, aggressive, extremely overactive, psychopathic and delinquent;
- disturbances of appearance such as personal uncleanliness, careless dressing and bizarre appearance;
- disturbances resulting from loss of consciousness, fits and blackouts;
- inability to correctly locate external objects events, and himself in relation to time and space and understand relations between objects and persons and to cope with specific situations.
CARE- Personal care and hygiene disabilities, i.e. inability for the person to look after himself/herself in regard to basic physiological activities, such as excretion and feeding, and caring for himself/herself, such as hygiene and dressing;
OTHER- other disabilities (specify).
If the person has no long-term disability or handicap, write 'No'.