assessment interview questionnaire & manualq41 life not worth living q85 taken anything q42 regard...

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Assessment interview CFAS I ASSESSMENT INTERVIEW QUESTIONNAIRE & MANUAL Questions asked in the assessment interview can be grouped into the following sections: ORIENTATION Q51 RATE appears tense/worried Q1 Reiterate interviewer’s name Q52 RATE appears sad/gloomy mournful Q2 Spell own name Q53 RATE appears apprehensive/fearful Q3 Date of birth Q54 RATE eyes moist/tearful Q4 Age Q5 Age discrepancy MEMORY Q6 Type of housing Q55 Difficulty with memory Q7 Address of place Q56 Forget names of family/friends Q8 Name of place Q57 Forget where put things Q9 Seen before Q58 Forgotten way in neighbourhood Q10 RATE Confabulation Q59 Have to make effort to remember Q11 RATE talks aimlessly Q60 When did it begin Q61 Onset of forgetfulness WORRY Q62 Remember interviewers name Q12 Worries Q63 RATE difficulty with memory Q13 Worries about own health Q14 Worries about other’s health GENERAL MENTAL FUNCTIONING Q15 Worries about money Q64 Talk more about the past Q16 Worries about family problems Q65 Difficulty finding right word Q17 More tense/worried than usual Q18 Undue worry EVERYDAY ACTIVITIES Q19 Worrying bothersome Q66 Needs help with money Q20 Children Q67 Household tasks difficult Q21 Bothered by relationship with children Q68 OBS difficulties due to physical self Q69 Difficulty controlling bladder GENERAL ANXIETY Q22 Get frightened TENSION Q23 Panic attacks with need for action Q70 Gets exhausted Q24 Panic attacks/feeling loss of control Q71 Difficulty relaxing Q25A Anxious situations Q72 Suffers headaches Q25B Specify situations Q73 – Type of headache Q26 Heart pounding Q27 Trembling CEREBROVASCULAR FUNCTION Q28 RATE bodily features anxiety Q74 Feels dizzy Q75 Tendency to fall DEPRESSION Q76 Difficulty with speech Q29 Been sad/depressed/miserable Q77 OBS looks emaciated/frail Q30 Cried Q78 OBS limbs paralyzed Q31 Felt like crying Q79 Stroke Q32 There most of time Q33 How long does it last SOMATIC DYSFUNCTION Q34 How often Q80 Appetite change Q35 Different from usual sadness Q81 RATE appetite loss due to med condition Q36 Any reason for depression Q82 Loss of appetite most days Q37 Fluctuating mood Q83 Recent weight change Q38 Diurnal variation Q39 Relieved by SLEEP Q40 How long relieved Q84 Trouble sleeping Q41 Life not worth living Q85 Taken anything Q42 Regard future Q86 How long troubled sleep Q43 Things will work out Q87 RATE insomnia Q44 Felt hopeless/despairing Q88 Difficulty falling asleep Q45 Why Q89 Sleep interrupted Q46 Rather be dead Q90 Wakes up early Q47 When was that Q91 RATE waking up early Q48 How much of the time Q92 What disturbs sleep Q49 Attempt suicide Q50 RATE appears tense/worried/fearful

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  • Assessment interview CFAS I

    ASSESSMENT INTERVIEW QUESTIONNAIRE & MANUAL

    Questions asked in the assessment interview can be grouped into the following sections: ORIENTATION Q51 RATE appears tense/worried Q1 Reiterate interviewer’s name Q52 RATE appears sad/gloomy mournful Q2 Spell own name Q53 RATE appears apprehensive/fearful Q3 Date of birth Q54 RATE eyes moist/tearful Q4 Age Q5 Age discrepancy MEMORY Q6 Type of housing Q55 Difficulty with memory Q7 Address of place Q56 Forget names of family/friends Q8 Name of place Q57 Forget where put things Q9 Seen before Q58 Forgotten way in neighbourhood Q10 RATE Confabulation Q59 Have to make effort to remember Q11 RATE talks aimlessly Q60 When did it begin Q61 Onset of forgetfulness

