Appendix 1. Survey Instruments Consulted during the Design Phase

Survey Instruments with a brief description

  • Statistics Canada HALS 1986 Screening Questionnaire-26 Screening Questions
  • Statistics Canada HALS 1991-Health and Activity Limitation Survey, Statistics Canada
  • Statistics Canada PALS 2001-Participation and Activity Limitation Survey, Canada
  • Statistics New Zealand Adult Screen 2001-The 2001 Household Disability Survey used four questionnaires. Adult and child screen questionnaires were firstly carried out to establish whether or not they had a disability according to the definition applied.. Adults (aged 15 and over) and children (under 15) who fulfilled the criteria then completed an adult or child questionnaire.
  • Statistics New Zealand Adult Content 2001-As above
  • Statistics New Zealand Child Screen 2001-As above
  • Statistics New Zealand Child Content 2001-As above
  • Statistics New Zealand Residential Disability Questionnaire 2001-As above
  • Australian Bureau of Statistics, 1998 Survey of Disability Ageing and Carers-As above
  • WHO Survey on Health and Health System Responsiveness-Health Condition questions also includes pain and discomfort, affect, sleep, energy and vitality, understanding and interacting, communication mobility and physical functioning
  • WHO-DAS I-13 questions on activity limitation
  • WHO-Das II Disability Assessment Schedule-Six Domains of activity & Participation
  • WHO-Das II Disability Assessment Schedule II-Short Form 36 containing same 6 domains as above (shortened version)
  • Eurobarameter 54.2 - Disabilities-Respondents perceptions of people with disabilities andservices
  • EuroQol (EQ-5d)-Incudes questions on mobility,self care,usual activites,pain/discomfort,anxiety/depression
  • MOS 36-item Short Form General health survey (SF-36)-Questions asked on mobility & self care, daily activities, emotional well-being and pain
  • The Work Limitation Questionnaire-Questions on work role demand,
  • McMaster Health Utilities Index (HUI-3)-Questions on vision, hearing, speech, mobility dexterity, emotional well-being, cognition, pain and discomfort
  • McClain and Todd Instrument-Food Store accessibility questionnaire
  • Work Disability History Topical Module-Short Work Disability questionnaire
  • 2001 Behaviourial Risk Factor Surveillance System Questionnaire-Section 1: Health Status
  • Section 14: Disability
  • Craig Hospital Inventory of Environmental Factors-
  • European Commission LFS 2001 (ad hoc module on employment of disabled people)-Work disability questionnaire
  • ECHP-Health Status Questions
  • L'Enquete Quebecoise sur les limitations d'activites 1998 (EQLA)-Quebec Institute of Statistics
  • 2000 NOD/Harris Community Participation Study-Community Participation Questionnaire
  • 2000 National Population Health Survey (Cycle 4) Content for June 2000-Questions on vision, hearing, speech, getting around, hands and fingers, feelings, memory, thinking, pain and discomfort and labour force
  • Craig Handicap Assessment and Reporting Technique-Chart Long form
  • Craig Hospital Inventory of Environmental Factors-Long form 32 questions ,short form 12 questions