Section B: Cognitive Evaluation

Section B: Cognitive Evaluation Module of CRELES Wave 4

item label type description
B1a Question Please tell me today's date (note 1 point for each correct response) Day of week
B1b Question Please tell me today's date (note 1 point for each correct response) Day of the month
B1c Question Please tell me today's date (note 1 point for each correct response) Month
B1d Question Please tell me today's date (note 1 point for each correct response) Year
B2a Question Now I am going to name 3 objects. After I name them I am going to ask you to repeat aloud the words that you can remember in whatever order. Please remember what the words are because I will ask you again later in the interview. Do you have any questions? Tree
B2b Question Table
B2c Question Dog
B3 Question Now I will state some numbers and I want you repeat them in reverse order. 1 3 5 7 9 Note: Write 1 if the order is correct (9 7 5 3 1) and 0 for any other response.
BP4a Question Now let 's try some subtraction of numbers. One hundred minus 7 equals what? [IF Respondent ADDS 7 INSTEAD, YOU MAY REPEAT QUESTION]
BP4b Question And 7 from that?
B4N Question Interviewer; Is the interviewee disabled?
B4a Question I am go ing to give you a sheet of paper. Take the paper with your RIGHT HAND, fo ld it in HALF with BOTH HANDS and place it ON YOUR LAP. Takes paper with right hand.
B4b Question I am go ing to give you a sheet of paper. Take the paper with your RIGHT HAND, fo ld it in HALF with BOTH HANDS and place it ON YOUR LAP. Folds paper with both hands
B4c Question I am go ing to give you a sheet of paper. Take the paper with your RIGHT HAND, fo ld it in HALF with BOTH HANDS and place it ON YOUR LAP. Places it on lap
B5a Question A moment ago I named 3 words and you repeated those which you remembered. Please tell me which of these you remember now. (Remembered 1, Did not remember 0) Tree
B5b Question Table
B5c Question Dog
Start of Section B: Cognitive Evaluation
 

 
End of Section B: Cognitive Evaluation