This next section of questions is your memory. *Q119 Have you ever had any difficulty with your memory? 0. No 1. Yes 8. No answer 9. Not asked IF YES ASK Q120 OTHERWISE SKIP TO Q121 *Q120 Was/is that a problem for you? Q120 Rate as a problem if the respondent 0. No says that it is a problem 1. Yes, moderate 2. Yes, severe 8. No answer 9. Not asked *Q121 Have you tended to forget things recently? Q121 For this and the next two questions, rate only problems. DO NOT rate transient 0. No mistakes, 1. Yes, several a week A RATING of 1 implies it causes difficulty 2. Yes, at least daily several times a week. 8. No answer A RATING of 2 relates to the frequency of 9. Not the difficulty IF RATED 1 or 2 ask Q122 OTHERWISE SKIP TO Q124 *Q122 What kinds of things? Names of family and close friends? Q122 This concerns family and close friends, not persons only met occasionally 0. No 1. Yes, several times a week 2. Yes, at least daily 8. No answer 9. Not asked *Q123 What about where you have put Q123 To rate here means that the subject things? suffers some degree of inconvenience 0. No 1. Yes, several times a week 2. Yes, at least daily 8. No answer 9. Not asked *Q124 Have you ever been in your own neighbourhood and forgotten your way?
This next section of questions is your memory. *Q119 Have you ever had any difficulty with your memory? 0. No 1. Yes 8. No answer 9. Not asked IF YES ASK Q120 OTHERWISE SKIP TO Q121 *Q120 Was/is that a problem for you? 0. No 1. Yes, moderate 2. Yes, severe 8. No answer 9. Not asked Q120 Rate as a problem if the respondent says that it is a problem *Q121 Have you tended to forget things recently? 0. No 1. Yes, several a week 2. Yes, at least daily 8. No answer 9. Not Q121 For this and the next two questions, rate only problems. DO NOT rate transient mistakes, A RATING of 1 implies it causes difficulty several times a week. A RATING of 2 relates to the frequency of the difficulty IF RATED 1 or 2 ask Q122 OTHERWISE SKIP TO Q124 *Q122 What kinds of things? Names of family and close friends? 0. No 1. Yes, several times a week 2. Yes, at least daily 8. No answer 9. Not asked Q122 This concerns family and close friends, not persons only met occasionally *Q123 What about where you have put things? 0. No 1. Yes, several times a week 2. Yes, at least daily 8. No answer 9. Not asked Q123 To rate here means that the subject suffers some degree of inconvenience *Q124 Have you ever been in your own neighbourhood and forgotten your way?
Yr-2-follow-up-part-1.docx