Questionnaire Text

Questionnaire form view entire document:  text  image
Section B: Individual Characteristics

Total Population


B13. Disability / Handicap

Record all the disability or handicaps shown by the respondent, by writing "1" in the appropriate box.

[] None
[] Blind
[] Deaf
[] Mute
[] Disability in lower limbs
[] Disability in upper limbs
[] Mental deficiency
[] Albinos
[] Leper with mutilations
[] Other cases

Questionnaire instructions view entire document:  text  image

B13. Disability / Handicap

Ask the following question: "Do you have a member of your household who suffers from any disability or handicap that could limit him (or her) in his (or her) daily activities?

If the answer is "no", circle: 1. None [AU], and go to the next question.

If the answer is "yes"; ask "what type of disability or handicap". Then record all the disability or handicaps declared, by writing the number "1" in the boxes corresponding to the different types of handicap given by the respondent.

AU - for persons who have no disability or handicap;
AV- for persons who are blind;
SO - for persons who are deaf, those who cannot hear;
MU - for persons who are mute, those who lost the ability to speak;
IMI - for persons who have a disability in the lower limbs. This may be one leg or both legs together;
IMS - for persons who have a disability in the upper limbs. This may be one arm or both arms together;
DM - for persons who are mentally deficient (lunatics, Down syndrome, etc.);
AL - for the albinos;
LM - for the lepers with mutilations;
AU - for the other cases not mentioned above.

Remarks: The natural mental weakness of the elderly is not considered as a handicap; a person who lost one eye is also not considered to be handicapped.