12. Does [the respondent] have a permanent limitationÂ…? (You can mark multiple options)
[] 1 Seeing, even with glasses or contacts on
[] 2 Hearing
[] 3 Speaking
[] 4 Walking or going up steps
[] 5 Using arms or hands
[] 6 Intellectually (retarded, DownÂ’s syndrome, other)
[] 7 Mentally (bipolar, schizophrenic, other)
[] 8 None of the above