"Code" "Explanation" "From" "Through" "=""01""" "I do not wish to identify my disability or serious health condition." "10/01/2016" "Present" "=""02""" "Developmental Disability, for example, autism spectrum disorder" "10/01/2016" "Present" "=""03""" "Traumatic Brain Injury" "10/01/2016" "Present" "=""05""" "I do not have a disability or serious health condition." "10/01/2016" "Present" "=""06""" "I have a disability or serious health condition, but it is not listed on this form." "10/01/2016" "Present" "=""13""" "Speech impairment" "10/01/2016" "Present" "=""19""" "Deaf or serious difficulty hearing, benefiting from, for example, American Sign Language, CART, hearing aids, a cochlear implant and/or other supports" "10/01/2016" "Present" "=""20""" "Blind or serious difficulty seeing even when wearing glasses" "10/01/2016" "Present" "=""31""" "Missing extremities (arm, leg, hand and/or foot)" "10/01/2016" "Present" "=""40""" "Significant mobility impairment, benefiting from the utilization of a wheelchair, scooter, walker, leg brace(s) and/or other supports." "10/01/2016" "Present" "=""41""" "Spinal abnormalities, for example, spina bifida or scoliosis" "10/01/2016" "Present" "=""44""" "Non-paralytic orthopedic impairments, for example, chronic pain, stiffness, weakness in bones or joints, some loss of ability to use part or parts of the body." "10/01/2016" "Present" "=""51""" "HIV Positive/AIDS" "10/01/2016" "Present" "=""52""" "Morbid obesity" "10/01/2016" "Present" "=""59""" "Nervous system disorder for example, migraine headaches, Parkinson’s disease, or multiple sclerosis" "10/01/2016" "Present" "=""60""" "Partial or complete paralysis (any cause)" "10/01/2016" "Present" "=""80""" "Cardiovascular or heart disease." "10/01/2016" "Present" "=""81""" "Depression, anxiety disorder, or other psychiatric disorder" "10/01/2016" "Present" "=""82""" "Epilepsy or other seizure disorders" "10/01/2016" "Present" "=""83""" "Blood diseases, for example, sickle cell anemia, hemophilia." "10/01/2016" "Present" "=""84""" "Diabetes" "10/01/2016" "Present" "=""85""" "Orthopedic impairments or osteo-arthritis" "10/01/2016" "Present" "=""86""" "Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema" "10/01/2016" "Present" "=""87""" "Kidney Dysfunction." "10/01/2016" "Present" "=""88""" "Cancer (Present or past history)." "10/01/2016" "Present" "=""90""" "Intellectual Disability." "10/01/2016" "Present" "=""91""" "Significant Psychiatric Disorder, for example, bipolar disorder, schizophrenia, PTSD, or major depression." "10/01/2016" "Present" "=""92""" "Dwarfism." "10/01/2016" "Present" "=""93""" "Significant disfigurement, for example, disfigurements caused by burns, wounds, accidents, or congenital disorders." "10/01/2016" "Present" "=""94""" "Learning disability or attention deficit/hyperactivity disorder (ADD/ADHD)." "10/01/2016" "Present" "=""95""" "Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome, colitis, celiac disease, dysphexia." "10/01/2016" "Present" "=""96""" "Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis" "10/01/2016" "Present" "=""97""" "Liver disease, for example, hepatitis or cirrhosis." "10/01/2016" "Present" "=""98""" "History of alcoholism or history of drug addiction (but not currently using illegal drugs)." "10/01/2016" "Present" "=""99""" "Endocrine disorder, for example, thyroid dysfunction" "10/01/2016" "Present"