PUBLIC ATTITUDES TO DISABILITY SURVEY MAIN SAMPLE. Please print contact details. Name[Mr.Mrs.Miss.Ms]... Address...
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1 QS /68 Questionnaire No. Office use only PUBLIC ATTITUDES TO DISABILITY SURVEY MAIN SAMPLE Please print contact details Name[Mr.Mrs.Miss.Ms]... Address Telephone No... TRANSFER ASSIGNMENT NO. FROM QUOTA SHEET Assignment No INTERVIEWER NAME... Office use only
![Please print contact details Name[Mr.Mrs.Miss.Ms]... Address.](/docs-images/41/22777620/images/page_1.jpg ".............. Telephone No... TRANSFER ASSIGNMENT NO.")
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3 Q aire No C Gender C Male... Female... Age [ ] State exact and Code C6 C7 Working status [Respondent] Working full-time... Working part-time... Self-employed... Unemployed[seeking employment]... Full-time homemaker... Full-time farmer... Part time farmer... Retired... Educational Status [Respondent] Primary level... nd level... Still at nd level... rd level Under Graduate... rd level Post Graduate C Marital status Married... Living as married... Single... Widowed/divorced/separated... 4 C8 Still at rd level... No formal education... Children Have you got any children [of any age]? 6 7 C4 Occupation of Chief Income earner [Record details below] Yes... No... C Now code Social Class AB... C9 Interview location City/City suburb... Town... Village/rural... C... C... Assignment No DE... 4 F F Interviewer declaration C6 Working status [ C.I.E.] Working full-time... Working part-time... Self-employed... Unemployed[seeking employment]... Full-time homemaker... Full-time farmer... Part time farmer... Retired C9 I declare that this interview has been carried out strictly in accordance with your instruction and within the MRS Code of Conduct. Signed Date Respondent willingness for re-interview Yes... No...
![.. Part time farmer... Retired... Educational Status [Respondent] Primary level... nd level... Still at nd level... rd level Under Graduate... rd level Post Graduate.](/docs-images/41/22777620/images/page_3.jpg ".. 4 5 6 7 8 4 5 C Marital status Married... Living as married... Single... Widowed/divorced/separated... 4 C8 Still at rd level... No formal education.")
4 Good morning/afternoon/evening. My name is and I am working for Quota Search. We are currently conducting a survey in relation to public attitudes towards disability. We would be grateful if you could spare about 5 minutes to complete this survey. Section Knowledge of Disability and General Attitudes Q. What particular sorts of illnesses, conditions or disabilities do you think the term people with disabilities refer to: DO NOT PROMPT. PROBE: Any Others? PROBE: Any Others? CODE ALL MENTIONS BELOW Q. MULTI CODE. Physical disability. Hearing loss. Visual difficulties 4. Speech difficulties 5. Intellectual disability (e.g. Down Syndrome, cognitive impairment) 6. Mental health difficulty (mental illness depression, schizophrenia, anorexia) 7. Long-term illness (e.g. diabetes, epilepsy) 8. HIV/AIDS 9. Addiction 0. Alcoholism. Frailty in old age. Other, specify. Other, specify 4. None mentioned Q. SHOW CARD Do you have any of the following long lasting conditions? (Code all that apply) Blindness Deafness or a severe hearing impairment A condition that substantially limits one or more basic physical activities such as walking, climbing stairs, reaching, lifting or carrying 4 An intellectual disability 5 A psychological or emotional condition 6 Chronic illness 7 Other, please specify 8 None of the above 9 Know
5 Q. Do you know anyone (else) who has a disability? DO NOT PROMPT WHAT DISABILITY MEANS Spouse/partner Member of immediate family Other relative 4 Friend 5 Neighbour 6 Acquaintance 7 Colleague/work contact 8 Other 9 Not sure/don t know 0 No IF YES GO TO Q. IF NO GO TO Q Q. (Ask if coded - 8 at Q.. Others go to Q) What type (or types) of disability does the person (people) you know have? DO NOT PROMPT Blindness Deafness or a severe hearing impairment A condition that substantially limits one or more basic physical activities such as walking, climbing stairs, reaching, lifting or carrying 4 An intellectual disability 5 A psychological or emotional condition 6 Chronic illness 7 Other, please specify
6 READ OUT STATEMENT BELOW BEFORE YOU CONTINUE!! From this point forward, when we speak of people with disabilities I mean those with physical, hearing, visual, speech, intellectual, or mental health difficulties or with autism. Q SHOW CARD I am going to read out some statements about people with disabilities. For each one, please rate your level of ment or disment. SINGLE CODE PER STATEMENT. It is society which disables people by creating barriers. People with disabilities are treated fairly in Irish society Agree Neither nor dis Dis dis know Q4. Do you think that there are occasions or circumstances when it is alright to treat people with disabilities more favourably than others? SINGLE CODE Yes No know 99 Q5 SHOW CARD Do you or dis that people with the following disabilities are not able to participate fully in life SINGLE CODE PER STATEMENT Agree Neither nor dis Dis dis 5. mental health difficulties intellectual disabilities or autism know 5. physical disabilities vision, hearing or speech disabilities
