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. 2023 Sep 4;76(4):e20220453. doi: 10.1590/0034-7167-2022-0453

Chart 1. Reconciled and back-translated versions of CSCW-21, Rio de Janeiro, Brazil, 2020.

Original Reconciled Back-translation
Title
Cognitive Symptom Checklist- Work-21 item (CSC-W21) Lista de conferência sobre sintomas cognitivos no trabalho - 21 itens (CSC-W21) Checklist of cognitive symptoms at work - 21 items (CSC-W21)
Instructions
Please read each of the following items below. They describe problems that you may or may not experience at work. Por favor, leia cada um dos itens abaixo. Eles descrevem problemas que você pode ou não apresentar durante o seu trabalho. Please, read each of the items below. They describe problems that you may or may not have at work.
Items
(Q1) I have difficulty remembering what I intended to write Eu tenho dificuldade para lembrar sobre o que eu pretendia escrever I have difficulty remembering what I intended to write about
(Q2) I have difficulty remembering my train of thought as I am speaking Eu tenho dificuldade para seguir minha linha de raciocínio enquanto estou falando I have difficulty following my line of reasoning while I am talking
(Q3) I have difficulty remembering the content of telephone conversations Eu tenho dificuldade para lembrar do conteúdo das conversas telefônicas I have difficulty remembering the content of telephone conversations
(Q4) I have difficulty remembering the content of conversations and/or meetings Eu tenho dificuldade em lembrar do conteúdo das conversas e/ou das reuniões I have difficulty remembering the content of conversations and/or meetings
(Q5) I have difficulty remembering a word I wish to say Eu tenho dificuldade para lembrar uma palavra que eu gostaria de dizer I have difficulty remembering a word I would like to say
(Q6) I have difficulty remembering the name of a familiar object or person Eu tenho dificuldade para lembrar o nome de um objeto ou pessoa familiar I have difficulty remembering the name of a familiar object or person
(Q7) I have difficulty remembering information that is “on the tip of my tongue” Eu tenho dificuldade para lembrar informações que estão na “ponta da minha língua” I have difficulty remembering information that is on “the tip of my tongue”
(Q8) I have difficulty remembering things someone has asked me to do Eu tenho dificuldade para lembrar de coisas que alguém me pediu para fazer I have difficulty remembering things that someone has asked me to do
(Q9) I have difficulty understanding a system Eu tenho dificuldade para entender um sistema I have difficulty understanding a system
(Q10) I have difficulty understanding how a task fits into a plan or system Eu tenho dificuldade para compreender como uma tarefa se encaixa em determinado plano ou sistema Eu tenho dificuldade para compreender como uma tarefa se encaixa em determinado plano ou sistema
(Q11) I have difficulty knowing where to look for information to solve a problem Eu tenho dificuldade para saber onde buscar informações para resolver um problema I have difficulty knowing where to look for information to solve a problem
(Q12) I have difficulty understanding systems and models Eu tenho dificuldade para compreender sistemas e modelos I have difficulty understanding systems and models
(Q13) I have difficulty figuring out how a decision was reached Eu tenho dificuldade em compreender como uma decisão foi alcançada I have difficulty understanding how a decision was reached
(Q14) I have difficulty using new information to re-evaluate what I know Eu tenho dificuldade em usar novas informações para reavaliar o que eu sei I have difficulty using new information to reassess what I know
(Q15) I have difficulty considering all aspects of what I hear and see instead of focusing on only one part Eu tenho dificuldade em considerar todos os aspectos sobre os quais ouço e vejo, ao invés de me focar somente em uma parte I have difficulty considering all the things I hear about and see, instead of focusing on only one part
(Q16) I have difficulty understanding what a problem is when it occurs and clearly stating what the problem is Eu tenho dificuldades em compreender qual é o problema, quando ele o ocorre e em expressar claramente do que se trata I have difficulty understanding what the problem is, when it happens and in expressing clearly what is involved
(Q17) I have difficulty following the flow of events Eu tenho dificuldade para acompanhar o fluxo de acontecimentos I have difficulty following the flow of events
(Q18) I have difficulty understanding graphs and flowcharts Eu tenho dificuldade para entender gráficos e fluxogramas I have difficulty understanding graphs and flow diagrams
(Q19) I have difficulty completing all the steps of a task or activity Eu tenho dificuldade para concluir todos os passos de uma tarefa ou de uma atividade I have difficulty completing all the steps in a task or activity
(Q20) I have difficulty staying with a task until completion Eu tenho dificuldade em ficar com uma tarefa até que ela seja concluída I have difficulty staying with a task until it is completed
(Q21) I have difficulty putting steps in order such that the most important steps are done first Eu tenho dificuldade para organizar os passos de uma atividade de forma que as mais importantes sejam realizadas primeiro I have difficulty organising the steps of an activity so that the most important ones are done first