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Q9_1
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How would you rate your day-to-day memory at the present time? Would you say it is? |
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Q9_2
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How often would you find that you are absent minded, for example forgetting where you put your glasses / keys or finding yourself in a room having forgotten why you came in there? Would you say that you are absent minded in this sort of way... |
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Q9_3
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Please tell me what year it is. |
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Q9_4
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What month it is? |
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Q9_5
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Can you tell me what day of the week it is? |
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Q9_6
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Can you tell me what today's date is? |
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Q9_7
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Now please tell me all the words you can recall.[SELECT THE WORDS ONSCREEN THAT THE PARTICIPANT RECALLS. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES.] IF THE PARTICIPANT PAUSES FOR ~10 SECONDS AFTER RECALLING THE WORDS, SAY: ANYTHING ELSE? |
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Q9_7_
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The respondent's score is shown below. Please double check that this is correct and amend as necessary |
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Q9_8
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I'm going to tell you the names of some things you can find in the kitchen: spoons, knives, forks and plates. Can you think of other things in the kitchen? |
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Q9_9
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INTERVIEWER: Please code the number of animals the respondent has written on the record sheet |
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Q9_10
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Letter Digit Substitution Test Score |
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Q9_11
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Epigone |
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Q9_12
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A little while ago, you listened to a list of words and you repeated the ones you could remember. Please tell me any of the words that you remember now.[SELECT THE WORDS ONSCREEN THAT THE PARTICIPANT RECALLS. ALLOW AS MUCH TIME AS THE RESPONDENT WISHES, UP TO 2 MINUTES.] |
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Q9_13
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During the cognitive function test part 1 were there any factors that may have impaired the respondent's performance on the tests? |
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Q9_14
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Which factors were these? |
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Q9_15
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Which tests was the respondent's performance impaired on? |
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Q9_16
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How often did R receive assistance with answers in the cognitive function section part 1? |
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Q13_1
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Now we will do some more. Tell me the number of the piece that completes the pattern correctly. You will have 4 minutes to answer as many questions as you can. Are you ready? Go! |
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Q13_2
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How many calories (kcal) will you eat if you eat the whole container? |
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Q13_3
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If you are advised to eat no more than 60 grams of carbohydrate for dessert, what is the maximum amount of ice cream you could have? |
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Q13_4
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Imagine that your doctor advises you to reduce the amount of saturated fat in your diet. You usually have 42g of saturated fat each day, some of which comes from one serving of ice cream. If you stop eating ice cream, how many grams of saturated fat would you be eating each day? |
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Q13_5
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If you usually eat 2500 calories each day, what percentage of your daily calorie (kcal) intake will you get if you eat one serving of ice cream? |
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Q13_6
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Why would you have an allergic reaction? |
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Q13_7
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During the cognitive function test past 2 were there any factors that may have impaired the respondent's performance on the tests? |
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Q13_8
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Which factors were these? |
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Q13_9
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Which tests was the respondent's performance impaired on? |
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Q13_10
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HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN THE COGNITIVE FUNCTION SECTION PART 2? |
