All Persons [Applies to questions P1-P10] P8. Does [respondent] have any problem with his/her eyes, ears, speech, communication, legs, arms or any combination of these impairments? Encircle code. [] 1. Yes [] 2. No. Skip to P10. P9. What type of disability does [respondent] have? [] 01. Cannot see with both eyes (TOT-BLIND) [] 02. Absence of one eye with low vision on the other eye (PART-BLIND) [] 03. Can see form or movement but not details of objects (color, surface, lines) (LOW VISION) [] 04. Cannot hear with both ears (TOT-DEAF) [] 05. Cannot hear with one ear but with moderate hearing loss on the other ear (PART-DEAF 1) [] 06. Can hear speech but cannot discriminate the words (PART-DEAF 2) [] 07. Cannot say words (MUTE) [] 08. Can say words but stammers (includes cleft-palate and hare-lip with speech defect) (SPEECH DEFECT) [] 09. Loss of one or both arms/hands (NO ARM) [] 10. Loss of one or both legs/feet (NO LEG) [] 11. Paralysis of one or both upper extremities (PARA-ARMS) [] 12. Paralysis of one or both lower extremities (PARA-LEGS) [] 13. Paralysis of one arm and one leg (PARA-COM) [] 14. Paralysis of all four limbs (QUADRIP) [] 15. Can learn simple communication, elementary health and safety habit and simple manual skills, but does not progress in functional reading or arithmetic (REGARDED) [] 16. Mentally ill (INSANE) [] 17. Others, specify (includes multiple disabilities and other combination of arm-leg impairment/paralysis) (OTHER)

All Persons [Applies to questions P1-P10] P8. Does [respondent] have any problem with his/her eyes, ears, speech, communication, legs, arms or any combination of these impairments? Encircle code. [] 1. Yes [] 2. No. Skip to P10. P9. What type of disability does [respondent] have? [] 01. Cannot see with both eyes (TOT-BLIND) [] 02. Absence of one eye with low vision on the other eye (PART-BLIND) [] 03. Can see form or movement but not details of objects (color, surface, lines) (LOW VISION) [] 04. Cannot hear with both ears (TOT-DEAF) [] 05. Cannot hear with one ear but with moderate hearing loss on the other ear (PART-DEAF 1) [] 06. Can hear speech but cannot discriminate the words (PART-DEAF 2) [] 07. Cannot say words (MUTE) [] 08. Can say words but stammers (includes cleft-palate and hare-lip with speech defect) (SPEECH DEFECT) [] 09. Loss of one or both arms/hands (NO ARM) [] 10. Loss of one or both legs/feet (NO LEG) [] 11. Paralysis of one or both upper extremities (PARA-ARMS) [] 12. Paralysis of one or both lower extremities (PARA-LEGS) [] 13. Paralysis of one arm and one leg (PARA-COM) [] 14. Paralysis of all four limbs (QUADRIP) [] 15. Can learn simple communication, elementary health and safety habit and simple manual skills, but does not progress in functional reading or arithmetic (REGARDED) [] 16. Mentally ill (INSANE) [] 17. Others, specify (includes multiple disabilities and other combination of arm-leg impairment/paralysis) (OTHER)

All Persons [Applies to questions P1-P10] P10. What is [respondent]'s citizenship? If not Filipino, enter "97" If Filipino, ask What was [respondent]'s dialect/language spoken at home at earliest childhood? [82 categories are specified in the CP Form 2A Codes Sheet: see image]

5 Years Old and Over P11. What is the highest grade completed by [respondent]? Enter code. (See codes sheet) [] 00. No Grade Completed [] 01. Pre-school [] 11. Grade 1 [] 12. Grade 2 [] 13. Grade 3 [] 14. Grade 4 [] 15. Grade 5 [] 16. Grade 6 [] 17. Grade 7 [] 21. 1st Year High School [] 22. 2nd Year High School [] 23. 3rd Year High School [] 24. 4th Year High School [] 25. High School Graduate [] 31. Postsecondary 1 year [] 32. Postsecondary 2 years [] 41. 1st Year College [] 42. 2nd Year College [] 43. 3rd Year College [] 44. 4th Year College [] 45. 5th Year College [] 46. 6th Year College [] 47. College Graduate [] 51. Post-Baccalaureate

5 Years Old and Over P12. What trade skills does [respondent] possess? If none, enter "00" and skip to P14. [41 categories are specified in the CP Form 2A Codes Sheet: see image]

5 Years Old and Over P13. How was the trade skill acquired? Encircle code. [] 1.Schooling/Training [] 2.Experience/Apprenticeship [] 3.Other

5 Years Old and Over P14. Is/Was [respondent] engaged in any economic activity currently/at any time in the past twelve months? Encircle code. [] 1. Yes [] 2. No. Go to the next household member.

5 Years Old and Over P15. For whom or where does/did [respondent] work? Enter code. (See codes sheet) [] 1. Worked for private household [] 2. Worked for private business/enterprise/farm [] 3. Worked for government/government corporation [] 4. Self-employed without employee [] 5. Employer in own farm or business [] 6. Worked with pay on own family-operated farm or business [] 7. Worked without pay on own family operated farm or business

5 Years Old and Over P16. In what kind of business or industry is/was [respondent]'s current/last employer engaged in? [37 categories are specified in the CP Form 2A Codes Sheet: see image]

Birth registered with Local Civil Register

__ __ __ Institutional Living Quarter (ILQ) SN ____ Type of ILQ (See Codes) [] 1. Hotels, lodging houses, dormitories, etc. [] 2. Hospitals and nurses' home [] 3. Welfare institutions [] 4. Corrective and penal institutions [] 5. Convents, nunneries, seminaries and boarding schools [] 6. Military camps and stations [] 7. Logging, mining and construction/ public works camp [] 8. Ocean-going and inter island/coastal vessels [] 9. Refugee camps [] 0. Others ___ Name of ILQ ___ Address House Number and Street Name or Name of Sitio

P2. What is [respondent]'s position or status? Enter Code. (See Codes Sheet) [] 1. Manager, director, in-charge [] 2. Staff member/employee, including physicians and nurses [] 3. Officer, enlisted man, trainee [] 4. Officer or crew member in merchant vessel [] 5. Priest, seminarian, nun [] 6. Lodger or boarder [] 7. Patient (Hospital, sanitarium, etc.) [] 8. Inmate, ward (Home for the aged, orphanage, etc.) [] 9. Prisoner/detainee [] 0. Others, specify ____