    WORRY Q62 Remember interviewers name Q12 Worries Q63 RATE difficulty with memory Q13 Worries about own health Q14 Worries about other’s health GENERAL MENTAL FUNCTIONING Q15 Worries about money Q64 Talk more about the past Q16 Worries about family problems Q65 Difficulty finding right word Q17 More tense/worried than usual Q18 Undue worry EVERYDAY ACTIVITIES Q19 Worrying bothersome Q66 Needs help with money Q20 Children Q67 Household tasks difficult Q21 Bothered by relationship with children Q68 OBS difficulties due to physical self Q69 Difficulty controlling bladder

    GENERAL ANXIETY Q22 Get frightened TENSION Q23 Panic attacks with need for action Q70 Gets exhausted Q24 Panic attacks/feeling loss of control Q71 Difficulty relaxing Q25A Anxious situations Q72 Suffers headaches Q25B Specify situations Q73 – Type of headache Q26 Heart pounding Q27 Trembling CEREBROVASCULAR FUNCTION Q28 RATE bodily features anxiety Q74 Feels dizzy Q75 Tendency to fall

    DEPRESSION Q76 Difficulty with speech Q29 Been sad/depressed/miserable Q77 OBS looks emaciated/frail Q30 Cried Q78 OBS limbs paralyzed Q31 Felt like crying Q79 Stroke Q32 There most of time Q33 How long does it last SOMATIC DYSFUNCTION Q34 How often Q80 Appetite change Q35 Different from usual sadness Q81 RATE appetite loss due to med condition Q36 Any reason for depression Q82 Loss of appetite most days Q37 Fluctuating mood Q83 Recent weight change Q38 Diurnal variation Q39 Relieved by SLEEP Q40 How long relieved Q84 Trouble sleeping Q41 Life not worth living Q85 Taken anything Q42 Regard future Q86 How long troubled sleep Q43 Things will work out Q87 RATE insomnia Q44 Felt hopeless/despairing Q88 Difficulty falling asleep Q45 Why Q89 Sleep interrupted Q46 Rather be dead Q90 Wakes up early Q47 When was that Q91 RATE waking up early Q48 How much of the time Q92 What disturbs sleep Q49 Attempt suicide Q50 RATE appears tense/worried/fearful

  • Assessment interview CFAS I

    THINKING DIFFICULTIES Q143 Recent loss of interest Q93 Thinking slowed down Q144 Due to depression Q94 Thoughts muddled Q95 Talks more slowly CONCENTRATION Q96 Difficulty to make mind up Q145 Concentrate on TV/radio Q97 Indecisive Q146 Concentrate on reading Q98 Ability to cope Q147 Diff concentrating Q99 Level of confidence Q148 How long diff bothersome Q100 RATE appears muddled Q149 RATE diff concentrating on interview Q101 RATE appears indecisive PERCEPTUAL DISTORTION SLOWING Q150 Imagination play tricks Q102 Slower physically Q151 Odd happenings Q103 Has too little energy Q152 Strange sensations Q104 Less energy for most days Q153 Strange odours Q105 Been doing more or less recently Q154 Unusual taste Q106 Loss of energy last 3 months Q155 Auditory hallucinations Q107 Time of day when slower Q156 Visual hallucinations Q108 Slowing/loss of energy present most days Q157 When awake Q109 Different during visit or when out Q158 Real Q110 Sits around a lot Q159 Special messages Q111 RATE slow movements Q160 Duration

    Q161 Affective response

    LONELINESS Q162 Deserved Q112 Prefer to be alone Q163 RATE content of delusions Q113 Feel lonely Q164 RATE how long delusional Q114 Bothered by loneliness Q115 Worried about living alone MEDICATION Q165 Taking medication

