Ask this question if, on the list of occupants of the dwelling (Chapter IV), the name of the person who has the circle number 1 marked (Yes) in question 4 (disability). In the case to the contrary, mark circle 8, None.
7. What type of physical or mental disability do you have?
[] 2 Deafness
[] 3 Mental retardation
[] 4 Cerebral paralysis
[] 5 Physical deficiency
[] 6 Mental problems
[] 7 Other (Specify)
[] 8 None.
Question No. 7: What type of physical or mental impediment do you have? (Mark the most serious)
[For persons who stated they have any mental or physical disability in question 4.]
This question is asked in order to capture the population that suffers from some type of physical or mental impediment, which prevents them to function normally.
[p. 142]
Disability: Any restriction or lack (due to impairment) of ability to perform an activity in a way or within a range considered as normal for a human being.
Ask this question, if in the list of occupants (Chapter IV), the name of a person has been marked with circle 1 in question 4, otherwise mark circle 8 "None".
Consider [as a physical or mental impediment] the following:
[There is a picture to the left of the text.]
[There is a picture to the right of the text.]
[There is a picture to the right of the text.]
[There is a picture to the right of the text.]
[There is a picture to the right of the text.]
[p. 143]
Other: Mark this box if the person has developmental disorders, it also applies to children who, according to their age, do not crawl, do not walk or do not speak when that is expected and do not have a definite diagnosis that would allow them to be placed in one of the above categories. That is, include the person who does not have any kind of disability described in the above categories (circles 1-6).
None: Mark this circle when the person in the list of occupants stated to not have any physical or mental disability, circle 2 of Chapter IV of the list of occupants. Remember in this case, not to ask the question.
Example: The head of the house said that his son Arturo, age 9, was born blind.
[Below the text, there is a sample image of the form.]