Questionnaire Text

Cambodia 2019 Mexico 2020 South Africa 2011 Trinidad and Tobago 2011
Laos 2015 Morocco 2014 South Africa 2016 Vietnam 2019
Mauritius 2011 Senegal 2013 Suriname 2012
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Cambodia 2019 — source variable KH2019A_DISCOMM — Having difficulty using usual language or speaking
Questionnaire form view entire document:  text  image
Form B household questionnaire part 2

Individual particulars
[This section except for questions 6 and 8 are to be completed by all persons]

[Questions 17-22 of this section are to be answered by persons aged 5 years and older]

17. Functional difficulty

17.6 Do you have difficulty using your usual (customary) language, do you have difficulty speaking, for example understanding or being understood?

[] 1. No -- no difficulty
[] 2. Yes -- some difficulty
[] 3. Yes -- a lot of difficulty
[] 4. Cannot do at all

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Laos 2015 — source variable LA2015A_DISCOMM — Difficulty communicating
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B. For all persons in the household

Do you have any difficulty with the following activities?

Q16. Communicating
[] 1. No difficulty
[] 2. Yes, some difficulty
[] 3. Yes, a lot of difficulty
[] 4. Cannot do at all
Questionnaire instructions view entire document:  text  image
Questions Q11, Q12, Q13, Q14, Q15, Q16: Do you have the following difficulties?
The purpose of the question is to know the difficulties in seeing, hearing, walking or moving, remembering or concentrating, self-caring, speaking, and communicating in the daily life of the household members (except in the case of injury that prevents movement from time to time).
 
The data collection is divided according to categories of disabilities as follows:

Q16: Difficulty in speaking or communicating (A mute or deaf person ):
Refers to people who cannot speak aloud or have speech disorders that cause problems in communicating with others or those who have disorders of the vocal organs that make them unable to communicate comprehensibly.
The answer codes for Q11 to Q16 are as follows:

1) No difficulty in seeing;
2) A little difficulty;
3) High difficulty;
4) Unable.

 
For example: Mr. A has the following difficulties:

- No difficulty in seeing;
- A little difficulty in hearing;
- Highly difficult in walking or moving, the cause is due to a car accident;
- No difficulty in memorizing or meditating;
- No difficulty in self-care;
- No difficulty in speaking or communicating.

 
[A table is omitted below]


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Mauritius 2011 — source variable MU2011A_DISMUTE — Difficulty speaking and talking
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Individual form

P12B. If [Yes] at P12A, state the severity of all applicable difficulties as follows:

F. Speaking and talking

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all
Questionnaire instructions view entire document:  text  image
6. Population census topics and their usefulness

P12A and P12B - Disability
The question provides information which is needed for the formulation and implementation of programs in support of the disabled (e.g. special education, employment and social aid).

8. How to fill in the Population Census Questionnaire

P12A and P12B - Disability
[figure omitted]
This question should be asked tactfully to obtain information as to whether the person has any difficulty to perform a daily-life activity (as listed at P12B - A to I) considered normal for his/her age. If the answer is "Yes", ask for the severity of all applicable difficulties as follows:

1. Some difficulty
2. A lot of difficulty
3. Cannot do at all

[figure omitted]
Shade the degree of severity for all applicable difficulties. If a difficulty is not applicable, leave the corresponding boxes blank.
If a person has reported that he/she is experiencing "I - Other difficulties" at P12B, specify the nature of the difficulty in the adjacent boxes.
[figure omitted]


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Mexico 2020 — source variable MX2020A_DISCOMM — Difficulty speaking or communicating
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10. Disabilities: In day-to-day life, does [the respondent] have difficulty:

Read all options and circle one code for each option: for codes 2, 3, 4 or 5, apply question 11
Speaking or communicating (e.g., to understand or be understood by others)?
[] 1 No difficulty
[] 2 Little difficulty
[] 3 Great difficulty
[] 4 Unable to do it
Questionnaire instructions view entire document:  text  image
15.3 Section III. People characteristics

In this section, information is obtained for each of the people living in the housing unit.

Before requesting data for each resident, copy the details from Section II. List people and general data, their names, gender, and age, and write them down in the spaces provided. Do not forget to correct the person number when using more than one questionnaire.

[Figure omitted: image with text]

For the respondent to know who to provide the information about, start with the sentence: "Now I'm going to ask you about...", and mention the name of the person you previously wrote down.

Apply questions 1 through 11 for all the people who are habitual residents, including children, as well as elderly people.

10. Disability
This question identifies the degree of difficulty people have in performing some activities in their daily lives, such as seeing, hearing, walking, remembering or concentrating, providing self-care, speaking, or communicating. Also, if they have any mental problems or conditions.

The question consists of two parts. The first part asks about the degree of difficulty in six activities of daily living. The second part identifies people who have a mental problem or condition.

