9. Not asked *Q138 Have you tended to forget things Q138 For this and the next two questions, recently? rate only problems. DO NOT rate transient 0. No mistakes, 1. Yes, several times 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 Q139 OTHERWISE SKIP TO Q141 *Q139 What kinds of things? Names of Q139 This concerns family and family and close friends? friends, not persons only met occasionally 0. No 1. Yes, several times a week 2. Yes, at daily 8. No answer 9. Not asked *Q140 What where you have put Q140 To rate here means that the subject things? suffers some degree of inconvenience 0. No 1. Yes, several times a week 2. Yes, at daily 8. No answer 9. Not asked *Q141 Have you ever been in your own neighbourhood and forgotten your way? 0. No 1. Yes 8. No answer 9. Not asked *Q142 Do you have to make more effort to Q142 Rate as present only if this is a remember things than you used to? constant problem which the subject has to 0. No overcome by some strategy 1. Yes 8. No answer 9. Not IF YES ASK Q143, OTHERWISE SKIP TO Q145 *Q143 When did you first notice this beginning?
9. Not asked *Q138 Have you tended to forget things recently? 0. No 1. Yes, several times a week 2. Yes, at least daily 8. No answer 9. Not Q138 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 Q139 OTHERWISE SKIP TO Q141 *Q139 What kinds of things? Names of family and close friends? 0. No 1. Yes, several times a week 2. Yes, at daily 8. No answer 9. Not asked Q139 This concerns family and friends, not persons only met occasionally *Q140 What where you have put things? 0. No 1. Yes, several times a week 2. Yes, at daily 8. No answer 9. Not asked Q140 To rate here means that the subject suffers some degree of inconvenience *Q141 Have you ever been in your own neighbourhood and forgotten your way? 0. No 1. Yes 8. No answer 9. Not asked *Q142 Do you have to make more effort to remember things than you used to? 0. No 1. Yes 8. No answer 9. Not Q142 Rate as present only if this is a constant problem which the subject has to overcome by some strategy IF YES ASK Q143, OTHERWISE SKIP TO Q145 *Q143 When did you first notice this beginning?
CFAS-II-questionnaire-part-1-v5-111008.docx