Literal question
<svar a="all" v="PA90A415">6. If the person is noted in questions 4 and 5 of the List of Occupants, ask:<br />What type of physical or mental impediment do you have?<br /><div class="i1">(Mark the most severe)<br /><br />[] 1 Blind<br />[] 2 Deaf<br />[] 3 Mental retardation<br />[] 4 Cerebral paralysis<br />[] 5 Permanent physical disability<br />[] 6 Other<br />[] 7 None</div><br /></svar>