PC. Proxy Cognition
PC. Proxy Cognition module of AHEAD 1993
Start of PC. Proxy Cognition
If NOT "SELF-INTERVIEW" »
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V323
Part of this study is concerned with people's memory, and ability to think about things. First, how would you rate NAME's memory at the present time? Would you say it is excellent, very good, good, fair or poor?
PART OF THIS STUDY IS CONCERNED WITH PEOPLE'S MEMORY, AND ABILITY TO THINK ABOUT THINGS. FIRST, HOW WOULD YOU RATE NAME'S MEMORY AT THE PRESENT TIME? WOULD YOU SAY IT IS EXCELLENT, VERY GOOD, GOOD, FAIR OR POOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
PART OF THIS STUDY IS CONCERNED WITH PEOPLE'S MEMORY, AND ABILITY TO THINK ABOUT THINGS. FIRST, HOW WOULD YOU RATE NAME'S MEMORY AT THE PRESENT TIME? WOULD YOU SAY IT IS EXCELLENT, VERY GOOD, GOOD, FAIR OR POOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
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V324
Have you noticed any change in (his/her) memory over the past two years?
HAVE YOU NOTICED ANY CHANGE IN (HIS/HER) MEMORY OVER THE PAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK
9 RF
HAVE YOU NOTICED ANY CHANGE IN (HIS/HER) MEMORY OVER THE PAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK
9 RF
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If Have you noticed any change in (his/her) memory over the past two years? (V324) = 1 YES »
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V325
Is (his/her) memory better or worse than two years ago?
IS (HIS/HER) MEMORY BETTER OR WORSE THAN TWO YEARS AGO?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 BETTER
2 WORSE
8 DK
9 RF
IS (HIS/HER) MEMORY BETTER OR WORSE THAN TWO YEARS AGO?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 BETTER
2 WORSE
8 DK
9 RF
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If Is (his/her) memory better or worse than two years ago? (V325) = 1 BETTER »
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V326
Is it somewhat better, or much better?
IS IT SOMEWHAT BETTER, OR MUCH BETTER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MUCH BETTER
2 SOMEWHAT BETTER
8 DK
9 RF
IS IT SOMEWHAT BETTER, OR MUCH BETTER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MUCH BETTER
2 SOMEWHAT BETTER
8 DK
9 RF
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Else If Is (his/her) memory better or worse than two years ago? (V325) = 2 WORSE »
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V324C
V324C
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V328
How would you rate NAME in making judgements and decisions? Would you say (he/she) is excellent, very good, good, fair, or poor?
HOW WOULD YOU RATE NAME IN MAKING JUDGEMENTS AND DECISIONS? WOULD YOU SAY (HE/SHE) IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
HOW WOULD YOU RATE NAME IN MAKING JUDGEMENTS AND DECISIONS? WOULD YOU SAY (HE/SHE) IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
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V329
Have you noticed any change in (his/her) judgement and decision making over the past two years?
HAVE YOU NOTICED ANY CHANGE IN (HIS/HER) JUDGEMENT AND DECISION MAKING OVER THE PAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK
9 RF
HAVE YOU NOTICED ANY CHANGE IN (HIS/HER) JUDGEMENT AND DECISION MAKING OVER THE PAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK
9 RF
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If Have you noticed any change in (his/her) judgement and decision making over the past two years? (V329) = 1 YES »
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V330
Is (his/her) judgement better or worse than two years ago?
IS (HIS/HER) JUDGEMENT BETTER OR WORSE THAN TWO YEARS AGO?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 BETTER
2 WORSE
8 DK
9 RF
IS (HIS/HER) JUDGEMENT BETTER OR WORSE THAN TWO YEARS AGO?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 BETTER
2 WORSE
8 DK
9 RF
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If Is (his/her) judgement better or worse than two years ago? (V330) = 1 BETTER »
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V329B
V329B
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Else If Is (his/her) judgement better or worse than two years ago? (V330) = 2 WORSE »
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V332
Is it somewhat worse, or much worse?
IS IT SOMEWHAT WORSE, OR MUCH WORSE?
- - - - - - - - - - - - - - - - - - - - - - - - -
4 SOMEWHAT WORSE
5 MUCH WORSE
8 DK
9 RF
IS IT SOMEWHAT WORSE, OR MUCH WORSE?
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4 SOMEWHAT WORSE
5 MUCH WORSE
8 DK
9 RF
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V333
How would you rate NAME's ability to organize (his/her) daily activities? (Would you say (he/she) is excellent, very good, good, fair, or poor?)
HOW WOULD YOU RATE NAME'S ABILITY TO ORGANIZE (HIS/HER) DAILY ACTIVITIES? (WOULD YOU SAY (HE/SHE) IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?)
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1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
HOW WOULD YOU RATE NAME'S ABILITY TO ORGANIZE (HIS/HER) DAILY ACTIVITIES? (WOULD YOU SAY (HE/SHE) IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?)
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1 EXCELLENT
2 VERY GOOD
3 GOOD
4 FAIR
5 POOR
8 DK
9 RF
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V334
Have you noticed any change in (his/her) ability to organize over the past two years?
