Questionnaire form
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P13. Does [respondent] have any physical or mental disability? (If no skip to P15)
[] Yes
[] No
P14. What type of disability does [respondent] have?
(Please see code book)
_ _
Questionnaire instructions
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P13 and P14 Disability
Disability refers to any restriction or lack of ability (resulting from an impairment) to perform an activity in the manner or within the range considered normal for a human being. Impairments associated with disabilities may be physical, mental, or sensory motor impairment such as partial or total blindness and deafness, muteness, speech defect, orthopedic handicaps, and mental retardation. Data on disability will enable planners to prepare plans for rehabilitation, education development and preventive programs.
To identify household members who may have disabilities. A "screening" question is asked in column P13. For each household member, ask the respondent "Does _____ have any physical or mental disability?" If the answer is Yes, draw an "x" mark on the circle before YES in
P13 and ask the question in P14: "What type of disability does ____have?" If the answer in P13 is NO, draw an "x" mark on the circle before NO in P13 and skip to P15.
The specific types of disabilities and their respective codes are listed in the Code Book. Be sure to use this Code Book as your guide in probing for information and for coding the responses in column P14. If the answer of the respondent is other than the types of disability listed, write in the space provided the answer of the respondent. The descriptions of the disabilities are given below:
Code 01
No useful sight in any of the two eyes. (Cannot distinguish objects in front of him). Persons may have some light perception (e.g., can realize that it is midday or midnight), but do not have usable sight. They need Braille materials for reading.
Short name: Tot-Blind
Code 02
With better eyesight than totally blind: can distinguish objects in front of him. However, even with eyeglasses cannot distinguish large letters. Practically, this person can walk without hitting his head against the wall, but cannot read anything. Included here as persons with severely limiting vision situations: central only or the sides only or only like a pie of a cake. Persons who can see some objects so that they can walk better and do some activities, but they cannot read printed text even with eyeglasses. They need Braille materials for reading.
Short name: Part-Blind
Code 03
With the better eye, even with eyeglasses, cannot distinguish regular size letters. Practically, can only read the bigger headlines in the newspapers. Included here are persons with limiting vision situations: central only or the sides only or only like a pie of a cake. Persons who, even with appropriate eyeglasses, need large print text (i.e., at least 18 points font) to read at a distance of one foot (30 cm.)
Short name: Low vision
Code 04
Cannot realize any regular sound. Practically the person does not react when somebody claps his hands behind his back. Person may still hear the blowing of a horn of a truck, or the beat of a drum, cannot understand words even with a hearing aid. Mute: There are almost no mute people. The normal case is the so-called "deaf-mute" which is for people who, because of deafness, did not learn to talk but they have all what is physically necessary to talk. Treat them as deaf.
Short name: Tot-Deaf
Code 05
Can hear speech but cannot discriminate the words. [Refers to a person whose both ears can recognize sounds but cannot determine the words (partially deaf).]
Short name: Part- Deaf
Code 06
Person can understand words only if spoken very loud or close to the ear and (normally) has severe difficulties if there are other noises (e.g.,) of other people speaking in the room. Person can be helped with a hearing aid but still has difficulties understanding normal speech.
Short name: Hard-Hear
Code 07
Person at least 15 years old, is object of ridicule or has severely limited job opportunities because of either: - a general stammering problem which makes normal speech extremely difficult - or a cleft-palate or hare-lip that cannot be solved by current medical procedures.
Short name: Oral defect
Code 08
Person has only one useful hand. One arm is not usable (e.g., amputated, deformed or paralyzed arm). Included here are two artificial arms if they are rather useful (i.e., both arms are missing but are replaced with artificial arm).
Short name: One hand
Code 09
Person has no useful hands. Both arms are not usable (e.g., amputated, deformed and missing).
Short name: No hands
Code 10
Person has only one useful leg: walks with crutches and/or artificial leg and/or braces. Note (1) Walking with an artificial leg can be considered if it really prevents the person from holding most jobs. (2) If the person has two legs amputated but in such a way that artificial legs can be used, the person can still go to most places, including going up the stairs. It may be slower, but it is surely very different from a person in a wheelchair who cannot even climb a single step without help.
Short name: One leg
Code 11
Person has no useful legs or two legs unusable (e.g., normally sits in a wheelchair.)
Short name: No legs
Code 12
Regular/Mild cerebral palsy: person can still walk and do most activities or might only be slightly awkward and require no special assistance.
Short name: Cr-Quadrip
The term cerebral refers to the brain's two halves, or hemispheres, and palsy describes any disorder that impairs control of body movement. Thus, these disorders are not caused by problems in the muscles or nerves. Instead, faulty development or damage to motor areas in the brain disrupts the brain's ability to adequately control movement and posture. An individual with cerebral palsy may have difficulty with fine motor tasks, such as writing or cutting with scissors; experience trouble with maintaining balance and walking; or be affected by involuntary movements, such as uncontrollable writhing motion of the hands or drooling.
Code13
Severe cerebral palsy: person is severely affected by the cerebral palsy or might be unable to walk and need extensive, lifelong care.
Short name: Cs-Quadrip
Code14
Regularly intellectually impaired: can be trained to be toilet trained, to wash himself, eat on his own and follow single instructions. Included here are those with Down Syndrome (Mongoloids) and most autistic (persons with autism). Note, not included are slow learners and persons who can travel alone.
Short name: Ir-Retarded
Code15
Severely intellectually impaired: cannot be toilet trained, eat alone, severe autism, etc.
Short name: Is-Retarded
Code16
Regularly impaired by mental illness: actually under psychiatric care or should be under psychiatric care (but do not have the money) as well as patients who recovered within the last three years (to consider the problem that so many becomes sick again). Included here are most persons with epilepsy even if the origin of their problem is very different, people treat them a bit the same as the mentally ill, they have more difficulties obtaining jobs, etc.
Short name: Pr-Mentally ill
Code17
Severely impaired by mental illness: persons needing hospitalization or having been hospitalized within the last three years (as mentioned above, to consider the fact that so many become sick again).
Short name: Ps-Mentally ill
Code18
Regularly multiple impaired. Multiple impairment is always a severe disability, yet among those with multiple impairment, one can be much lighter than the others whom we call severely multiple handicapped. Examples, are one arm and one leg unusable, mentally retarded and some physical defect.
Short name: Mr-Impairment
Code19
Severely multiple impaired. Examples are both legs and both arms paralyzed (quadriplegic); deaf and blind, and severely cerebral palsied and blind.
Short name: Ms-Impairment