SURVEY OF DISABILITY, AGEING AND CARERS
Below are the screening questions used to identify disabled people in households of more than one person. Appropriate wording variations and sequence changes are used to accommodate interviewing in one person households.
Q.1 I now have some questions about health conditions that have lasted, or are likely to last, for 6 months or more.
Does anyone in this household have any loss of sight?
Yes
No Go to Q.6
Q.2 Who are they?
Q.3 Can ….. see normally wearing glasses or contact lenses?
Yes
No
Q.4 Does ….. have total loss of sight?
Yes
No
Q.5 What is the main condition that causes this loss of sight?
Q.6 Does anyone in this household have any loss of hearing?
Yes
No Go to Q.10
Q.7 Who are they?
Q.8 Does ….. have total loss of hearing?
Yes
No
Q.9 What is the main condition that causes this loss of hearing?
Q.10 Does anyone in this household have anything wrong with their speech?
Yes
No Go to Q.14
Q.11 Who are they?
Q.12 Does ….. have total loss of speech?
Yes
No
Q.13 What is the main condition that causes this speech difficulty?
Q.14 Does anyone in this household have shortness of breath or difficulty breathing?
Yes
No Go to Q.18
Q.15 Who are they?
Q.16 Is ….. restricted in everyday activities because of the breathing difficulty?
Yes
No
Q.17 What is the main condition that causes the breathing difficulty?
Q.18 Does anyone in this household have chronic or recurrent pain or discomfort?
Yes
No Go to Q.22
Q.19 Who are they?
Q.20 Is …… restricted in everyday activities because of the pain or discomfort?
Yes
No
Q.21 What is the main condition that causes this pain or discomfort?
Q.22 Does anyone in the household have blackouts, fits or loss of consciousness?
Yes
No Go to Q.25
Q.23 Who are they?
Q.24 What is the main condition that causes …..'s blackouts, fits or loss of consciousness?
Q.25 Does anyone in this household have difficulty learning or understanding things?
Yes
No Go to Q.28
Q.26 Who are they?
Q.27 What is the main condition that causes …..'s difficulty in learning or understanding things?
Q.28 Does everyone in the household have full use of their arms and fingers?
Yes
No Go to Q.31
Q.29 Which members of the household don't have full use of their arms or fingers?
Q.30 What is the main condition that causes this restriction for …..?
Q.31 Does anyone in the household have difficulty gripping or holding things?
Yes
No Go to Q.34
Q.32 Who are they?
Q.33 What is the main condition that causes …..'s difficulty in gripping or holding things?
Q.34 Does everyone in this household have full use of their feet and legs?
Yes
No Go to Q.37
Q.35 Which members of the household don't have full use of their feet or legs?
Q.36 What is the main condition that causes this restriction for …..?
Q.37 Does anyone in the household have a nervous or emotional condition?
Yes
No Go to Q.42
Q.38 Who are they?
Q.39 Is …… having treatment for this condition?
Yes
No
Q.40 Is ….. restricted in everyday activities because of this condition?
Yes
No
Q.41 What is the name of the nervous or emotional condition that ….. has?
Q.42 Is anyone in the household restricted in doing everyday physical activity or physical work?
Yes
No Go to Q.45
Q.43 Who are they?
Q.44 What is the main condition causing …..'s restriction in physical activity or work?
Q.45 Does anyone in the household have a disfigurement or deformity?
Yes
No Go to Q.49
Q.46 Who are they?
Q.47 Is …… restricted in everyday activities because of this disfigurement or deformity?
Yes
No
Q.48 What was the main condition causing …..'s disfigurement or deformity?
Q.49 Does anyone in the household need to be helped or supervised in doing things because of a mental illness or condition?
Yes
No Go to Q.52
Q.50 Who are they?
Q.51 What is the name of the condition …..'s has?
Q.52 Does anyone in the household have memory problems or periods of confusion?
