If true: how much distress did you experience?
		True	False	None	Mild	Moderate	Severe
1.	Do you have sometimes the impression that you cannot understand spoken or written words immediately, although these words are familiar to you?
2.	Have you noticed that you cannot remember familiar words or terms so that you have to search for them longer or that you have to use other words instead?
3.	Does it happen sometimes that too many thoughts race through your head without any connection between them?
4.	Do you sometimes find it more difficult than in the past to direct your attention onto 2 different things, eg, to follow a conversation and at the same time to take some notes, to drive a car or wash dishes?
5.	Does it happen to you that you can only concentrate with difficulties on a movie or a book, because nonrelevant thoughts distract or bother you, although these topics are actually without importance to you?
6.	Have you recently experienced that your stream of thoughts is getting disrupted, so that your present thought disappears or you cannot follow it anymore?
7.	Does it happen to you that experiences or conversations go through your mind again and again although these are actually nonsignificant and you would prefer to occupy yourself with other things?
8.	Does it happen to you that you can only hear snatches of conversation but you cannot fit them together in a meaningful way?
9.	Do things sometimes appear to be split up like a photograph that’s torn in bits and put together again?