CSI. COGACT

CSI. COGACT of LASI-DAD Informant W1

Label Type Description
CSI_COGACT1 Question Has there been a general decline in [CAPI: he/she] mental functioning?
CSI_COGACT1a Question When did you first notice this? Please estimate the date: Month, Year.[ENTER MONTH]IWER: PROBE for month and year
CSI_COGACT1b Question Did this happen slowly or suddenly?
CSI_COGACT1c Question Has the course of the decline been a steady downhill progression or have there been abrupt declines?
CSI_COGACT2 Question We all have slight difficulties with remembering things as we get older. Has this been a serious problem for [R NAME]?
CSI_COGACT2a Question Did this happen slowly or suddenly?
CSI_COGACT2b Question Has the course of the memory problems been a steady downhill progression or have there been abrupt declines?
CSI_COGACT3 Question Now I would like to ask about other changes you may have noticed in [CAPI: RESPONDENT NAME].Does [CAPI: he/she] forget where [CAPI: he/she] has put things? Would you say Yes, No, orSometimes?
CSI_COGACT4 Question Does [CAPI: he/she] forget where things are usually kept? Would you say Yes, No, or Sometimes?
CSI_COGACT5 Question Does [CAPI: he/she] forget the names of friends? Would you say Yes, No, or Sometimes?
CSI_COGACT6 Question Or, members of the family? Would you say Yes, No, or Sometimes?
CSI_COGACT7 Question Does [CAPI: he/she] forget what [CAPI: he/she] wanted to say in the middle of a conversation? Would you say Yes, No, or Sometimes?
CSI_COGACT8 Question When speaking does [CAPI: he/she] have difficulty finding the right words? Would you say Yes, No, orSometimes?
CSI_COGACT9 Question Does [CAPI: he/she] use the wrong words? Would you say Yes, No, or Sometimes?
CSI_COGACT10 Question Does [CAPI: he/she]) tend to talk about what happened long ago, rather than the present? Would you say Yes, No, or Sometimes?
CSI_COGACT11 Question Does [CAPI: he/she] forget when [CAPI: he/she] last saw you? Would you say Yes, No, or Sometimes?
CSI_COGACT12 Question Does [CAPI: he/she] forget what happened the day before? Would you say Yes, No, or Sometimes?
CSI_COGACT13 Question Does [CAPI: he/she] forget where [CAPI: he/she] is? Would you say Yes, No, or Sometimes?
CSI_COGACT14 Question Does [CAPI: he/she] get lost in the community, such as when finding the postoffice or friends' houses?
CSI_COGACT15 Question Does [CAPI: he/she] get lost in [CAPI: his/her] own home, such as when finding the toilet? Would you say Yes, No, or Sometimes?