Yes
No Go to Q.56
Q.53 Who are they?
Q.54 Is …… restricted in everyday activities because of this condition?
Yes
No
Q.55 What is the main condition that causes …..'s memory problems or periods of confusion?
Q.56 Does anyone in the household have social or behavioural difficulties?
Yes
No Go to Q.60
Q.57 Who are they?
Q.58 Is …… restricted in everyday activities because of this condition?
Yes
No
Q.59 What is the name of the social or behavioural condition that ….. has?
Q.60 Has anyone in the household ever had a head injury?
Yes
No Go to Q.64
Q.61 Who are they?
Q.62 Does …… have any long-term effects as a result of the head injury, that interfere with (him/her) doing everyday activities?
Yes
No Go to Q.64
Q.63 What are the long-term effects that the head injury has caused?
Q.64 Has anyone in the household ever had a stroke?
Yes
No Go to Q.68
Q.65 Who are they?
Q.66 Does ….. have any long-term effects as a result of the stroke that interfere with (him/her) doing everyday activities?
Yes
No Go to Q.68
Q.67 What are the long-term effects that the stroke has caused?
Q.68 Has anyone in the household ever had any other kind of brain damage?
Yes
No Go to Q.73
Q.69 Who are they?
Q.70 Does ….. have any long-term effects as a result of this brain damage, that interfere with (him/her) doing everyday activities?
Yes
No Go to Q.73
Q.71 What are the long-term effects that this brain damage has caused?
Q.72 What was the cause of this brain damage?
Q.73 Is anyone in the household receiving treatment or medication for any long-term conditions or ailments?
Yes
No Go to Q.77
Q.74 Who are they?
Q.75 What conditions is …… receiving treatment or medication for?
Q.76 Even though ….. is being treated, is (he/she) still restricted in everyday activities by (this/any of these) long-term condition(s) you have just mentioned?
Yes
No
Q.77 Does anyone in the household have any of these health conditions, or any other conditions, that have lasted or are likely to last 6 months or more, that you have not already reported?
Yes
No Go to Q.81
Q.78 Who are they?
Q.79 What other conditions does ….. have?
Q.80 Is ….. restricted in everyday activities because of (this/any of these) condition(s)?
Yes
No
Q.81 Sequence Guide
If someone in house has a hearing problem ('Yes' in Q.6) go to Q.82
Otherwise go to Q.87
Q.82 Does ….. use a hearing aid to assist with hearing?
Yes
No
Q.83 Does ….. have a cochlear implant?
Yes
No
Q.84 Does ….. use other aids, such as hearing dogs, light signals, or a tty phone or loop to help compensate for his/her hearing loss?
Yes
No
Q.85 Has the use of (hearing aids/cochlear implants /other aids) improved ….. hearing?
Yes
No Go to Q.87
Q.86 Does your hearing loss make it difficult for you to communicate?
Yes
No
Q.87 Sequence Guide
If someone in house is disabled go to Q.88
Otherwise no more questions
Q.88 Does ….. ever need help or supervision when going to, or getting around, a place away from home?
Yes
No Go to Q.90
Q.89 Does ….. always, or only sometimes, need help with going to, or getting around, a place away from home?
Always Go to Q.91
Sometimes Go to Q.91
Q.90 Even though ….. does not need help or supervision with going to, or getting around, a place away from home, does he/she find it difficult to do?
Yes
No
Q.91 Does ….. ever need help or supervision when moving about the house?
Yes
No Go to Q.93
Q.92 Does ….. always, or only sometimes, need help when moving about the house?
Always Go to Q.94
Sometimes Go to Q.94
Q.93 Even though ….. does not need help or supervision when moving about the house, does he/she find it difficult to do?
Yes
No
Q.94 Does ….. ever need help or supervision to get in or out of bed or a chair?
Yes
No Go to Q.96
Q.95 Does ….. always, or only sometimes, need help to get in or out of bed or a chair?