    PERSECUTION Q166 Takes medicine to help calm Q116 Feel ill at ease with others Q117 Feel people laughing DRINKING Q118 Believes it to be true Q167 Drink more/less daily Q119 Difficulty with anyone Q168 Abstinence followed by drinking Q120 Someone deliberately annoying Q169 Drinking problematic Q121 Their fault Q170 How much drinks alone Q122 Annoying on purpose Q171 Quantity Q123 RATE annoy or harm Q172 Daily duration Q124 Believes persecution deserved Q173 Fallen/been unsteady recently Q125 Feels strongly Q174 Need a morning drink Q126 Mistaken Q175 RATE drinking problem Q127 Other trying to do real harm Q128 RATE belief of serious harm QUALITY OF LIFE Q129 Person resort to tricks Q176 Satisfaction with life Q130 Prepared to disclose name Q177 General level of happiness Q131 RATE truth of beliefs Q178 Anything else Q132 RATE belief dubious ORIENTATION GUILT Q179 Day of the week Q133 Blames self about anything Q180A Today – date Q134 Reasonable blame Q180B Today – month Q135 How long felt this way Q180C Today – year Q136 RATE worthlessness Q181 Season Q182 County

    IRRITABILITY Q183 Town Q137 More irritable lately Q184 Two nearby streets Q138 How long been irritable Q185 Floor of building Q139 Gets angry with self LANGUAGE (COGNITIVE SECTION) INTEREST Q186 Nod head Q140 Level of interest/concentration Q187 Touch right ear with left hand Q141 Recent enjoyment Q188 Look to floor then ceiling Q142 Onset of loss of interest Q189 Tap shoulder

  • Assessment interview CFAS I

    Q190 Hotel PERCEPTION Q191 Villages/towns Q240A-B Two coins – 1p / 10p Q192 Radio/television Q193 Pencil CALCULATION Q194 Wristwatch Q241 How much money Q195 Shoe Q242 How much change Q196 Typewriter Q197 Scales MEMORY (COGNITIVE SECTION) Q198 Suitcase Q243A-E Recall name and address Q199 Barometer Q200 Table lamp ABSTRACT THINKING (COGNITIVE SECTION) Q201 F words Q244 Fruit Q202 Animals Q245 Clothes Q203 Hammer Q246 Furniture Q204 Medicine Q247 Living things Q205 Bridge Q206 Opinion PERCEPTION (COGNITIVE SECTION) Q207 No ifs ands or buts Q248A-B Recognise Queen and Pope Q249A-F Recognise objects unusual angles

    MEMORY (COGNITIVE SECTION) Q208A-F RECALL OBJECTS EXTRA COGNITIVE ITEMS Q209A-F RECOGNISE OBJECTS Q250/A Recollection of news story (immediate) Q210 First World War Q251A-D Memory names Q211 Second World War Q252A-G P & W TASK Q212 German leader Q253 Recollection of news story (delayed) Q213 Russian leader Q254A-D Recall names Q214 Mae West Q255A-F Silly sentences Q215 Lindbergh Q216 Monarch ORIENTATION Q217 Successor Q256 Time to nearest hour Q218 Prime Minister Q219 Previous Prime Minister BACKGROUND QUESTIONS Q220 News item Q257 Concerns/comments about interview Q221A-C Repetition 3 words Q258 Approach informant Q222 N repeats Q260 Prepare to give blood sample

    ATTENTION/CONCENTRATION (COG SECTION) INTERVIEWER OBSERVATIONS Q223 Count from 20 Q261 Expressionless face Q224A-F Serial sevens Q262 Monotonous voice Q263 Lability of mood

    MEMORY (COGNITIVE SECTION) Q264 Uncontrollable crying Q225A-C Recall 3 words Q265 Uncontrollable laughing Q266 Infectious gaiety

    LANGUAGE (COGNITIVE SECTION) Q267 Uncooperative Q226 Close your eyes Q268 Hostile Q227 Hands behind head Q269 Restless Q270 Choreiform movements

    PRAXIS (COGNITIVE SECTION) Q271 Athetoid movements Q228 Draw pentagon Q272 Parkinsonian movements Q229 Draw spiral Q273 Walking abnormality Q230 Draw 3D house Q274 Paralysis/stroke Q231A Clock face Q275 Physical abnormality Q231B Clock numbers Q276 Unsteady Q232 Set hands Q277 Staggers Q233 Sentence Q278 Shuffles Q234A-C Paper right hand, fold, lap Q279 Speech irrelevant Q235 Paper in envelope Q280 Speech circumstantial Q236 Write name and address Q281 Speech rambling Q237 Wave goodbye Q282 Speech slow Q238 Mime cutting with scissors Q283 Long pauses in speech Q239 Mime brushing teeth Q284 Rapid speech Q285 Speech restricted Q286 Perseveration

