E. Cognition

The series of cross-cultural cognition exercises (ECCC for its Spanish acronym) was designed to briefly measure a series of basic cognition functions that are considered comprehensive to evaluate the memory and mental health of people. It includes eight cognition domains: attentiveness, language, visual-space capacity, verbal memory, visual memory, recent memory, abstraction, and psychomotor speed.

item label type description
CUNICAH System generated Unique household ID - 2001
ACTHOG Question Updated Household 2001
ENT2 Question Individual Code of Respondent
TIPENT Question Type of Individual Interview
E1 Question Indicate language of the interview
E2 Question Do you need glasses to read or see the objects on a page?
E3 Question asked of interviewer Interviewer: Find out if the respondent wears glas
E4 Question Do you have problems holding a pencil?
E5 Question What kind of problem(s) do you have?
E6_E7 Question Copying of figures
E8 Question Indicate which list you used for the verbal recall
E9_A1 Question Verbal Immediate Recall-List A, Attempt 1
E9_A1_9 Question Total number of words remembered, immediate, List A, Attempt 1
E9_A2 Question Verbal Immediate Recall-List A, Attempt 1
E9_A2_9 Question Total number of words remembered, immediate, List A, Attempt 2
E9_A3 Question Verbal Immediate Recall-List A, Attempt 1
E9_A3_9 Question Total number of words remembered, immediate, List A, Attempt 3
E9_B1 Question Verbal Immediate Recall-List A, Attempt 1
E9_B1_9 Question Total number of words remembered, immediate, List A, Attempt 1
E9_B2 Question Verbal Immediate Recall-List A, Attempt 1
E9_B2_9 Question Total number of words remembered, immediate, List A, Attempt 2
E9_B3 Question Verbal Immediate Recall-List A, Attempt 1
E9_B3_9 Question Total number of words remembered, immediate, List A, Attempt 3
E10 Question Visual scanning
E11 Question Visual figure recall
E12A Question Verbal Delayed Recall-List A
E12A_9 Question Total number of words remembered, delayed, List A
E12B Question Verbal Delayed Recall-List B
E12B_9 Question Total number of words remembered, delayed, List B
E13A Question Orientation: Can you please tell me what is today's date?-Did the respondent recall the day correctly?
E13B Question Orientation: Can you please tell me what is today's date?-Did the respondent recall the month correctly?
E13C Question Orientation: Can you please tell me what is today's date?-Did the respondent recall the year correctly?
Start of E. Cognition
 
E1

Indicate language of the interview

INDICATE LANGUAGE OF THE INTERVIEW
expand
 
If Indicate language of the interview != 2 »
 
   
 
E2

Do you need glasses to read or see the objects on a page?

DO YOU NEED GLASSES TO READ OR SEE THE OBJECTS ON A PAGE?
expand
   
 
If Do you need glasses to read or see the objects on a page? = 1. Yes
2. No »
 
     
   
E3

Interviewer: Find out if the respondent wears glas

1. YES
2. NO
     
 
If Do you need glasses to read or see the objects on a page? = 2 or Interviewer: Find out if the respondent wears glas = 1 »
 
     
   
E4

Do you have problems holding a pencil?

DO YOU HAVE PROBLEMS HOLDING A PENCIL?
expand
     
 
If Do you have problems holding a pencil? = 1. Yes
2. No
8. RF »
 
     
   
E5

What kind of problem(s) do you have?

WHAT KIND OF PROBLEM(S) DO YOU HAVE?
expand
     
 
If What kind of problem(s) do you have? = 4 »
 
     
   
E6_E7

Copying of figures

DRAW THIS FIGURE IN THE SPACE PROVIDED. TRY TO DRAW YOUR FIGURE SO THAT IT APPEARS EXACTLY LIKE MINE.

[EACH DRAWN FIGURE IS GRADED AS INTACT (1) OR IMPEDE (0), AND GRADES FOR BOTH FIGURES ARE ADDED UP. A TOTAL GRADE OF 2 MEANS THE FIGURE IS PASSED.