HAVE YOU NOTICED ANY CHANGE IN (HIS/HER) ABILITY TO ORGANIZE OVER THE PAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK
9 RF
HAVE YOU NOTICED ANY CHANGE IN (HIS/HER) ABILITY TO ORGANIZE OVER THE PAST TWO YEARS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 YES
5 NO
8 DK
9 RF
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If Have you noticed any change in (his/her) ability to organize over the past two years? (V334) = 1 YES »
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V334A
V334A
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If V334A = 1 »
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V336
Is it somewhat better, or much better?
IS IT SOMEWHAT BETTER, OR MUCH BETTER?
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1 MUCH BETTER
2 SOMEWHAT BETTER
8 DK
9 RF
IS IT SOMEWHAT BETTER, OR MUCH BETTER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MUCH BETTER
2 SOMEWHAT BETTER
8 DK
9 RF
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Else If V334A = 2 »
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V337
Is it somewhat worse, or much worse?
IS IT SOMEWHAT WORSE, OR MUCH WORSE?
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4 SOMEWHAT WORSE
5 MUCH WORSE
8 DK
9 RF
IS IT SOMEWHAT WORSE, OR MUCH WORSE?
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4 SOMEWHAT WORSE
5 MUCH WORSE
8 DK
9 RF
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V342
Does NAME ever get lost in a familiar environment?
DOES NAME EVER GET LOST IN A FAMILIAR ENVIRONMENT?
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1 YES
5 NO
8 DK
9 RF
DOES NAME EVER GET LOST IN A FAMILIAR ENVIRONMENT?
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1 YES
5 NO
8 DK
9 RF
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V343
Does (he/she) ever wander off and not return by (himself/herself)?
DOES (HE/SHE) EVER WANDER OFF AND NOT RETURN BY (HIMSELF/HERSELF)?
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1 YES
5 NO
8 DK
9 RF
DOES (HE/SHE) EVER WANDER OFF AND NOT RETURN BY (HIMSELF/HERSELF)?
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1 YES
5 NO
8 DK
9 RF
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PC7C
Can (he/she) be left alone for an hour or so?
CAN (HE/SHE) BE LEFT ALONE FOR AN HOUR OR SO?
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1 YES
5 NO
8 DK
9 RF
CAN (HE/SHE) BE LEFT ALONE FOR AN HOUR OR SO?
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1 YES
5 NO
8 DK
9 RF
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V345
Does NAME ever see or hear things that are not really there?
DOES NAME EVER SEE OR HEAR THINGS THAT ARE NOT REALLY THERE?
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1 YES
5 NO
8 DK
9 RF
DOES NAME EVER SEE OR HEAR THINGS THAT ARE NOT REALLY THERE?
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1 YES
5 NO
8 DK
9 RF
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PC8
During the past week, how often has NAME shown any of the following behaviors?
DURING THE PAST WEEK, HOW OFTEN HAS NAME SHOWN ANY OF THE FOLLOWING BEHAVIORS?
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1 CONTINUE
DURING THE PAST WEEK, HOW OFTEN HAS NAME SHOWN ANY OF THE FOLLOWING BEHAVIORS?
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1 CONTINUE
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V346
(During the past week) how often has (he/she) become angry or hostile without reason? Was it most of the time, some of the time, or never?
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) BECOME ANGRY OR HOSTILE WITHOUT REASON? WAS IT MOST OF THE TIME, SOME OF THE TIME, OR NEVER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) BECOME ANGRY OR HOSTILE WITHOUT REASON? WAS IT MOST OF THE TIME, SOME OF THE TIME, OR NEVER?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
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V347
(During the past week) How often has (he/she) had difficulties falling asleep or waking frequently during the night?
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) HAD DIFFICULTIES FALLING ASLEEP OR WAKING FREQUENTLY DURING THE NIGHT?
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1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) HAD DIFFICULTIES FALLING ASLEEP OR WAKING FREQUENTLY DURING THE NIGHT?
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1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
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PC8C
(During the past week) How often has (he/she) done things that are dangerous to (himself/herself) or others?
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) DONE THINGS THAT ARE DANGEROUS TO (HIMSELF/HERSELF) OR OTHERS?
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1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) DONE THINGS THAT ARE DANGEROUS TO (HIMSELF/HERSELF) OR OTHERS?
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1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
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V349
(During the past week) How often has (he/she) paced around or made unexplained rocking movements while sitting?
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) PACED AROUND OR MADE UNEXPLAINED ROCKING MOVEMENTS WHILE SITTING?
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1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) PACED AROUND OR MADE UNEXPLAINED ROCKING MOVEMENTS WHILE SITTING?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
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V350
(During the past week) How often has (he/she) mentioned that people are plotting against or trying to harm (him/her?)
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) MENTIONED THAT PEOPLE ARE PLOTTING AGAINST OR TRYING TO HARM (HIM/HER?)
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1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) MENTIONED THAT PEOPLE ARE PLOTTING AGAINST OR TRYING TO HARM (HIM/HER?)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
9 RF
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V351
(During the past week) How often has (he/she) drunk too much alcohol?
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) DRUNK TOO MUCH ALCOHOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
(DURING THE PAST WEEK) HOW OFTEN HAS (HE/SHE) DRUNK TOO MUCH ALCOHOL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 MOST OF THE TIME
2 SOME OF THE TIME
3 NEVER
8 DK
End of PC. Proxy Cognition