Questionnaire Text

Questionnaire form view entire document:  text  image
B. All persons
[Questions 1-19 were asked of all persons.]

Disability

7. Seeing

Does [the respondent] have difficulty seeing, even if wearing glasses?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to see
[] 5 Not applicable
Questionnaire instructions view entire document:  text  image
Questions 6 to 11 aim to get information on the disability status of people in the communities.
Is [the respondent] an albino, or has difficulty seeing, hearing, walking or climbing stairs, remembering or concentrating, caring for him/herself such as washing or dressing, has a cleft palate, has spinal befida, has spinal cord injuries, mental illness, or psoriasis?

Questions description
These questions aim to obtain information about disability status in the communities.
Answers on these questions will enable the nation understand how many people have disabilities and types of disabilities, and thus allow the nation develop sustainable programs for this special group in the community.