  • Assessment interview CFAS I

    Q287 Dysphasia Q307 Errors due to depression Q288 Dysarthria (brain damage) Q308 Memory defect Q289 Dysarthria (speech organs) Q309 Clouded consciousness Q290 Lack of teeth Q310 Indifferent Q291 Deaf Q311 Clear cut memory defect Q292 Blind Q312 Dubious memory defect Q293 Stutters Q313 Judgement problems Q294 Mutism Q314 Interview complete Q295 Weakness Q315 R sad etc Q296 Low intelligence Q316 Tearful Q297 Poor grasp of English Q317 Slow Q298 Slurring Q318 Muddled Q299 Interview conditions unfavourable Q319 Indecisive Q300 R fell asleep Q320 Suspicious Q301 R drowsy Q321 Lack of concentration Q302 Lack of insight Q322 Confidence in data Q303 Attention problems Q323 Data doubts due to exaggeration Q304 Impaired judgement Q324 Data doubts due to minimization Q305 Hallucinating Q325 RATE are you a doctor Q306 Incoherent Q326 Interviewee is a case

    Assessment interview

    Administrative variables

    CENTRE Centre code Type: Length:

    character 2

    INT_CODE Interview code Type: Length:

    character 2

    INT_NUM Interview sequence number (UNUSED) Type: Length:

    character 2

    IDENT Study identifier Type: Length:

    character 6

    INTERVWR Interviewer code Type: Length:

    character 2

    INT_DATE Interview date Type: Length:

    character 10

    INT_STRT Interview start time Type: Length:

    character 5

    INT_LEN Interview length Type: Length: Decimals:

    numeric 3 0

    SEX Sex 1. Male 2. Female

    D_O_B Date of birth Type: Length:

    character 10

    AGE Age Type: Length: Decimals:

    numeric 3 0

  • Assessment interview CFAS I

    POSTCODE Postcode Type: Length:

    character 12

    LANG_1ST First language (UNUSED) * NOW LENGTH 1!

    Type: Length:

    character 1

    INF_RELN Relation of informant to subject Type: Length:

    character 25

    GP GP/practice code Type: Length:

    character 4

    OBSERVER Observer code (UNUSED) Type: Length:

    character 2

    CONTACT Contact code (UNUSED) Type: Length:

    character 4

    HEADER (where) contact sheet edited Type: Length:

    character 5

    PRIORITY (where) priority mode entered Type: Length:

    character 5

    ENDING (where) skipped to ratings Type: Length:

    character 5

    EMG_QUIT (where) interview abandoned Type: Length:

    character 5

    OUTCOME Completeness and willingness to continue 1. Complete, willing to be seen 2. Incomplete, not unwilling 3. Complete, refused to be seen 4. Incomplete, refused to be seen

    XTRA Extra information - UNCODED MEMO Type: free text

    Orientation

    V1 Remembers interviewers name 0. Unable to repeat 1. Correctly repeated 9.

    V2 Spells own name 0. Incorrect 1. Correct (both names) 8. 9.

    V3A Date of Birth 1. As listed 2. Not as listed, probably correct 3. Not as listed, probably incorrect 7. 8. 9.

  • Assessment interview CFAS I

    V3B Date of birth given by subject

    Type: Length:

    character 10

    Skipped if: V3A=1 or V3A>=7

    V4A Age 0. Not as listed 1. As listed 7. 8. 9.

    V4B Age given by subject Type: Length: Decimals:

    numeric 3 0

    Skipped if: V4A !=0

    V5B Age/DOB discrepancy score 1. Difference of 2 years 2. Difference of >2 years

    V5A Response to age/DOB discrepancy 0. Discrepancy NOT corrected 1. Discrepancy corrected 2. Marked uncertainty about age 8. 9.

    Skipped if: DOB+AGE difference

  • Assessment interview CFAS I

    V10 RATE - confabulation 0. No confabulation 1. Confabulation 8. 9.