FLAGS: THE DESIGN CONTAINS FIVE ELEMENTS: (1) UPPER TRIANGLE, (2) UPPER VERTICAL LINE, (3) ´V´ SHAPE TOWARDS THE RIGHT, (4) LOWER VERTICAL LINE, AND (5) LOWER SQUARE. A FIGURE WAS GRADED AS IMPEDE IF THERE WERE MAJOR DISTORTIONS IN THE SHAPE OR ORIENTATION OF MORE THAN ONE ELEMENT. ERRORS IN THE INDIVIDUAL ELEMENTS' SHAPE OR THE WHOLE DESIGN WERE NOT CONSIDERED WHEN GRADING. THE COMPLETE ROTATION OF THE DESIGN WAS CONSIDERED ACCEPTABLE IF ALL FIVE ELEMENTS WERE PRESENT IN CORRECT RELATION AMONG THEM.

TRIANGLE: THE DESIGN CONTAINS THREE ELEMENTS: (1) OUTER TRIANGLE, (2) OPEN RECTANGLE VERTICALLY ORIENTED, AND (3) CLOSED RECTANGLE HORIZONTALLY ORIENTED. THE FIGURE WAS GRADED AS INTACT ONLY IF THE THREE ELEMENTS WERE PRESENT. THE ROTATION OF THE WHOLE DESIGN WAS CONSIDERED ACCEPTABLE IF ALL THREE ELEMENTS WERE PRESENT IN THE CORRECT RELATIONSHIP AMONG THEM.]
expand
     
 
E8

Indicate which list you used for the verbal recall

INDICATE WHICH LIST YOU USED FOR THE VERBAL RECALL
expand
   
 
If E8! = 8 »
 
     
   
E9_A1

Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
     
   
E9_A1_9

Total number of words remembered, immediate, List A, Attempt 1

expand
     
   
E9_A2

Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
     
   
E9_A2_9

Total number of words remembered, immediate, List A, Attempt 2

expand
     
   
E9_A3

Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
     
   
E9_A3_9

Total number of words remembered, immediate, List A, Attempt 3

expand
     
   
E9_B1

Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
     
   
E9_B1_9

Total number of words remembered, immediate, List A, Attempt 1

expand
     
   
E9_B2

Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
     
   
E9_B2_9

Total number of words remembered, immediate, List A, Attempt 2

expand
     
   
E9_B3

Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
     
   
E9_B3_9

Total number of words remembered, immediate, List A, Attempt 3

expand
     
 
If Do you have problems holding a pencil? != 8 and What kind of problem(s) do you have? != 1 and What kind of problem(s) do you have? != 2 and What kind of problem(s) do you have? != 3 »
 
     
   
E10

Visual scanning

ON THE FOLLOWING PAGE, PLEASE LOOK FOR THOSE FIGURES THAT APPEAR EXACTLY THE SAME AS THIS ONE I AM NOW SHOWING YOU. FIND AS MANY FIGURES AS YOU CAN, AND PUT A CIRCLE AROUND EACH FIGURE LIKE I AM DOING. (WITH A PENCIL, CIRCLE AN EXAMPLE IN THE MIDDLE OF THE PAGE). CIRCLE ONLY THE FIGURES THAT ARE EXACTLY LIKE THIS ONE. WORK AS QUICKLY AS YOU CAN, UNTIL I TELL YOU TO STOP.

[BEGIN TO COUNT THE TIME WHEN THE RESPONDENT CIRCLES THE FIRST OBJECT, AND FINISH 60 SECONDS FROM THAT POINT. [GRADE OF VISUAL SCANNING: NUMBER OF OBJECTS THAT THE RESPONDENT CIRCLED CORRECTLY (THERE ARE A TOTAL OF OBJECTS). OBJECTS THAT WERE CIRCLED BUT DO NOT CORRESPOND TO THE OBJECT OF REFERENCE WERE NOT COUNTED. THE RESPONDENT PASSES THE VISUAL SCANNING WITH A GRADE GREATER THAN 24.]
expand
     
   
E11

Visual figure recall

PLEASE RECALL THE FIGURES YOU DREW BEFORE. DRAW THEM AGAIN ON THIS PIECE OF PAPER.

