Surveillance Questions

Under the Affordable Care Act, all Federally funded health surveys must include a standard set of questions to assess functional limitations in the general population.

The ACS and WG-SS are widely recognized tools used to measure functional limitations in the US and across the world.
ACS-6 Questions
American Community Survey Disability Questions (ACS-6)

Answer choices are:
Yes / No

1. Are you deaf or do you have serious difficulty hearing?

2. Are you blind or do you have serious difficulty seeing, even when wearing glasses?

3. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years old or older)

4. Do you have serious difficulty walking or climbing stairs? (5 years old or older)

5. Do you have difficulty dressing or bathing? (5 years old or older)

6. Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? (15 years old or older)

Washington Group Short Set
Washington Group Short Set (WG-SS)

Answer choices are:
No difficulty / Some difficulty / A lot of difficulty / Cannot do at all

1. Do you have difficulty seeing, even if wearing glasses?

2. Do you have difficulty hearing, even if using a hearing aid(s)?

3. Do you have difficulty walking or climbing steps?

4. Do you have difficulty remembering or concentrating?

5. Do you have difficulty with self-care, such as washing all over or dressing?

6. Using your usual language, do you have difficulty communicating, for example understanding or being understood?