Table 2.
Study partner CFI [10]
| Answer all questions with reference to one year ago. | |
|---|---|
| 1. | Do you feel the subject has had a significant decline in memory compared to one year ago? |
| 2. | Do the subject tend to repeat questions over and over? |
| 3. | Has the subject been misplacing things more often? |
| 4. | Does it seem to you that lately the subject is relying more on written reminders (e.g., shopping lists, calendars)? |
| 5. | Does the subject need more help from others to remember appointments, family occasions or holidays? |
| 6. | Does the subject have more trouble recalling names, finding the right word, or completing sentences? |
| 7. | Is the subject having more trouble driving (e.g., drive more slowly, have more trouble at night, tend to get lost, have accidents)? |
| 8. | Compared to one year ago, is the subject having more difficulty managing money (e.g., paying bills, calculating change, completing tax forms)? |
| 9. | Is the subject less involved in social activities? |
| 10. | Do you believe, based on your own observations or comments from the subject’s co-workers, that the subject’s work performance (paid or volunteer) has declined significantly, compared to one year ago? |
| 11. | Does the subject have more trouble following the news, or the plots of books, movies or TV shows, compared to one year ago? |
| 12. | Are there any activities (e.g., hobbies, such as card games, crafts) that are substantially more difficult for the subject now compared to one year ago? |
| 13. | Is the subject more likely to become disorientated, or get lost, for example when traveling to another city? |
| 14. | Does the subject have more difficulty usin2 household appliances (such as the washing machine, VCR or computer)? |