[SUGGEST TO THE RESPONDENT THAT S/HE CAN GUESS OR GIVE PARTIAL ANSWERS IF S/HE APPEARS TO BE INSECURE. IF THE RESPONDENT PRODUCES A DESIGN OF THE VISUAL SCANNING TEST, TELL THE RESPONDENT:

PLEASE DRAW THE OTHER FIGURES THAT YOU DREW BEFORE.

PERMIT ONLY THREE MINUTES TO DRAW THE TWO FIGURES.]
expand
     
 
E12A

Verbal Delayed Recall-List A

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
   
 
E12A_9

Total number of words remembered, delayed, List A

expand
   
 
E12B

Verbal Delayed Recall-List B

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
expand
   
 
E12B_9

Total number of words remembered, delayed, List B

expand
   
 
E13A

Orientation: Can you please tell me what is today's date?-Did the respondent recall the day correctly?

ORIENTATION: CAN YOU PLEASE TELL ME WHAT IS TODAY'S DATE?-DID THE RESPONDENT RECALL THE DAY CORRECTLY?
expand
   
 
E13B

Orientation: Can you please tell me what is today's date?-Did the respondent recall the month correctly?

ORIENTATION: CAN YOU PLEASE TELL ME WHAT IS TODAY'S DATE?-DID THE RESPONDENT RECALL THE MONTH CORRECTLY?
expand
   
 
E13C

Orientation: Can you please tell me what is today's date?-Did the respondent recall the year correctly?

ORIENTATION: CAN YOU PLEASE TELL ME WHAT IS TODAY'S DATE?-DID THE RESPONDENT RECALL THE YEAR CORRECTLY?
expand
   
End of E. Cognition
Start of E. Cognition

========================================================================
E1
Indicate language of the interview

INDICATE LANGUAGE OF THE INTERVIEW
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Spanish
2. Other

If Indicate language of the interview (E1) != 2 »

|  ========================================================================
E2
Do you need glasses to read or see the objects on a page?

DO YOU NEED GLASSES TO READ OR SEE THE OBJECTS ON A PAGE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No

If Do you need glasses to read or see the objects on a page? (E2) = 1. Yes
2. No »


| |  ========================================================================
If Do you need glasses to read or see the objects on a page? (E2) = 2 or Interviewer: Find out if the respondent wears glas (E3) = 1 »

| |  ========================================================================
| | 
E4
Do you have problems holding a pencil?

DO YOU HAVE PROBLEMS HOLDING A PENCIL?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No
8. RF

If Do you have problems holding a pencil? (E4) = 1. Yes
2. No
8. RF »


| |  ========================================================================
| | 
E5
What kind of problem(s) do you have?

WHAT KIND OF PROBLEM(S) DO YOU HAVE?
- - - - - - - - - - - - - - - - - - - - - - - - -
0. Invalid code
1. Paralyzed, or has no hands or fingers.
2. Tried but cannot hold/grasp pencil
3. Refused to hold pencil.
4. Can hold pencil

If What kind of problem(s) do you have? (E5) = 4 »

| |  ========================================================================
| | 
E6_E7
Copying of figures

DRAW THIS FIGURE IN THE SPACE PROVIDED. TRY TO DRAW YOUR FIGURE SO THAT IT APPEARS EXACTLY LIKE MINE.

[EACH DRAWN FIGURE IS GRADED AS INTACT (1) OR IMPEDE (0), AND GRADES FOR BOTH FIGURES ARE ADDED UP. A TOTAL GRADE OF 2 MEANS THE FIGURE IS PASSED.

FLAGS: THE DESIGN CONTAINS FIVE ELEMENTS: (1) UPPER TRIANGLE, (2) UPPER VERTICAL LINE, (3) ´V´ SHAPE TOWARDS THE RIGHT, (4) LOWER VERTICAL LINE, AND (5) LOWER SQUARE. A FIGURE WAS GRADED AS IMPEDE IF THERE WERE MAJOR DISTORTIONS IN THE SHAPE OR ORIENTATION OF MORE THAN ONE ELEMENT. ERRORS IN THE INDIVIDUAL ELEMENTS' SHAPE OR THE WHOLE DESIGN WERE NOT CONSIDERED WHEN GRADING. THE COMPLETE ROTATION OF THE DESIGN WAS CONSIDERED ACCEPTABLE IF ALL FIVE ELEMENTS WERE PRESENT IN CORRECT RELATION AMONG THEM.