Always Go to Q.97
Sometimes Go to Q.97
Q.96 Even though ….. does not need help or supervision to get in or out of bed or a chair, does he/she find it difficult to do?
Yes
No
Q.97 Is ….. in a wheelchair?
Yes Go to Q.103
No
Q.98 Can …… easily walk 200 metres?
Yes
No Go to Q.100
Q.99 Would it take ….. longer than most other people of the same age?
Yes
No
Q.100 Can ….. walk up and down stairs without a handrail?
Yes
No Go to Q.102
Q.101 Can ….. do this without difficulty?
Yes
No
Q.102 Can ….. easily bend down and pick up an object from the floor without any assistance?
Yes
No
Q.103 Does ….. ever need help or supervision to shower or bathe?
Yes
No Go to Q.105
Q.104 Does ….. always, or only sometimes, need help to shower or bathe?
Always Go to Q.106
Sometimes Go to Q.106
Q.105 Even though ….. does not need help or supervision to shower or bathe, does he/she find it difficult to do?
Yes
No
Q.106 Does ….. ever need help or supervision to dress themselves, for example doing up shoelaces, buttons or zips?
Yes
No Go to Q.108
Q.107 Does ….. always, or only sometimes, need help to dress themselves?
Always Go to Q.109
Sometimes Go to Q.109
Q.108 Even though ….. does not need help or supervision to dress themselves, does he/she find it difficult to do?
Yes
No
Q.109 Does ….. ever need help or supervision when eating a meal, for example cutting
up food?
Yes
No Go to Q.111
Q.110 Does ….. always, or only sometimes, need help when eating a meal?
Always Go to Q.112
Sometimes Go to Q.112
Q.111 Even though ….. does not need help or supervision when eating a meal, does he/she find it difficult to do?
Yes
No
Q.112 Does ….. ever need help or supervision using the toilet?
Yes
No Go to Q.114
Q.113 Does ….. always, or only sometimes, need help using the toilet?
Always Go to Q.115
Sometimes Go to Q.115
Q.114 Even though ….. does not need help or supervision using the toilet, does he/she find it difficult to do?
Yes
No
Q.115 Does ….. have any difficulty controlling their bladder or bowel?
Yes
No Go to Q.118
Q.116 Does ….. ever need help in managing this difficulty?
Yes
No Go to Q.118
Q.117 Does ….. always, or only sometimes, need help managing this difficulty?
Always
Sometimes
Q.118 Does …. have any difficulty understanding someone they don't know?
Yes
No Go to Q.122
Q.119 Can he/she understand them at all?
Yes
No
Q.120 Does he/she ever need help with this?
Yes
No Go to Q.122
Q.121 Does he/she always or only sometimes need help with understanding someone they don't know?
Always
Sometimes
Q.122 Does …. have any difficulty understanding family or friends?
Yes
No Go to Q.126
Q.123 Can he/she understand them at all?
Yes
No
Q.124 Does he/she ever need help with this?
Yes
No Go to Q.126
Q.125 Does he/she always or only sometimes need help with understanding family and friends?
Always
Sometimes
Q.126 Does …. have any difficulty being understood by someone they don't know?
Yes
No Go to Q.130
Q.127 Can he/she understand them at all?
Yes
No
Q.128 Does he/she ever need help with this?
Yes
No Go to Q.130
Q.129 Does he/she always or only sometimes need help with being understood by someone they don't know?
Always
Sometimes
Q.130 Does …. have any difficulty being understood by family or friends?
Yes
No Go to Q.134
Q.131 Can he/she understand them at all?
Yes
No
Q.132 Does he/she ever need help with this?
Yes
No Go to Q.134
Q.133 Does he/she always or only sometimes need help with being understood by family and friends?
Always
Sometimes
Q.134 Is ….. able to communicate more easily with others using any of these non-spoken forms of communication?
Yes
No
Q.135 Does ….. use an aid to help with any of these tasks?
