[] 1 Yes, completely
[] 2 Yes, seriously
[] 3 No

1. Answer for question 12 is subjective; reflects the feelings of the enumerated person or a parent of the person when the respondent is a child. The enumerator should not influence the answer even if the person declares no limitation when being seriously disabled.

2. basic activities of daily life (up to the age) are:

For infants -- correct reaction (crying, smiling etc.),

For children aged 2-6 -- ability to play together with another children,

For schoolchildren -- attending school and being able to participate in every lesson;

For productive age persons -- ability to learn, work or do housework;

For older persons -- self-service e.g. preparing food, dressing, washing themselves.

3. In the question two different levels of being limited are distinguished: 1. yes, completely or 2. yes, seriously. In both cases the answer should apply to long lasting limitation -- i.e. longer than 6 months.

4. Person who do not declare the limitations and do not expect the limitations to appear in the coming 6 months should indicate answer 3. no.