Literal question
<svar a="all" v="PE93A401 PE93A405 PE93A414 PE93A415 PE93A416 PE93A417 PE93A422 PE93A432 PE93A435 PE93A438">5. Do you have any of the following disabilities?<br /><div class="i1">Circle one or more numbers, as appropriate:<br /><br />[] 1 Total blindness<br />[] 2 Total deafness<br />[] 3 Muteness<br />[] 4 Mental retardation<br />[] 5 Mental illness<br />[] 6 Polio<br />[] 7 Loss or paralysis of upper extremity<br />[] 8 Loss or paralysis of lower extremity<br />[] 9 Other (specify) ____<br />[] 0 No disability</div><br /></svar>