Questionnaire Text

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10. What is ____ type of disability?
(Codes must be encircled which denote appropriate disable)

[] 1 Physically disabled
[] 2 Blind
[] 3 Deaf
[] 4 Mentally retarded
[] 5 Multiple disability
[] 6 Not disabled

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Column 10: What is ____ type of disability?
[] 1. Physically disabled
[] 2. Blind
[] 3. Deaf
[] 4. Mentally retarded
[] 5. Multiple-disability
[] 6. Not disabled


If the person is disabled/handicapped, the type of handicap should be specified. Different kinds of disability/handicap are divided and explained.

1. Physically Disable/Handicapped - Disorders of the body such as hand/leg being loose or short, paralyzed or bending of whole body or dysfunctions of any other part signifies physically disable or handicapped. Code 1 should be marked in case of physically disable or handicapped.

2. Blind - This disability is for individuals who are unable to see the surrounding things clearly, seeing things in a blur, or unable to see completely signifies blind.

3. Deaf/Dumb - This disability is for individuals who cannot hear simple conversations by two people nearby, or who cannot hear completely should be understood as deaf. If the person is deaf, then code 3 should be marked.

One who cannot talk or who stammers unclearly is defined as dumb. Mostly dumb persons are deaf too. But not all deaf people are dumb. If the person cannot speak or her/his speech cannot be understood, and if she/he cannot hear as well, she/he should be marked in code 3.

4. Mentally retarded - If the person needs help in doing day-to-day activities like eating, dressing, toileting and taking care of oneself, or suffers from memory loss (absent minded) or is not able to do and learn things as per age, she/he is understood as having a mentally retarded condition. If any person has a mentally retarded abnormal condition, then she/he should be marked in code 4. If any person is gone insane then, to signify handicapped condition, she/he should be marked as code 4 as well.

5. Multiple disabilities- If two or more disability conditions exist in one person, then code 5 should be marked.

6. Not disabled- If a person does not have any kind of disability condition, then code 6 should be marked.