    Skipped if: V9=2 or =3

    V11 Rate -Talks aimlessly 0. No 1. Yes 9.

    Worry

    V12 Worries about anything 0. No worries 1. Some worries 8. 9.

    V13 Worries about own health 0. No 1. Yes 8. 9.

    V14 Worries about others health 0. No 1. Yes 8. 9.

    V15 Worries about money 0. No 1. Yes 8. 9.

    V16 Worries about other family problems 0. No 1. Yes 8. 9.

    V17 Tense, worries more than normal 0. No 1. Yes 8. 9.

    V18 Undue worry 0. Not unduly 1. Worries a lot about 1 or 2 things 2. Is a worrier 3. Both 1 & 2 8. 9.

    Skipped if: V12 or V13 or V14 or V15 or V16 or V17=0

  • Assessment interview CFAS I

    V19 Worrying bothersome 0. No 1. Yes 8. 9.

    Skipped if: V12 or V13 or V14 or V15 or V16 or V17=0

    V20 Has any children 0. No 1. Yes 8. 9.

    V21 Bothered by relationship with children 0. No 1. Yes 8. 9.

    Skipped if: V20=0

    Anxiety

    V22 Gets frightened 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V23 Panic attacks with need for action 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V24 Panic attacks/feeling loss of control 0. No 1. Yes 8. 9.

    V25A Special situations make anxious 0. No 1. Yes 8. 9.

    V25B Specify anxiety situations - UNCODED

    Type: free text Skipped if: V25A!=0

    V26 Heart pounded in last month 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

  • Assessment interview CFAS I

    V27 Trembling in last month 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V28 Rate -features of anxiety 0. No 1. Mild 2. Severe 8. 9.

    Depression

    V29 Sad, depressed, miserable recently 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V30 Occasions of crying 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V31 Felt like crying 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V32 Depression-most of time 0. No 1. Yes 8. 9.

    Skipped if: V29 or V30 or V31=0

    V33 How long depression lasts 0. Less than a few hours 1. (Yes) More than a few hours 8. 9.

    Skipped if: V29 or V30 or V31=0

    V34 Depression in last month 0. Less than 2 continuous weeks 1. At least 2 continuous weeks 8. 9.

    Skipped if: V29 or V30 or V31=0

  • Assessment interview CFAS I

    V35 Feelings of sadness different from usual 0. No 1. Yes 8. 9.

    Skipped if: V29 or V30 or V31=0

    V36A Reason why depressed 0. No 1. Bereavement 2. OTHER 8. 9.

    Skipped if: V29 or V30 or V31=0

    V37 Times when feels normal 0. No (always depressed) 1. Yes (fluctuating mood) 2. Yes (extreme pattern) 8. 9.

    Skipped if: V29 or V30 or V31=0

    V38 Time of day when feels worse 1. Morning predominantly 2. Afternoon predominantly 3. Evening predominantly 4. Severe all day 5. None of these 8. 9.

    Skipped if: V29 or V30 or V31=0

    V39 What relieves depression 0. Can be relieved 1. Nothing relieves 8. 9.

    Skipped if: V29 or V30 or V31=0

    V40 How long relieved 0. Is relieved 1. Relieved to some extent 2. NOT relieved 8. 9.

    Skipped if: V29 or V30 or V31=0

    V41 Life not worth living in last month 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V42 View of future 1. Optimistic 2. Empty expectations 3. Pessimistic 8. 9.

  • Assessment interview CFAS I

    V43 Hopeful about future 0. Alright/bearable 1. Does seem bleak/unbearable 8. 9.

    Skipped if: V42=1

    V44 Ever felt hopeless 0. No 1. Yes 8. 9.

    Skipped if: V42=1

    V45 Why felt hopeless 0. Pessimism warranted 1. Pessimism NOT warranted 8. 9.

    Skipped if: V42=1 or V43=0 and V44=0

    V46 Ever felt suicidal 0. No, never 1. Yes, ever 8. 9.

    Skipped if: V42=1 or V43=0 and V44=0

    V47 When suicidal 0. No 1. Sometimes in the last month 2. Sometimes in the last year 3. Both in the last month & year 8. 9.