Yes
No
Q.136 Does ….. use any of these aids to help them move around?
Yes
No
Q.137 Does ….. use any medical aids such as these to help manage his/her condition?
Yes
No
Q.138 Does ….. use any non-electronic aids, such as picture boards or symbol boards or large print books to assist with reading or writing?
Yes
No
Q.139 Does ….. use any electronic aids, such as a talking word processor, special computer software and printout system, or ‘app’ on a mobile device to assist with reading or writing?
Yes
No
Q.140 Does ….. use any non-electronic aids, such as picture boards, symbol boards, or letter/word boards, to assist with speaking?
Yes
No
Q.141 Does ….. use any electronic aids, such as digitised, or synthesised speech output systems, or ‘app’ on mobile devices to assist with speaking?
Yes
No
Q.142 Does ….. use email or the internet to communicate with others because of their condition(s)?
1. Yes
5. No
Q.143 When [name] [go/goes] to places away from the home [do/does] [you/he/she] ever need to be driven by someone else in a private vehicle or by taxi?
1. Yes Go to Q.146
5. No
6. Does not leave home Go to Q.145
Q.144 Even though ….. does not need to be driven to places away from home, do they find it difficult to travel to these places without assistance?
1. Yes Go to Q.146
5. No Go to Q.146
6. Does not leave home
Q.145 You told me that ….. does not leave their home. What is the main reason ….. does not leave their home?
1. Does not want to
2. Prevented by own disability/condition
3. Difficulty using transport
4. Difficulty obtaining transport
5. Old age/too old
6. Fear/anxiety
7. Other
Q.146 Does ….. use any type of public transport at all?
Yes
No
Q.147 Is there any form of public transport ….. could use, regardless of whether it is available in their area?
Yes
No Go to Q.151
Q.148 Would ….. be able to use all forms of public transport, including trains, buses, trams and ferries?
Yes
No
Q.149 As a result of ….. conditions, (does/would) ….. ever need help or supervision when using public transport that they (can/could) use?
Yes Go to Q.151
No
Q.150 (Would/Does) ….. find it at all difficult to use (public transport/the public transport that ….. (can/could) use)?
Yes
No
Q.151 Does ….. currently attend school?
Yes Go to Q.153
No
Q.152 What is the main reason ….. does not attend school?
Conditions (s) prevent school attendance Go to Q.158
Too young Go to Q.158
Home schooling/correspondence Go to Q.158
Finished school Go to Q.158
Q.153 Does ….. go to a special school because of their condition?
Yes Go to Q.158
No
Q.154 Does ….. attend special classes because of their condition?
Yes
No
Q.155 Because of their condition(s), is ….. provided with any special arrangements or support services by their [school/name of institution]?
1. Yes
5. No
Q.156 Does ….. have any difficulty at [school/name of institution] because of ….. condition(s)?
1. Yes
5. No
Q.157 On average, does ….. need at least one day a week off from [school/name of institution] because of ….. condition(s)?
1. Yes
5. No
Q.158 Sequence Guide
If less than 15 yrs of age no more questions
Otherwise go to Q.159
Q.159 Does ….. condition permanently prevent ….. from working?
Yes
No
Q.160 Does ….. condition restrict the type of job ….. can do?
Yes
No
Q.161 Does ….. condition restrict the number of hours ….. can work?
Yes
No
Q.162 Does ….. condition make it more difficult to change jobs or get a preferred job?
Yes
No
Q.163 On average, does …... need at least one day a week off work because of ….. condition?
Yes
No
Q.164 (Does/would) ….. need to be given ongoing assistance or supervision at work because of ….. condition?
Yes
No Go to Q.166
Q.165 Has ….. employer provided him/her with, or allowed them to have, a special support person for this?
Yes
No
Q.166 (Was it/would it be) necessary for …..'s employer to provide any special equipment, modify the work environment or make any special arrangements for ….., because of ….. condition?
Yes
No
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