Questionnaire for disabilities

Sample Questionnaire

Age: Race or Ethnicity:

City or Town:

Occupation:

Type of Mobility Aid:

      Hand propelled or electric:

Medical Condition requiring Mobility Aid:

What objects do you have trouble reaching:

      Home:

      Work:

      Public places:

Your Height:

Your Weight:

If you use an electric mobility aid, how could the placement of the controls be improved?

if you use a wheelchair, how is it sized for you? (Too short, too tall, too wide, too narrow, etc.)

Have you ever had an injury attributable to your mobility aid? Please describe:

Return to Anthropometry For Persons With Disabilities

Prepared for the
    U.S. Architectural
    & Transportation Barriers Compliance Board
    Suite 1000
    1331 F. Street
    Washington, DC 20004-1111

Administered by the
    U.S. Department of Education
    400 Maryland Avenue, SW
    GSA-NCR Building, Room 3660
    Mail Stop 4448
    Washington, D.C. 20202

Under contract No. QA96001001

Prepared by
    Shirley Kristensen
    Bruce Bradtmiller, Ph.D.
    Anthropology Research Project, Inc.
    PO Box 307
    Yellow Springs, OH 45387

            22 August 1997

TABLE OF CONTENTS

Preface

Introduction

Near-Future Research Needs

• Target Population

• Sampling Strategies

• Selection of Variables

• Measuring Techniques

• The Body Size Descriptors

• Reach

• Field of Vision

• Strength

• Wheelchair/User Measurements

• Measurer’s Handbook

• Data Entry

• Establish Allowable Error

Long-Term Research

• Digital Human Models

• 3-D Shape Digitization

Capabilities, Resources & Facilities

References

Appendix A: Revised Annotated Bibliography

• Preface

• Introduction

• Basic Anthropometry

• Measuring Techniques

• Range of Motion & Reach

• Power (Strength, Biomechanics)

• Body Composition

• Growth (In Children)

• Product Design

• Workspace Design

• Architectural Modifications

• Miscellaneous

Sample Figure from the Handbook