TRIANGLE: THE DESIGN CONTAINS THREE ELEMENTS: (1) OUTER TRIANGLE, (2) OPEN RECTANGLE VERTICALLY ORIENTED, AND (3) CLOSED RECTANGLE HORIZONTALLY ORIENTED. THE FIGURE WAS GRADED AS INTACT ONLY IF THE THREE ELEMENTS WERE PRESENT. THE ROTATION OF THE WHOLE DESIGN WAS CONSIDERED ACCEPTABLE IF ALL THREE ELEMENTS WERE PRESENT IN THE CORRECT RELATIONSHIP AMONG THEM.]
- - - - - - - - - - - - - - - - - - - - - - - - -
00. Zero intact figures
01. One intact figure
02. Two intact figures
80. RF
88. Couldn't do it for vision problems

|  ========================================================================
E8
Indicate which list you used for the verbal recall

INDICATE WHICH LIST YOU USED FOR THE VERBAL RECALL
- - - - - - - - - - - - - - - - - - - - - - - - -
1. List A
2. List B
8. Refused

If E8! = 8 »

| |  ========================================================================
| | 
E9_A1
Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Water
2. Honey
3. Bed
4. Cloud
5. Love
6. Vote
7. Plan
8. Sum

Answer values:
1. Yes
2. No

| |  ========================================================================
| | 
E9_A1_9
Total number of words remembered, immediate, List A, Attempt 1

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

| |  ========================================================================
| | 
E9_A2
Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Water
2. Honey
3. Bed
4. Cloud
5. Love
6. Vote
7. Plan
8. Sum

Answer values:
1. Yes
2. No

| |  ========================================================================
| | 
E9_A2_9
Total number of words remembered, immediate, List A, Attempt 2

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

| |  ========================================================================
| | 
E9_A3
Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Water
2. Honey
3. Bed
4. Cloud
5. Love
6. Vote
7. Plan
8. Sum

Answer values:
1. Yes
2. No

| |  ========================================================================
| | 
E9_A3_9
Total number of words remembered, immediate, List A, Attempt 3

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

| |  ========================================================================
| | 
E9_B1
Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Air
2. Silk
3. Chair
4. Cross
5. Hate
6. Life
7. Real
8. Doubt

Answer values:
1. Yes
2. No

| |  ========================================================================
| | 
E9_B1_9
Total number of words remembered, immediate, List A, Attempt 1

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

| |  ========================================================================
| | 
E9_B2
Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Air
2. Silk
3. Chair
4. Cross
5. Hate
6. Life
7. Real
8. Doubt

Answer values:
1. Yes
2. No

| |  ========================================================================
| | 
E9_B2_9
Total number of words remembered, immediate, List A, Attempt 2

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

| |  ========================================================================
| | 
E9_B3
Verbal Immediate Recall-List A, Attempt 1

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Air
2. Silk
3. Chair
4. Cross
5. Hate
6. Life
7. Real
8. Doubt

Answer values:
1. Yes
2. No

| |  ========================================================================
| | 
E9_B3_9
Total number of words remembered, immediate, List A, Attempt 3

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

If Do you have problems holding a pencil? (E4) != 8 and What kind of problem(s) do you have? (E5) != 1 and What kind of problem(s) do you have? (E5) != 2 and What kind of problem(s) do you have? (E5) != 3 »

| |  ========================================================================
| | 
E10
Visual scanning

ON THE FOLLOWING PAGE, PLEASE LOOK FOR THOSE FIGURES THAT APPEAR EXACTLY THE SAME AS THIS ONE I AM NOW SHOWING YOU. FIND AS MANY FIGURES AS YOU CAN, AND PUT A CIRCLE AROUND EACH FIGURE LIKE I AM DOING. (WITH A PENCIL, CIRCLE AN EXAMPLE IN THE MIDDLE OF THE PAGE). CIRCLE ONLY THE FIGURES THAT ARE EXACTLY LIKE THIS ONE. WORK AS QUICKLY AS YOU CAN, UNTIL I TELL YOU TO STOP.

