Questionnaire Text

Questionnaire form view entire document:  text  image
Section 4. Health - For all persons

14. Chronic Illness

Does (N) [the respondent] suffer from any of the following illness?

[] 00. None
[] 01. Arthritis (ART.)
[] 02. Asthma (AST.)
[] 03. Diabetes (DIA.)
[] 04. Hypertension (NYP.)
[] 05. Heart Disease (H.D.)
[] 06. Kidney Disease (K.D.)
[] 07. Cancer (C.)
[] 08. HIV/AIDS (H.I.V.)
[] 09. Lupus (L.)
[] 10. Sickle Cell Anemia (S.C.A.)
[] 77. Other (O.) (specify) _______
[] 99. Not stated
Interviewer: Multiple responses can be ticked
Questionnaire instructions view entire document:  text  image
Section 4 - Health

The main objective of this section is to obtain information on the type of chronic illnesses affecting the population, the type of medical facilities frequented and whether or not individuals are covered by some form of health insurance. Data from this section will assist in the further study of the health sector of Trinidad and Tobago.

Question 14 - Chronic illness

You are required to tick the appropriate box for the chronic illness or chronic illnesses affecting the respondents. A chronic illness is defined as a prolonged or long continued illness for which no cure exists. However, treatment can be used to control the symptoms of the illness. Multiple responses may be ticked for each member of the household.

The chronic illnesses identified are as follows:

01. Arthritis
02. Asthma
03. Diabetes
04. Hypertension
05. Heart disease
06. Kidney disease
07. Cancer
08. HIV/AIDS
09. Lupus
10. Sickle-cell anemia

There is also an "other" category, please specify.

It is important to note that these broad definitions are used for the sole purpose of clarifying concepts for you. Do not attempt to diagnose. Use the responses given by respondents, which they would have obtained from a medical doctor.