Questionnaire Text

Questionnaire form view entire document:  text  image
III. Personal characteristics

Now I am going to ask you about (name): ________
Copy the name of the person from section II

For all persons
[Questions 1-10 are asked of all persons.]


11. Reason for disability
[The respondent] has difficulty in (answer to 10):

[Question 11 was asked of persons who had disability, per question 10.]

For each option circled in question 10 read the options and circle only one reason code.

[] 1 Because s/he was born that way
[] 2 Due to an illness
[] 3 Due to an accident
[] 4 Due to advanced age
[] 5 For another reason

Questionnaire instructions view entire document:  text  image
6.5 Section III. Characteristics of the people

In this section the information of the people who inhabit the dwelling, like the sex, age, level of studies, income, among others, is obtained.

Before requesting the information for each person, copy all the names in the spaces designated for them, and for each person start with the phrase: "Now I'm going to ask about (mention the name of the person you previously noted)", so that the informer knows about whom you will be asking the information.

For all persons
[Questions 1-11 are for all persons.]


11. Reason for disability
The purpose is to know the reason for which the people of the dwelling have difficulties completing activities in daily life.

This question is only asked if a circle is put around the code of some difficulty in "Disabilities"; in order to do so relate said difficulty with the response codes of question 11 "Cause of disability".

Read the text for the question about the reason for disability for each declared difficulty and record the code in the box that corresponds to the difficulty reported.

In the boxes of the codes, note the code that appears to the right of each one of the options, which must correspond to the difficulty circled in question 10.

Keep in mind that when one person has more than one difficulty, you must have a cause code registered for each one of them.

[p. 99]

Before noting the cause code, consider the following:

  • Code 1, because he/she was born that way. [This occurs] when the cause of the difficulty is at birth, as well as the causes originating during the pregnancy or in the moment of birth.
  • Code 2, because of sickness. [This occurs] when the difficulty was acquired because of health problems after birth. (This also includes disabilities caused by addictions).
  • Code 3, because of an accident. For all the difficulties originating in accidental situations occurring in any place; this could be at work, in the street, at home, or others. This also includes acts of violence, assaults, fights, acts of terrorism, and others.
  • Code 4, because of advanced age. This includes those who display difficulties whose principal cause is related to the physical or mental limitations and difficulties that come with age.
  • Code 5, because of another cause. Note this only in cases for which the cause of the difficulty is not congenital or due to sickness, addiction, accident, or aging.


Example:
Juan declares to the interviewer that Maria has difficulty walking due to an automobile accident where she can no longer mover her legs; in addition, she has difficulty hearing, because she already is very elderly. Record the information as [codes 10 and 13, respectively].