[p. 309]

[Figure omitted: image with text]

To ask these questions, consider the following:

- Apply them to all people living in the housing unit.
- You must circle seven codes for each person.
- In infants and young children, there are cases in which congenital anomalies, illnesses, or injuries are detected that imply difficulties or limitations from birth or in the first years of life. If so, record the difficulty or limitation in the activity stated by the respondent, but if the respondent mentions that the child cannot perform some activity because they are still small, that is, it is typical of the growth stage of babies and small children, do not record it as a limitation. If in doubt, confirm each of the options with the respondent.
- If the person states that they have difficulties typical of an older adult, or that they have any disease or condition such as diabetes, cancer, or arthritis, among others, ask what limits them or prevents them from carrying out their daily activities according to the answer options indicated in the questions.
- In case the respondent anticipates the answer for one or all of the people in the housing unit, it is important that when recording the information corresponding to each one, you confirm whether or not they present some degree of difficulty for each of the activities indicated. Also, check for any mental problems or conditions by circling the appropriate code. Never record the response without confirming the information; this will ensure that the entire population with a limitation or disability is identified.
[p. 310]
- For the application of the first part, read the complete question with each of its six complementary options, as well as each of the four degrees of difficulty, wait for the answer, and circle a code for each type of activity.
- If the respondent expresses discomfort when you apply the DISABILITY question, even though they gave you a general answer for all the residents of the housing unit, make it clear that you have to ask the question for each of them, in order to identify the people with limitations or disabilities, without omitting any of them.
Activity limitations
Keep in mind that activity limitations are difficulties a person may have in performing certain tasks of daily living due to a health problem such as:

- Visual difficulties, to distinguish the shape, size, and color of a visual stimulus at short and long distances and even wearing glasses (frame, contact, or intra-ocular lenses), the person cannot see well due to the advanced stage of a disease or problem visual; as well as total loss and weakness of sight in one or both eyes.
- Hearing difficulties, in one or both ears and who, even using a hearing aid or implant, cannot hear due to the advanced stage of a disease or hearing problem, or those with total or partial hearing loss
[p. 311]
- Walking or mobility difficulties, going up or down steps or slopes using their legs, due to the total or partial lack of legs or immobility of them.
- Difficulties remembering or concentrating due to problems recalling, focusing, keeping attention, recording and storing information, as well as retrieving it when necessary; exclude those activities related to the process of growth or development of the child population (younger than 3 years old). Remember that they are the result of a birth or health condition.
[p. 312]
- Difficulties bathing, dressing, or eating due to problems in performing self-care tasks or limitations in washing, caring for their own body, dressing (includes taking clothes from where they are usually kept, buttoning, tying laces, etc.), eating and drinking, or taking care of their own health. It excludes those activities related to the growth or development process of the child population (younger than 3 years old).
- Communicating or speaking difficulties, are those problems in producing and transmitting messages through oral (spoken) language, such as expressing a fact or telling a story; it includes the loss or restriction of speech, as well as difficulties in maintaining and understanding a conversation. It excludes limitations related to the growth or development process of the child population (younger than 3 years old).

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Morocco 2014 — source variable MA2014A_DISCOMM — Difficulty communicating
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Difficulties in carrying out everyday activities

For all members of the household, specify the degree of difficulty the person has in
[Questions 16 to 21 were asked of all household members]

21. Communicating in his/her usual language

[] 0 Without difficulty (SD)
[] 1 Slight difficulty (DL)
[] 2 Considerable difficulty (GD)
[] 3 Unable to do so (IN)

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Senegal 2013 — source variable SN2013A_DISSPEAK — Difficulty speaking or communicating
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B. Individual characteristics

The entire population
[Questions B16 through B28 were asked of all resident persons.]

Population aged 1 year or older.
[Question B21 through B26 were asked of all resident persons age 1 or older.]

B21-B26. The following questions pertain to difficulties which you may have in carrying out certain activities due to a health problem.

Enter the corresponding codes to the answer given (see the bottom of the page)
B26. In using his / her usual language, does [the respondent] have any difficulties communicating (such as understanding or being understood by others)?
[] 0. No, no difficulties
[] 1. Yes, some difficulties,
[] 2. Yes, many difficulties
[] 3. not at all capable
Questionnaire instructions view entire document:  text  image
4.2. Part B: individual characteristics

B21/26: set of short questions on disability recommended for the censuses (population aged 1 year and over)
The questions about disability issues have been greatly altered in relation to what previous censuses proposed. It is about Senegal aligning itself with the progress made in this area. The United Nations, through their experts on global statistics, created in the 2000s a group of experts, the Washington group, which developed a series of short questions for censuses and surveys according to the Basic Principles of Official Statistics. These questions identify the majority of those most at risk in the general population who have limited or restricted participation in public life. It is not a question of identifying the handicap or the cause of disability, the question is to identify the limitations of the respondent (and/or one of his or her family members) to have/potentially have difficulty in performing actions linked to their lifestyle and related functions: seeing, hearing, walking, having cognitive faculty, taking care of themselves, and communicating. These are the areas the questions included in the census questionnaire concern.
The questions to ask relate to the difficulties that the respondent or a family member may have in fulfilling certain tasks in a sustainable manner (6 months or more, in a recurring manner):

1) Do you have difficulty seeing, even if you wear glasses?
- The answer of a person who wears glasses and has no difficulties will then be codified by choice 0 on the PDA.
- On the other hand, the answer of someone who wears glasses and who still has difficulties in seeing must be codified in 1 or 2 depending on the degree of difficulty in seeing.
2) Do you have difficulty hearing even with a hearing aid?
- In the same vein: the response of a person with a hearing aid (it is a device in the ear) but who would still have difficulty hearing would be codified in 1 or 2 depending on the degree of difficulty.
3) Do you have difficulty walking or climbing stairs?
4) Do you have trouble remembering or concentrating?
5) Do you have any difficulties (in taking care of yourself) in performing activities like washing yourself or dressing yourself?
[p. 41]
6) Using your usual (common) language, do you have difficulty communicating, (for example, to understand or make yourself understood by others)?

