XT105
XT105
| Description: |
Difficulties remembering where
|
|---|---|
| Item type: | Question |
| Question text: |
We would like to know more about the difficulties people have in their last year of life because of a physical, mental, emotional or memory problems. During the last year of [his/her] life, did [{name of the deceased}] have any difficulty remembering where [he/she] was? Please name only difficulties that lasted at least three months.
|
| Answer type: | Enumerated |
| Answer choices: |
1. Yes
5. No |
| Flowchart: | locate in flowchart |