7 Q6 Section : Education In general, do you think that people with disabilities receive equal opportunities in terms of education? SINGLE CODE Yes No Know 99 Q7 SHOW CARD Do you or dis that people with the following disabilities should attend the same schools as children without disabilities? SINGLE CODE PER STATEMENT Agree Neither nor dis Dis dis Q7. mental health difficulties Know Q7. intellectual disabilities or autism Q7. physical disabilities Q7.4 vision, hearing or speech disabilities Q8. Do you have any children with a disability? SINGLE CODE Yes No/No children Q8. In general, would you object or not if children with the following disabilities were in the same class as your child? (PROMPT IF REQUIRED Say you have children) Yes (I would object) No (I would not object) Know Q8.. mental health difficulties 99 Q8.. intellectual disabilities or autism 99 Q8.. physical disabilities 99 Q8..4 vision, hearing or speech disabilities 99
8 ASK IF YES TO ANY PART OF Q8. GO TO Q8. ELSE GO TO Q9 Q8. Why would you object if children with disabilities were in the same class as your child (children) DO NOT PROMPT Special needs considerations e.g. facilities in the study area, need special medication require facilities, equipment to assist require special care Children with disabilities would not receive sufficient support for their special needs Safety considerations for children without disabilities e.g. worries about infection worries about tendency towards aggression 4 Safety considerations for children with disabilities, e.g. possibility of sudden relapse risk of accidents 5 Progress of children without disabilities hindered 6 Progress of children with disabilities hindered 7 Mobility Difficulties 8 Mental or Emotional Reasons e.g. poor mental health emotionally unstable more irritable 9 Other, please specify Section : Employment Q9 In general, do you think that people with disabilities receive equal opportunities in terms of employment? SINGLE CODE Yes No Know 99 Q0. On a scale from to 0 where is uncomfortable and 0 is comfortable, can you indicate how comfortable you would feel if people with the following disabilities were your work colleagues: SCORE -0 Know Q0.. mental health difficulties 99 Q0.. intellectual disabilities or autism 99 Q0.. physical disabilities 99 Q0..4 hearing disabilities 99 Q0..5 visual disabilities 99
9 ASK IF 5 OR LESS TO ANY OF Q0. ASK Q0. ELSE GO TO Q Q0. What would make you uncomfortable about having a work colleague with a disability? DO NOT PROMPT Personal discomfort, e.g. not knowing how to relate having to assist them physically not knowing what or what not to say Safety concerns for self or others e.g. worries about infection potential risk of damage Safety concerns for person with disability, e.g. possibilities of sudden relapse higher risk of having an accident 4 Behavioural concerns, e.g. worries about aggressive behaviour problems with interpersonal communication, teamwork 5 Suitability of work or work environment, e.g. not capable of the work they would be better off in sheltered employment, with dedicated supports 5 More work for self or other work colleagues, e.g. more frequent absences less reliable extra and/or physical assistance required 6 Having to make accommodations around the workplace, e.g. alterations to the building causing disruption incorporating specialised equipment or extra support staff, such as sign language interpreters or work coaches 7 Other, please specify Section 4: Relationships Q. SHOW CARD Please rate your level of ment or disment with the following statement: Adults with the following difficulties have the same right to fulfilment through sexual relationships, as everyone else? SINGLE CODE PER STATEMENT Agree Neither nor dis Dis dis Know Q.. mental health difficulties Q.. intellectual disabilities or autism Q.. physical disabilities Q..4 vision, hearing or speech disabilities
