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Table 1 Screening questionnaire

From: Musculoskeletal impairment survey in Rwanda: Design of survey tool, survey methodology, and results of the pilot study (a cross sectional survey)

Screen for musculoskeletal impairment Yes No
1. Is any part of your body missing or misshapen?
2. Do you have any difficulty using your arms?
3. Do you have any difficulty using your legs?
4. Do you have any difficulty using any other part of your body?
5. Do you need a mobility aid or prosthesis?
6. Do you have convulsions, involuntary movement, rigidity or loss of consciousness?
If any of the answers are "yes"   
7. Has it lasted more than one month or is it permanent?