Section A: Information for persons in the household -- ask of everyone
[Section A of this form, each question has 10 answer rows for writing individual answers for up to 10 individuals in the household. Only the first is shown here, which is exactly the same as the other nine.]
P-13. Disability
Does (the person) have any serious disability that prevents his/her full participation in life activities (such as education, work, social life)? Mark any that apply. Dot the appropriate boxes.
[] 0 = None
[] 1 = Sight (blind/severe visual limitation)
[] 2 = Hearing (deaf, profoundly hard of hearing)
[] 3 = Communication (speech impairment)
[] 4 = Physical (e.g. needs wheelchair, crutches or prosthesis; limb, hand usage limitations)
[] 5 = Intellectual (serious difficulties in learning)
[] 6 = Emotional (behavioural, psychological)