    Skipped if: V42=1 or V43=0 and V44=0 or V46=0

    V48 How long did suicidal feeling last 0. Less than 2 weeks 1. Yes, mildly 2. Yes, severely 8. 9.

    Skipped if: V29 or V30 or V31=0 or V47=0 or V47=2

    V49 Tried suicidal act 0. No 1. Rejected suicide but wanted to die 2. Planned or tried to kill self 8. 9.

    Skipped if: V29 or V30 or V31=0 or V48=0

    V50 Rate - appears tense/worried/fearful 0. Fleeting or minor 1. Excessive, sometimes 2. Excessive much of the time

    V51 Rate - appears tense/worried 0. Fleeting or minor 1. Excessive, sometimes 2. Excessive much of the time

    V52 Rate - appears sad, gloomy mournful 0. Fleeting or minor 1. Excessive, sometimes 2. Excessive much of the time

  • Assessment interview CFAS I

    V53 Rate - appears apprehensive/fearful 0. Fleeting or minor 1. Excessive, sometimes 2. Excessive much of the time

    V54 Rate -eyes moist/tearful 0. Fleeting or minor 1. Excessive, sometimes 2. Excessive much of the time

    Memory

    V55 Difficulty with memory 0. No problem/difficulty 1. Mild 2. Severe 8. 9.

    V56 Forget names of family/friends 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V57 Forgets where things put 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V58 Ever forgotten own neighbourhood 0. No 1. Yes 8. 9.

    V59 Have to make effort to remember 0. No 1. Yes 8. 9.

    V60 When did forgetfullness begin 1. In the last 1 - 2 years 2. In the last 3 - 4 years 3. In the last 5 - 10 years 4. Over 10 years ago 8. 9.

    V61 Onset of forgetfulness 0. Gradual onset 1. Sudden onset 8. 9.

  • Assessment interview CFAS I

    V62 Remembers interviewers name 0. Incorrect 1. Correct 8. 9.

    V63 Rate -difficulty with memory 0. No 1. Mild 2. Severe 8. 9.

    General mental functioning

    V64 Tends to talk/think about past 0. No 1. Yes 8. 9.

    V65 Difficulty finding right words 0. No 1. Yes 8. 9.

    Everyday activities

    V66 Needs help with money etc 0. No 1. Yes 8. 9.

    V67 Household tasks difficult 0. No difficulty 1. Some difficulty 2. Severe difficulty 8. 9.

    V68 Rate -difficulties due to physical self 0. No 1. Yes, occasionally 2. Yes, frequently 8. 9.

    V69 Difficulty controlling bladder 0. Not physical 1. Partly physical 2. Entirely physical 8. 9.

  • Assessment interview CFAS I

    Tension

    V70 Gets exhausted 0. No 1. Mild 2. Severe 8. 9.

    V71 Difficulty relaxing 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V72 Suffers with headaches 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V73 Type of headache 0. No 1. Mild 2. Severe 8. 9.

    Skipped if: V72=0

    Cerebrovascular function

    V74 Feels dizzy 0. No or rarely 1. More than once per week 8. 9.

    V75 Tendency to fall 0. No or rarely 1. More than once per week 8. 9.

    V76 Difficulty with speech etc 0. No 1. Yes 8. 9.

    V77 Rate -looks emaciated/frail etc 0. No 1. Mild 2. Severe 8.

  • Assessment interview CFAS I

    V78 Rate -limbs paralyzed 0. No 1. Yes, left sided paralysis 2. Yes, right sided paralysis 3. Other 9.

    V79 Stroke 0. No stroke 1. Probable stroke 2. Certain stroke 8. 9.

    Somatic dysfunction

    V80 Eating as usual 0. No change in appetite 1. Mild decrease in desire for food 2. Severe decrease in desire for food 3. Mild increase in desire for food 4. Severe increase in desire for food 8. 9.

    V81 Rate-appetite loss due to med condition 0. No 1. Yes 8. 9.

    Skipped if: V80=0 or V80=3 or 4

    V82 Loss of appetite most days 0. No 1. Poor appetite most days 2. Increased appetite most days 8. 9.

