Complete this section for households, not for institutions
Disability
____ Is anyone who was in the household on census night disabled? (yes or no)
If yes, write: Person number [in blank column header] _____
[Columns provide space to record answers for four persons for the following questions:]
____ Nature of disability (blind, mentally ill, deaf and dumb, polio, amputee, leprosy, cripple, lame epilepsy, mentally retarded, other (specify))
____ Cause of disability (born, disease, accident, inflicted injury, etc.)