Questionnaire Text

Questionnaire form view entire document:  text  image
[Questions 6 through 31 were asked of usual residents of the household.]

9. Does (the person) have any disability?

[] No
[] Mental
[] Physical
[] Mental and Physical
Questionnaire instructions view entire document:  text  image
P9. Do you have any disability?
This question is very delicate, some people do not like to talk of their disability or the disability of their relatives, especially that of the minors. So try to be gentle when asking the question. Consider as physical or mental disability of the following impairments: blindness, deafness, muteness, mental retardation, disability of the arms or legs, etc.
If the respondent has no disability, mark X in box number 1. Mark X in box number 2 if the respondent has a mental disability, the number 3 if present physical disabilities and the number 4 if present both defects, i.e. mental and physical.