Questionnaire
For the empirical research on
Analysis of Children with intellectual disability rights under The Rights of
persons with Disabilities Act, 2016, Mental Healthcare Act, 2017 and
National Trust Act, 1999
(Following data will be used for only academic purpose only and will not be shared to any
individual or group.)
1. Name:
2. Age:
3. Sex:
4. Occupation (post):
5. From how much time you are working in this institution?
(a) 0-2 yrs (b) 2-5 yrs (c) 5-10 yrs (d) more than 10 yrs
6. Do you have any past experience of working in such type of institution or with such
persons?
(a) Yes (b) No
7. How many employees are working in this institution?
(a) 0-10 (b) 10-20 (c) 20-30 (d) more than 30
8. Do you have permanently residing children or visiting children?
(a) Permanent residence (b) Visiting (c) Both
8.1. If (a), how many children are permanently residing here, presently?
(a) 1-5 (b) 5-10 (c) 10-15 (d) more than 15
8.2. If (b), how many children visit this establishment on weekly basis?
(a) 1-5 (b) 5-10 (c) 10-15 (d) more than 15
9. Do you provide separate area to the children with intellectual discbility?
(a) Yes (b) No
10. How many children do you accommodate in a single room?
(a) 1-2 (b) 2-4 (c) 4-8 (d) more than 8
11. Do you provide any specific recreation activity in the premises of this establishment for
the children?
(a) Yes (b) No
12. Do you provide any kind of free legal or medical aid in this establishment?
(a) Yes (b) No
12.1. If yes, do you make the guardian or nominated representative of the child
aware about these facilities?
(a) Yes (b) No
13. How many doctors are currently employed in this establishment?
(a) 1-2 (b) 2-4 (c) 4-6 (d) more than 6
14. Is this establishment registered under the concerned act of the government?
(a) Yes (b) No
15. Is there any legal practitioner employed under this establishment?
(a) Yes (b) No
16. Do you provide any education facility to the children residing here?
(a) Yes (b) No
16.1. If yes, what kind of?
(a) Special school (b) Private tutors (c) Regular school
17. Does wearing any special uniform for the residents is compulsory here?
(a) Yes (b) No
Suggestions, if any
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