Each question has four response categories:

0 No, no difficulty,
1 Yes, some difficulties,
2 Yes, lots of difficulties,
3 Not at all able to do it.

The severity scale is used in the response categories to identify the full range of functional domains ranging from the most benign to the most severe form. This is very important because we will have a full range of the respondent's capabilities.
NB: This question concerns the population aged at least 1 year.
On the PDA, you will choose the answer on a drop-down list.


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South Africa 2011 — source variable ZA2011A_DIFFCOMM — Difficulty communicating
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Section C: General health and Functioning
Ask of everyone listed in the flap.

P-12 Health and functioning
Does [the person have difficulty in the following?
Write the appropriate code [number from 1 to 6] in the box.

_ A. Seeing even when using eye glasses
_ B. Hearing even when using a hearing aid
_ C. Communicating in his/her language (i.e. understanding others or being understood by others)
_ D. Walking or climbing stairs
_ E. Remembering or concentrating
_ F. With self-care such as washing all over, dressing, or feeding
1. No difficulty
2. Some difficulty
3. A lot of difficulty
4. Cannot do at all
5. Do not know
6. Cannot yet be determined
Questionnaire instructions view entire document:  text  image
5. Section C: General health and functioning (remember to follow instructions)
Purpose: Helps to determine the number of people with disabilities in the country for planning and provision of services.

This section must be completed for every person listed on the questionnaire.

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South Africa 2016 — source variable ZA2016A_DISCOMM — Difficulty in communicating
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3. Person information

[3.7] Household members

[3.7.3] General health and functioning
Now, I am going to ask you health-related questions.

[3.7.3.4] Does the respondent have difficulty communicating in his/her usual language [i.e. understanding others or being understood by others]?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot do at all
[] 5 Do not know

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Suriname 2012 — source variable SR2012A_DISCOMM — Difficulty communicating
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Personal module

All persons (health)
[Questions P21a to P23 were asked of all persons about their health.]

P21a. Does this person experience difficulty / problems (with):

N.B.: The person has had (or is expected to have) the complaint(s) for at least 6 months.

Enter one of the following codes in each cell:

[] Tick this box if A to G = 1, 5, 7 or 9, and proceed to P22.
G. Communicating / talking
[] 1 No difficulty / problems
[] 2 Some difficulty
[] 3 Much difficulty
[] 4 Not able to do this at all
[] 5 Doesn't apply, considering age
[] 7 Don't know
[] 9 No response

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Trinidad and Tobago 2011 — source variable TT2011A_DISSPK2 — Severity of speaking and understanding disability
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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

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Vietnam 2019 — source variable VN2019A_DISCOMM — Difficulty communicating (using normal language)
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Part 1. Information on household members

The next questions are about difficulties a person faces when performing certain activities due to health reasons.

13. Does [the respondent] have any difficulty with:

(If yes: How difficult is it? difficult, very difficult or completely unable)
f) Communicating? (using normal language)
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable
Questionnaire instructions view entire document:  text  image
Part V: Instructions on how to question and record information on the census form

Part 1: Information about members of the household
Part 1 of the Census form consists of 41 questions, numbered sequentially from Question 1 to Question 41.

The respondent is the head of the household or a person knowledgeable about members of the household. For information on employment and birth history of women, DTV needs to interview DTDT face-to-face and collect information. In addition, for other information about members of the household, if the head of the household or the information provider is not knowledgeable, DTV also needs to interview DTDT face-to-face and record the information.

Question 13: Does [the respondent] have any difficulty when [...]?
This question is intended to gather information about difficulties a person may encounter in performing certain activities due to health problems/long term health problems, including difficulties due to the effects of old age, but does not include difficulties due to the children being young or not yet proficient in taking care of themselves (help from adults).

DTV asks about the conditions and level of difficulty of each person and in turn according to each ability, including vision, hearing, walking up the stairs, memory, self-care, and communication. Therein:

-Vision, even with glasses: DTV asked about the conditions and level of difficulty of DTDT when seeing. In case people have difficulty and have to wear glasses, DTV asks if they still have difficulty when wearing glasses and if so, the level of difficulty.

-Hearing, even with a hearing aid: DTV asks about the conditions and level of difficulty of DTDT when hearing. In case people have difficulty and have to use a hearing aid, DTV asks if they still have difficulty when using a hearing aid and, if so, the level of difficulty.