Questionnaire Text

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Chapter I. Disability information

36. Is there any person in this household who has a permanent physical or mental disability? ... Such as for example:

[] 1 Yes - Write on one line the name, surname, age, and disability (or disabilities) of the person, followed by the cause(s).
[] 6 No - Go on to Chapter J

Write down the cause of the impediment

List of possible causes:

[] 1 Born this way
[] 2 Because of an illness
[] 3 Because of an accident
[] 4 Due to aging
[] 5 Specify if for another reason

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I. Information about disabilities

Do not forget to ask this question.

Question 36: Is there a person in this household who has a permanent physical of mental disability?

Exclude the incapacities due to temporary problems, such as broken bones or illnesses.