Do I need to include the clause: “…even if wearing glasses” and “even if using a hearing aid”?

In a few countries we have learned that hearing aids are non-existent. In these cases it would be appropriate to omit the clause “…even if using a hearing aid.”

On the other hand, to indiscriminately omit the clause “…even if wearing glasses.” would grossly inflate disability prevalence since anyone who uses glasses or lenses to correct a visual impairment would answer affirmatively (many with serious difficulties).  Only in places where glasses are close to non-existent should the clause be removed.

If time and space permit, it may be preferable to split the two sensory questions, as in the Extended Set:

Do you wear glasses?

Yes

No

If Yes: Do you have difficulty seeing even if wearing your glasses?

If No: Do you have difficulty seeing?