top

1995

No questionnaire text is available for this sample.

top

1994

No questionnaire text is available for this sample.

top

1991

Survey form view entire document: text image

Because of any physical or mental condition, do you have difficulty --

(11) Getting around inside the home?

1[] Yes
2[] No
3[] Doesn't do

Survey form view entire document: text image

Item D10
Refer to age.

1[] 5-17 years (17)
8[] Other (20)

NOTE: Ask all of 17a before 17b.
The next questions are about how well -- is able to do certain activities.

17a. Because of a physical or mental health condition, does -- have any difficult --
If "Doesn't do," ask before marking a box: Is this because of a physical or mental health condition?
If "Yes," mark "Yes."
If "No," mark "Doesn't do"

(1) Getting around inside the home?

1[] Yes
2[] No
3[] Doesn't do

Survey Text