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