    Skipped if: V80=0

    V83 Recent weight change 0. No weight change 1. Lost 10lbs + in last month 2. Lost 10lbs + in last 3 mos 3. Lost 10lbs + in last 6 mos 4. Gained 10lbs + in last month 5. Gained 10lbs + in last 6 mos 8. 9.

    Sleep

    V84 Trouble sleeping recently 0. No trouble/no change in pattern 1. Yes 8. 9.

  • Assessment interview CFAS I

    V85 Anything taken to help sleep 0. Not taken anything 1. Mild/infrequent problems despite 2. Severe/persistent probs despite 8. 9.

    Skipped if: V84=0

    V86 How long troubled sleep 0. Less than 2 weeks 1. Mild marked insomnia 2. Severe marked insomnia 3. Mild marked excessive sleep 4. Severe marked excessive sleep 8. 9.

    Skipped if: V84=0

    V87 Rate - insomnia 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    Skipped if: V84=0

    V88 Difficulty falling asleep 0. No 1. Yes 8. 9.

    Skipped if: V84=0

    V89 Sleep interrupted 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    Skipped if: V84=0

    V90 Wakes up early 0. No 1. Sometimes 2. Most of the time 8. 9.

    Skipped if: V84=0 or V89=0

    V91 OBS-rate waking early 0. No 1. Yes 8. 9.

    Skipped if: V84=0 or V89=0

    V92 What disturbs sleep 0. Nothing 1. Mainly physical or noise etc 2. Mild depressed feelings or thoughts 3. Severe depressed feelings or thoughts 8. 9.

    Skipped if: V84=0 or V89=0

  • Assessment interview CFAS I

    Thinking difficulties

    V93 Thinking slowed down 0. No 1. Mild 2. Severe 8. 9.

    V94 Thoughts muddled 0. Not muddled 1. Feeling muddled - mild 2. Feeling muddled - severe 8. 9.

    V95 Talks more slowly 0. No 1. Yes 8. 9.

    V96 Difficult to make mind up 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V97 Indecisive 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V96=0

    V98 Ability to cope 0. Coping well 1. Mild feeling of not coping 2. Severe feeling of not coping 8. 9.

    V99 Level of confidence 0. Confident 1. Mild loss of confidence 2. Severe loss of confidence 8. 9.

    V100 Rate - appears muddled 0. No 1. Mildly muddled 2. Severely muddled 9.

  • Assessment interview CFAS I

    V101 Rate - appears indecisive 0. No 1. Mildly indecisive 2. Severely indecisive 9.

    Slowing

    V102 Slower physically 0. No 1. Mildly slowed down 2. Severely slowed down 8. 9.

    V103 Has too little energy 0. No 1. Mild listlessness 2. Severe listlessness 8. 9.

    Skipped if: V102=0

    V104 Less energy for most days 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V102=0

    V105 Been doing more or less recently 0. No change or more 1. Infrequently doing less 2. Frequently/persistently doing less 8. 9.

    V106 Loss of energy started in last 3 months 0. No 1. Yes 8. 9.

    Skipped if: V103=0 and V105=0

    V107 Time of day when slower 0. No 1. In the morning 2. In the evening 3. Both equally 8. 9.

    V108 Slowing/loss of energy present most days 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V103=0 and V105=0

  • Assessment interview CFAS I

    V109 Different during visit or when going out 0. Does lift 1. Does NOT lift 8. 9.

    Skipped if: V103=0 and V105=0

    V110 Sits around a lot 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    Skipped if: V103=0 and V105=0

    V111 Rate - slow movements 0. No 1. Mild 2. Severe 9.

    Loneliness

    V112 Prefers to be on own 0. No 1. Yes 8. 9.

    V113 Feelings of loneliness 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V114 Bothered by loneliness 0. Not bothered 1. Lonely and cannot get out of it 2. Bothered/depressed by loneliness 3. Both 1 & 2 8. 9.

    Skipped if: V113=0

    V115 Worried about living alone 0. No 1. Yes 8. 9.

    Skipped if: V113=0

    Persecution

    V116 Ill at ease with others 0. No 1. Mildly 2. Severely 8. 9.

