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11F-000
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May I measure your grip strength? |
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11F-001
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[Show respondent grip strength measuring tool] May I perform the test? |
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11F-002
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Assess the condition of the respondent. |
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11F-003
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1. Respondent can use both hands
2. Respondent cannot use right hand
3. Respondent cannot use left hand
4. Respondent cannot use either hand
5. Don't know |
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11F-004_2
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Indicate which hand was measured |
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11F-004_3
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Grip strength
Choices |
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11F-005-2
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Indicate which hand was measured for remeasurement. |
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11F-005-3
|
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Grip strength(remeasurement)
Choices |
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11F-007
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So let me start with a test on the capability of memorizing vocabulary. From now on I will read the names of several things, and each word once. Since I will read many words, for most people it might not be possible for them to memorize all the names. When I indicate that I have finished reading the names, please try to recall as many as possible of the names of things I have read and say them. It does not matter if the order is different from the order of words that I read. Please try your best to listen to the words and memorize them. Have you understood this question? |
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11F-008-0
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11F-008-0:
Generate random variable, go to the each question following it.
Go to 11F-008-1,11F-008-2, or 11F-008-3 depending on the random variable. |
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11F-008-1
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Interviewer: Read the following words slowly and clearly, pausing after each word. As a rule, try to read the words only once, but if the respondent did not hear, you may repeat a word once. Wait up to a minute for respondent to answer. The order of the response is not important. Indicate below whether respondent was able to answer. If respondent takes more than one minute to answer, say "Thank you," and continue to the next question.][If respondent stops in the middle of his or her answer, place a check next to the words respondent was able to remember and also next to "Could not answer after trying for one minute or more." |
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11F-008-2
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[To the interviewer: Use the 11F-008-2 card sets. Ask the respondent to read out and memorize the words on the cards as you show them one by one. When you have shown all of the cards, hide them and ask the respondent to recall as many of the words as possible. Even if the respondent is unable to recall immediately, allow about a minute for him/her to remember. If he/she remains stuck on the answer for more than one minute, say "Thank you," and proceed to the next question. In the table below, enter a checkmark in the cell immediately below each word recalled. If the respondent is unable to remember any more words in the middle of the test, place a checkmark in the cell below "Stuck on the answer for more than one minute" as well.] |
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11F-008-3
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Interviewer: Read the following words slowly and clearly, pausing after each word. As a rule, try to read the words only once, but if the respondent did not hear, you may repeat a word once. Wait up to a minute for respondent to answer. The order of the response is not important. Indicate below whether respondent was able to answer. If respondent takes more than one minute to answer, say "Thank you," and continue to the next question.][If respondent stops in the middle of his or her answer, place a check next to the words respondent was able to remember and also next to "Could not answer after trying for one minute or more." |
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11F-009
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Interviewer: Check whatever is applicable, if any, during the test. |
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11F-010
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Who answered the questions in this section |