Questionnaire Text

Questionnaire form view entire document:  text  image

B6. Is any member of this household handicapped?
[] No
[] Yes


[For those who answer yes in Question B6.]
Type of handicap

(Fill in respective handicap code for the relevant member only. Transfer the code(s) to Question C30 for the respective person.)

(Multiple answers accepted)

[] 1 Sight
[] 2 Hearing
[] 3 Speech
[] 4 Limbs
[] 5 Mental
[] 6 Others