Questionnaire Text

Questionnaire form view entire document:  text  image
10. Disabilities: In day-to-day life, does [the respondent] have difficulty:

Read all options and circle one code for each option: for codes 2, 3, 4 or 5, apply question 11
Does he/she have any mental problems or conditions? (Autism, Down syndrome, schizophrenia, etc.)
[] 5 Yes
[] 6 No
Questionnaire instructions view entire document:  text  image
15.3 Section III. People characteristics

In this section, information is obtained for each of the people living in the housing unit.

Before requesting data for each resident, copy the details from Section II. List people and general data, their names, gender, and age, and write them down in the spaces provided. Do not forget to correct the person number when using more than one questionnaire.

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For the respondent to know who to provide the information about, start with the sentence: "Now I'm going to ask you about...", and mention the name of the person you previously wrote down.

Apply questions 1 through 11 for all the people who are habitual residents, including children, as well as elderly people.

Degree of difficulty
Answer categories that consider the magnitude or intensity of the person's difficulties or limitations in performing activities of daily living and are expressed in numerical codes ranging from 1 to 4.

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- No difficulties. When the respondent states that they have no difficulty, between 0 and 4 percent.
- Little difficulties (light and moderate difficulties). It refers to the presence of a limitation or difficulty that still allows you to develop most of your activities; It comprises percentages between 5 and 24, synonymous with "little, slight or little difficulty" and between 25% and 49%, synonymous with "medium, regular difficulty".
- Great difficulties (serious difficulties). It is considered a level that significantly limits the person, comprising a percentage of between 50 and 95 and it is a synonym for "great or extreme difficulty".
- It cannot do it. Severe level of difficulty that a person can reach in an activity at a given time. The percentage ranges from 96 to 100 and is a synonym with "total or complete difficulty".

To apply the second part of question 10. Disability, read verbatim: "Do you have any mental problems or conditions?"; if in doubt, mention the examples in parentheses and circle the corresponding code according to the answers 5. Yes or 6. No.

It considers that mental problems or conditions are situations where, due to some altered state of mental health (from birth, as a result of an illness or mental and behavioral disorder, injury, or aging process), the person has difficulty participating in activities of community social life and interacting with other people in an appropriate manner to the context and social environment (e.g., family, school, work, neighbors, etc.).

Altered mental health status includes conditions such as autism, Down syndrome, schizophrenia, mental retardation (mild or severe), and so on.