Questionnaire Text

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Part IV: Questions on personal characteristics


Physical disability


20. Visible physical disability, mental disorder or psychological defect, if any

[] 1 Yes
[] 2 No

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Section IV: Questions regarding individual characteristics (11-42)
This section includes questions (questions 11-42) about the population's social and economic characteristics. In this section, only write the characteristics of those people present at the time and place where the census is being conducted.
Whether or not the household head is at home, be absolutely sure to begin by first writing his/her name and surname on the first line of Section IV, together with all of his/her characteristics (from question 11 to question 42). Take care that the household head's name and surname entered in this section is identical to the one written in in the first line of Section III.
After writing down all of the characteristics of the household head, whether he/she is at home or not, also write down all the characteristics of the other household members at home, beginning from the oldest and proceeding in order of age, from oldest to youngest. After the household members, write onto the dotted line in printed letters, in order of their ages, the names surnames and all the characteristics of those, who, while being present at home, are not household members. Answer questions with a box, by placing an "X" into it.


Handicap status (20-22)


Question 20: Do you have a visible physical handicap or any mental, emotional handicap?

Being asked, is whether the person being administered the census has any visible physical handicap or any mental, emotional handicap. For those with a handicap, put an "X" into the 1 "Has" box, and for a person who does not have a handicap, into the 2 "None" box. Ask Questions 21 and 22 of those answering "Has" to question 20. For those answering "None" to question 20, ask question 23.