[BEGIN TO COUNT THE TIME WHEN THE RESPONDENT CIRCLES THE FIRST OBJECT, AND FINISH 60 SECONDS FROM THAT POINT. [GRADE OF VISUAL SCANNING: NUMBER OF OBJECTS THAT THE RESPONDENT CIRCLED CORRECTLY (THERE ARE A TOTAL OF OBJECTS). OBJECTS THAT WERE CIRCLED BUT DO NOT CORRESPOND TO THE OBJECT OF REFERENCE WERE NOT COUNTED. THE RESPONDENT PASSES THE VISUAL SCANNING WITH A GRADE GREATER THAN 24.]
- - - - - - - - - - - - - - - - - - - - - - - - -
00. Zero points
80. RF
88. Couldn't do it for sight problems

| |  ========================================================================
| | 
E11
Visual figure recall

PLEASE RECALL THE FIGURES YOU DREW BEFORE. DRAW THEM AGAIN ON THIS PIECE OF PAPER.

[SUGGEST TO THE RESPONDENT THAT S/HE CAN GUESS OR GIVE PARTIAL ANSWERS IF S/HE APPEARS TO BE INSECURE. IF THE RESPONDENT PRODUCES A DESIGN OF THE VISUAL SCANNING TEST, TELL THE RESPONDENT:

PLEASE DRAW THE OTHER FIGURES THAT YOU DREW BEFORE.

PERMIT ONLY THREE MINUTES TO DRAW THE TWO FIGURES.]
- - - - - - - - - - - - - - - - - - - - - - - - -
00. Zero points
01. One point
02. Two points
80. RF
88. Couldn't do it for sight problems

|  ========================================================================
E12A
Verbal Delayed Recall-List A

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Water
2. Honey
3. Bed
4. Cloud
5. Love
6. Vote
7. Plan
8. Sum

Answer values:
1. Yes
2. No

|  ========================================================================
E12A_9
Total number of words remembered, delayed, List A

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

|  ========================================================================
E12B
Verbal Delayed Recall-List B

I'M GOING TO READ YOU A LIST OF WORDS. LISTEN CAREFULLY. WHEN I FINISH READING THEM, YOU SHOULD REPEAT ALL THE WORDS THAT YOU CAN.

[IT DOES NOT MATTER THE ORDER IN WHICH YOU REPEAT THEM.

IN CASE OF INTERVIEW WITH A COUPLE, ASK THE MONTH OF BIRTH OF EACH PERSON. USE LIST A FOR THE PERSON BORN IN THE EARLIER MONTH OF THE CALENDAR YEAR AND LIST B FOR THE LATTER ONE.]
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Air
2. Silk
3. Chair
4. Cross
5. Hate
6. Life
7. Real
8. Doubt

Answer values:
1. Yes
2. No

|  ========================================================================
E12B_9
Total number of words remembered, delayed, List B

- - - - - - - - - - - - - - - - - - - - - - - - -
0..8

|  ========================================================================
E13A
Orientation: Can you please tell me what is today's date?-Did the respondent recall the day correctly?

ORIENTATION: CAN YOU PLEASE TELL ME WHAT IS TODAY'S DATE?-DID THE RESPONDENT RECALL THE DAY CORRECTLY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No/DK

|  ========================================================================
E13B
Orientation: Can you please tell me what is today's date?-Did the respondent recall the month correctly?

ORIENTATION: CAN YOU PLEASE TELL ME WHAT IS TODAY'S DATE?-DID THE RESPONDENT RECALL THE MONTH CORRECTLY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1. Yes
2. No/DK

|  ========================================================================
E13C
Orientation: Can you please tell me what is today's date?-Did the respondent recall the year correctly?

ORIENTATION: CAN YOU PLEASE TELL ME WHAT IS TODAY'S DATE?-DID THE RESPONDENT RECALL THE YEAR CORRECTLY?
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1. Yes
2. No/DK

End of E. Cognition