Questionnaire Text

Questionnaire form view entire document:  text  image

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.)
Questionnaire instructions view entire document:  text  image

Disability

175. "Is anyone who was in the household on census night disabled?"

Nature of Disability

176. By "disabled" we mean any condition which prevents a person from living a normal social and working life.

177. There are many disabilities and conditions which may prevent a person from living a normal life. And they may be difficult to describe accurately. But most people have a good idea of what amounts to disability and for census purposes we have to rely on your judgment and that of the household and persons concerned.

178. There are clear cases of disability such as having lost a leg, or being so crippled by polio that once cannot walk normally, or being mad. There are many cases where it is not so easy. In such cases, common sense must be your guide. If the condition is not so serious as to prevent a person from living a full life and being able to provide for him or her, it should not be counted as a disability.

179. If a person has lost an arm, he or she is disabled. A person who has lost the tip of a finger in an accident would not normally be considered disabled. In the same way a person whose sight is impaired but who wears glasses and can live and work normally while doing so is not disabled for purposes of the census. For census purposes old age is not a disability.

180. If there is anyone in the household who is disabled or whom you and others think of as disabled, write the person number and describe the nature of the disability as best you can in a few words. It is important that you write the person number because we need to know the sex, age and other particulars of the person concerned.

Cause of Disability

181. People may be born with a disability. They may be disabled as a result of illness or because of an injury received by accident or because of an injury inflicted on them by others. Describe the cause as best you can.