The next questions are about your surroundings at home, school, work, or the community, and
possible barriers that might limit or prevent your activities.
FR: SHOW FLASHCARD A20
By barriers we mean things such as building design, lighting, sound, household or workplace
equipment, crowds, sidewalks and curbs, transportation, attitudes of other people, and policies.
Card A20
You may choose more than one
1. Building design (stairs, bathrooms, narrow or heavy doors)
2. Lighting (too dim to read, signs not lit, too bright, too distracting)
3. Sound (background noise, inadequate sound system)
4. Household or workplace equipment hard to use
5. Crowds
6. Sidewalks and curbs
7. Transportation
8. Attitudes of other people
9. Policies (rental policies, eligibility for services, workplace rules)
10. Other barriers
DIS.040
Thinking of your HOME SITUATION, do problems with any of these things on the list NOW limit or prevent your participation in home activities or household responsibilities?
FR: SHOW FLASHCARD A20
Card A20
You may choose more than one
1. Building design (stairs, bathrooms, narrow or heavy doors)
2. Lighting (too dim to read, signs not lit, too bright, too distracting)
3. Sound (background noise, inadequate sound system)
4. Household or workplace equipment hard to use
5. Crowds
6. Sidewalks and curbs
7. Transportation
8. Attitudes of other people
9. Policies (rental policies, eligibility for services, workplace rules)
10. Other barriers
DISHOME
(1) Yes (DIS.050)
(2) No (DIS.070)
(7) Refused (DIS.070)
(9) Don't know (DIS.070)
DIS.050
Which ones? (PROBE: Any others?)
FR: SHOW FLASHCARD A20. MARK ALL THAT APPLY. ENTER (N) FOR NO MORE.
Card A20
You may choose more than one
1. Building design (stairs, bathrooms, narrow or heavy doors)
2. Lighting (too dim to read, signs not lit, too bright, too distracting)
3. Sound (background noise, inadequate sound system)
4. Household or workplace equipment hard to use
5. Crowds
6. Sidewalks and curbs
7. Transportation
8. Attitudes of other people
9. Policies (rental policies, eligibility for services, workplace rules)
10. Other barriers
DIHM01 Building design (stairs, bathrooms, narrow or heavy doors)
DIHM02 Lighting (too dim to read, signs not lit, too bright, too distracting)
DIHM03 Sound (background noise, inadequate sound system)
DIHM04 Household or workplace equipment hard to use
DIHM05 Crowd
DIHM06 Sidewalks and curbs
DIHM07 Transportation
DIHM08 Attitudes of other people
DIHM09 Policies (rental policies, eligibility for services, workplace rules)
DIHM10 Other barriers
(7) Refused
(9) Don't know