Questionnaire Text

Questionnaire form view entire document: text image

A. Questions to be asked to all members of the household
[Questions 1-14.]

P14. Cause of the disability or handicap

[Question 14 was asked of individuals with some handicap]
What is the cause of the disability or handicap of _____?

Circle the code corresponding to one of the abbreviations copied at the bottom of the page, according to the declaration of the interviewee.

[] 1. CO = Congenital
[] 2. MA = Disease
[] 3. AC = Accident
[] 4. GU = War
[] 5. GE = Genocide
[] 6. MI = Anti-personal mine
[] 7. AU = Other
[] 8. SP = Do not know

Questionnaire instructions view entire document: text image

P14: Cause of disability or handicap

This question concerns all the persons who have answered (positively) to question P13, as having some sort of disability or handicap.

The census enumerator must circle the number corresponding to the answer given.

Remark:
For a person disabled or handicapped by bullets, who has been harassed because of his/her race or his/her political opinion, one will write in the appropriate boxes: genocide.