Items of the HABC-Monitor
Over the past two weeks, how often did your loved one have problems with:
Cognitive items
1 Judgment or decision-making 2 Repeating the same things over and over, such as questions or stories 3 Forgetting the correct month or year 4 Handling complicated financial affairs, such as balancing checkbook, income taxes, and paying bills 5 Remembering appointments 6 Thinking or memory
Functional items
7 Learning how to use a tool, appliance, or gadget 8 Planning, preparing, or serving meals 9 Taking medications in the right dose at the right time 10 Walking or physical ambulation 11 Bathing 12 Shopping for personal items like groceries 13 Housework or household chores 14 Leaving her/him alone 15 Her/his safety 16 Her/his quality of life 17 Falling or tripping
Behavioral and psychological items
18 Less interest or pleasure in doing things, hobbies, or activities 19 Feeling down, depressed, or hopeless 20 Being stubborn, agitated, aggressive, or resistive to help from others 21 Feeling anxious, nervous, tense, fearful or panic 22 Believing others are stealing from them or planning to harm them 23 Hearing voices, seeing things, or talking to people who are not there 24 Poor appetite or overeating 25 Falling asleep, staying asleep, or sleeping too much 26 Acting impulsively, without thinking through the consequences of her/his actions 27 Wandering, pacing, or doing things repeatedly
Caregiver quality of life items
Over the past two weeks, how often did you have problems with:
28 Your quality of life 29 Your financial future 30 Your mental health 31 Your physical health

Note: A full copy of the HABC-Monitor is available at http://www.wishard.edu/our-services/senior-care/healthy-aging-brain-center/cgm.