Design for Survey of Persons with Mental Retardation and Developmental Disabilities: Summary of Recommendations for Survey Questions and Screening Criteria. Design for Survey of Persons with Mental Retardation and Developmental Disabilities: Summary of Recommendations for Survey Questions and Screening Criteria : Table 2

11/29/1989

: Table 2

 Screening InstrumentFollow-Up Instrument
CATEGORICAL CONDITIONSXX
LIMITATIONS IN FUNCTIONING  
   Self-careX (subset)X
   Independent livingX (subset)X
   Self-directionX (subset)X
   MobilityX (subset)X
   CommunicationX (subset)X
   LearningX (subset)X
   Economic self-sufficiencyX (subset)X
FORMAL SERVICE USE (quantity, payment, satisfaction)    
   Medical services X
   In-home services X
   Social/psychological servicesX (subset)X
   Adaptive equipment/assistance devicesX (subset)X
   Education/employment/training servicesX (subset)X
   Transportation services X
   Income support services (see Demographics)X (subset)X
RESIDENTIAL ENVIRONMENTX (including past use)X
INFORMAL SUPPORT X
SOCIAL INTERACTION AND BEHAVIOR X
DEMOGRAPHICS (see also Income Support Services) and EDUCATION/EMPLOYMENT/TRAINING SERVICESX (subset included on NHIS core)X