1. Can you hear me?	YES ….. (continue)	NO ….. (exit)
2. Mental state screen
What is the date and time?	CORRECT ….. (continue)	INCORRECT …. (exit)
What is this place?	CORRECT ….. (continue)	INCORRECT …. (exit)
What is my job?	CORRECT ….. (continue)	INCORRECT …. (exit)
3. What is a cataract? (all continue)
….. A – A film on the outside of the eye
….. B – Clouding of the lens
….. C – Watering of the eye
….. D – Redness of the eye
4. Are you aware that cataract surgery (in addition to having a good chance of improving your vision) also involves an element of risk to your sight?
	YES ….. (continue)	NO ….. (continue)
5. How much would you like to know about the risks of your operation?
….. A – Nothing at all – I’ll leave it all to the doctors	(exit at this point)
….. B – Only my chances of seeing better	(exit at this point)
….. C – My chances of seeing better and worse	(continue)
….. D – What the doctor thinks I ought to know	(continue)
6. Of the things that may go wrong, what would you like to know? (all continue)
….. A – Only the most serious complications (for example loss of sight)
….. B – Only the commonest complications
….. C – Both common and serious complications
7. Do you wish to hear some more information about specific risks of cataract surgery and take part in a survey regarding these risks?
	YES ….. (continue)	NO ….. (exit)
8. Can you read this writing? (show then the presentation on screen)
	YES ….. (continue)	NO ….. (exit)