10 ASK IF DISAGREE/STRONGLY DISAGREE TO ANY PART OF Q. GO TO Q. ELSE GO TO Q Q. Why do you feel adults with disabilities should not have the same right to fulfilment through sexual relationships as everyone else? DO NOT PROMPT Not capable of making decisions or of consenting Vulnerable to abuse Risk of pregnancy, e.g. difficulty using contraception 4 Not capable of raising a child 5 Not capable of sustained relationships or marriage 6 People with disabilities are not interested in sex 7 Other, please specify Q. Show Card Please rate your level of ment or disment with the following statement. Adults with the following disabilities should have children if they wish? SINGLE CODE PER STATEMENT Neither Agree Dis nor dis dis Q.. mental health difficulties Q.. intellectual disabilities or autism Q.. physical disabilities Q..4 vision, hearing or speech disabilities Know ASK IF DISAGREE/STRONGLY DISAGREE TO ANY PART OF Q. GO TO Q. ELSE GO TO Q Q. Why do you feel adults with disabilities should not have the children if they wish? DO NOT PROMPT Risk that the disability will be passed on to the child Risk to the mother s health of pregnancy, childbirth Likelihood of the child being given up for adoption/taken into care 4 Concerns that parents with disabilities cannot economically provide for the child 5 Lack of state or social supports for parents with disabilities 6 Concerns about the child s physical well-being (e.g. nutrition, hygiene) 7 Concerns about the child s emotional well-being (e.g. lack of stability or affection) 8 Concerns over the child s intellectual development (e.g. language, education) 9 Concerns that the child may be stigmatised 0 Other, please specify
11 Section 6: General Accessibility Q Do you use Irish public service websites. These could be the websites of government Departments, your county council, state bodies like the HSE, ESB etc. At least once a week At least one a month At least once a year Never Q4. If no to Q is this because I don t have a computer or I don t have internet access - I have a computer and internet access but find them difficult to use - I am not interested in going to these websites - I find these websites hard to use or understand - I have security concerns about using the internet - Other reason Q4. If yes to Q Do you use these websites to make payments on line to apply for something online to download forms for printing off to find out about public services or entitlements To find travel information or make a travel booking on public transport to get news or programmes to get local information to get training or education information to see reports, research etc To find weather information other reason es, regularly Y Yes occasionally o N Q5 Have you experienced difficulty using such websites Degree of difficulty to make payments on line to apply for something online to download forms for printing off to find out about public services or entitlements to find travel information or make a travel booking on public transport to get news or programmes to get local information to get training or education information to see reports, research etc to find weather information other reason use No Yes a little Yes a lot Would experiencing this difficulty bother you A lot A little Not at all
12 Q6 Think about the websites that you use, and those that may cause you difficulty Usage Website Use regularly Use occasionally Revenue Social welfare Citizens information HSE County or city council Garda RTE Public transport website i.e. Bus Eireann, Irish Rail, Dublin Bus Motor tax online Third level colleges FAS Other specify Difficulty use No difficulty Some difficulty A lot of difficulty Q7 If you have difficulty using one of these websites, is it because - its difficult to find information on the webpages, - language or instructions too complex - font on screen too small, I can t adjust the settings - difficulty filling out online form or paying for something - forms or other files slow to open or download - formats on the website not compatible with my assistive technology Other problems please specify Your Neighbourhood Q8. On a scale from to 0 where is uncomfortable and 0 is comfortable, can you indicate how comfortable you would feel if people with the following disabilities were living in your neighbourhood, people with: SCORE -0 Know Q8.. mental health difficulties 99 Q8.. intellectual disabilities 99 Q8.. physical disabilities 99 Q8..4 vision, hearing or speech disabilities 99 ASK IF 5 OR LESS TO ANY OF Q8. ASK Q8. ELSE GO TO Q9 Q8. What would make you feel uncomfortable about people with disabilities living in your neighbourhood? DO NOT PROMPT Risk to themselves Expectation to help, do more Concerns about disruptive or dangerous behaviour 4 Neglect of their property 5 Neglect of their children 6 Disruption caused by adaptations to environment, e.g. accessibility ramps 7 Other, please specify
13 State Benefits Q9 In the context of state benefits for people with disabilities, which statement do you with most? SINGLE CODE The State provides more than enough benefits for people with disabilities The State provides adequate benefits for people with disabilities The State does not provide enough benefits for people with disabilities know 99 Knowledge of NDA and other Disability Initiatives Q0 Have you ever heard of any of the following: Single code per line READ OUT Yes No Know Q0. The National Disability Authority or NDA 99 Q0. The National Disability Strategy 99 Q0. The Disability Act Q0.4 The sectoral plans prepared under the Disability Act 99 THANK RESPONDENT, COMPLETE CLASSIFICATION & CLOSE.
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