Questionnaire Text

Questionnaire form view entire document: text image

Section 3: Disability - For all persons

13(b). Disability status

Does the long standing disability prevent (N) [the respondent] from doing any of the following?
[Respondents indicate both the activity and its level of difficulty]

[] 01 Seeing even if wearing glasses?
[] 02 Hearing even if using hearing aid?
[] 03 Walking, climbing steps? (Moving/being mobile)
[] 04 Remembering or concentrating? (Learning)
[] 05 Gripping?
[] 06 Speaking and understanding because of a physical, mental or emotional health condition?

Level:
[] a. Yes - some difficulty
[] b. Yes - a lot of difficulty
[] c. Cannot do at all

Interviewer: Multiple responses can be shaded.

Questionnaire instructions view entire document: text image

Section 3 - Disability

3.1. Disability

Persons with disabilities are defined here as those persons who are at greater risk than the general population for experiencing restrictions in performing specific tasks or participating in role activities.

[p.12]

Data about impairments (problems at the level of organs and anatomical structures) is different from data about activity limitations (limitations on the capacity of a person to act or behave in a desired manner, because of a health condition), which again is different from data about participation restrictions (limitations in what a person does that result from an interaction between impairments or activity limitations and barriers created by the person's environment).

Short-term disabilities due to temporary conditions such as broken legs and illness are excluded. Only disabilities lasting for at least six months or expected to last for more than six (6) months are to be included.

The following categories focus on whether the individual has any impairments:

(i) Seeing even if wearing glasses
(ii) Hearing even if using hearing aid
(iii) Walking or climbing stairs (Moving /being mobile)
(iv) Remembering or concentrating
(v) Gripping
(vi) Speaking and understanding because of a physical, mental or emotional health condition

Participation restrictions are problems an individual may experience in involvement in life situations. A participation restriction can be determined by comparing an individual's normal and regular involvement in activities with that expected of an individual without a disability.

The following categories focus on whether the individual has any participation/activity limitations:

(i) Taking care of himself/herself
(ii) Getting around within the home
(iii) Going outside the home
(iv) Working at a job or business.
(v) Undertaking educational activities
(vi) Participating in social activities