Questionnaire Text

1980 5%
1980 5%
Questionnaire form view entire document:  text  image

19. Does this person have a physical, mental, or other health condition which has lasted for 6 or more months and which. . .

c. Limits or prevents this person from using public transportation?

[] Yes [] No

"The term "health condition" refers to any physical or mental problem which has lasted for 6 or moremonths. A serious problem with seeing, hearing, or speech should be considered a health condition. Pregnancy or a temporary health problem such as a broken bone that is expected to heal normally should notbe considered a health condition."