Questionnaire Text

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11. In this household, are there one or more persons: (multiple answers [accepted])

Who are deaf, or mute, or blind?

[] 1 Yes
[] 2 No

Who have permanent difficulty walking, bathing or dressing themselves?

[] 1 Yes
[] 2 No

Who have permanent difficulty learning or understanding, have mental problems, or have difficulty relating to others?

[] 1 Yes
[] 2 No

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Persons with some type of disability

Definitions

Disability
This is a physical or mental deficiency which limits activities (eating, walking, working, studying, etc.) and social participation (having fun, attending meetings, attending religious or political activities, etc.).