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cognitiveorder_1_
General information
| Question text: | |
| Answer type: | Radio buttons |
| Answer options: | 1 In the past 7 days: I have had trouble forming thoughts. 2 In the past 7 days: My thinking has been slow. 3 In the past 7 days: My thinking has been foggy. 4 In the past 7 days: I have had trouble adding or subtracting numbers in my head. 5 In the past 7 days: I have made mistakes when writing down phone numbers. 6 In the past 7 days: I have had trouble concentrating. 7 In the past 7 days: I have had trouble finding my way to a familiar place. 8 In the past 7 days: I have had trouble remembering where I put things, like my keys or my wallet. 9 In the past 7 days: I have had trouble remembering whether I did things I was supposed to do, like taking a medicine or buying something I needed. 10 In the past 7 days: I have had trouble remembering new information, like phone numbers or simple instructions. 11 In the past 7 days: I have had trouble recalling the name of an object while talking to someone. 12 In the past 7 days: I have had trouble speaking fluently. 13 In the past 7 days: I have walked into a room and forgotten what I meant to get or do there. 14 In the past 7 days: I have needed medical instructions repeated because I could not keep them straight. 15 In the past 7 days: I have had to work really hard to pay attention or I would make a mistake. 16 In the past 7 days: I have forgotten names of people soon after being introduced. 17 In the past 7 days: My reactions in everyday situations have been slow. 18 In the past 7 days: Other people have told me I seemed to have trouble remembering information. 19 In the past 7 days: It has seemed like my brain was not working as well as usual. 20 In the past 7 days: I have had to work harder than usual to keep track of what I was doing. 21 In the past 7 days: My thinking has been slower than usual. 22 In the past 7 days: I have had to work harder than usual to express myself clearly. 23 In the past 7 days: I have had to use written lists more often than usual so I would not forget things. 24 In the past 7 days: I have had trouble keeping track of what I was doing when interrupted. 25 In the past 7 days: I have had trouble shifting back and forth between different activities that require thinking. 26 In the past 7 days: I have hidden my problems with memory, concentration, or making mental mistakes so that others would not notice. 27 In the past 7 days: I have been upset about my problems with memory, concentration, or making mental mistakes. 28 In the past 7 days: My problems with memory, concentration, or making mental mistakes have interfered with my ability to work. 29 In the past 7 days: My problems with memory, concentration, or making mental mistakes have interfered with my ability to do things I enjoy. 30 In the past 7 days: My problems with memory, concentration, or making mental mistakes have interfered with the quality of my life. 31 In the past 7 days: I have had difficulty multi-tasking. 32 In the past 7 days: I have had more problems conversing with others. |
| Label: | cognitive order in which questions are asked |
| Empty allowed: | One-time warning |
| Error allowed: | Not allowed |
| Multiple instances: | Yes |