  • Assessment interview CFAS I

    V117 Feels people are laughing at them 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V118 Believes it to be true 0. Probably not true 1. Considers it is true 2. Convinced it is true 8. 9.

    V119 Problem getting on with others 0. No 1. Yes 8. 9.

    V120 Someone deliberately annoying 0. No 1. Yes 8. 9.

    Skipped if: V119=1

    V121 Their fault 0. No 1. Yes, but expresses doubt 2. Yes, no doubts expressed 8. 9.

    Skipped if: V120=0

    V122 Annoying on purpose 0. No 1. Yes 2. Yes, definitely 8. 9.

    Skipped if: V120=0

    V123 Rate -annoy or harm 0. Realistic belief 1. Mildly held unrealistic belief 2. Severely held unrealistic belief 8. 9.

    Skipped if: V120=0

    V124 Believes persecution deserved 0. No 1. Mild belief persecution deserved 2. Severe belief persecution deserved 8. 9.

    Skipped if: V120=0

  • Assessment interview CFAS I

    V125 Feels strongly about persecution 0. No 1. Mild 2. Severe 8. 9.

    Skipped if: V120=0

    V126 Mistaken about persecution 0. Yes 1. Possibly 2. Definitely not 8. 9.

    Skipped if: V120=0

    V127 Other trying to do real harm 0. No 1. Mild 2. Severe 8. 9.

    Skipped if: V120=0 or V126=0

    V128 OBS-belief of serious harm 0. No 1. Mild belief trying to kill them 2. Severe belief trying to kill them 8. Inapplicable

    Skipped if: V120=0 or V126=0

    V129 Person resorts to tricks 0. No 1. Yes 8. 9.

    Skipped if: V120=0 or V126=0

    V130 Prepared to disclose name 0. Will not disclose 1. Official body/person or organisation 2. Private person known or unknown 8. 9.

    Skipped if: V120=0 or V126=0

    V131 Rate-truth of interviewees beliefs 0. Likely to be true 1. Unlikely to be true but possible 2. Absurd or almost certainly not true 9.

    Skipped if: V120=0

    V132 Rate-interviewees belief dubious 0. No 1. Mild 2. Severe 9.

  • Assessment interview CFAS I

    Guilt

    V133 Blames self about anything 0. No 1. Mild regrets 2. Severe regrets 8. 9.

    V134 Reasonable blame 0. No 1. Mild 2. Severe 8. 9.

    Skipped if: V133=0

    V135 Blame-how long felt this way 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V133=0

    V136 OBS-rate worthlessness etc 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V133=0

    Irritability

    V137 More irritable lately 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V138 How long been irritable 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V137=0

    V139 Gets angry with self 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

  • Assessment interview CFAS I

    Interest

    V140 Level of interest and concentration 0. No change 1. Less interest - infrequent 2. Less interest - persistent 8. 9.

    V141 Recent enjoyment 0. Some enjoyment/no change 1. Almost nothing enjoyed - infrequent 2. Almost nothing enjoyed - persistent 8. 9.

    V142 Onset of loss of interest 0. Started in the last 3 months 1. Gradual over several years 8. 9.

    Skipped if: V140=0 and V141=0

    V143 Recent loss of interest 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V140=0 and V141=0

    V144 Due to depression 0. No 1. Yes 8. 9.

    Skipped if: V140=0 and V141=0

    Concentration

    V145 Ability to concentrate on tv/radio etc 0. No difficulty concentrating 1. Mild difficulty concentrating 2. Severe difficulty concentrating 8. 9.

    V146 Ability to concentrate on reading 0. No difficulty concentrating 1. Mild difficulty concentrating 2. Severe difficulty concentrating 8. 9.

    V147 More difficulty in concentrating 0. No 1. Yes 8. 9.

  • Assessment interview CFAS I

    V148 How long difficulty bothersome 0. Not most days 1. Mild 2. Severe 8. 9.

    Skipped if: V147=0

    V149 OBS-difficulty in concentrating now 0. No 1. Mild 2. Severe 9.

    Perceptual distortion

    V150 Imagination plays tricks 0. No 1. Infrequently 2. Frequently/persistently 3. Paranormal phenomena 8. 9.

    V151 Something odd that cannot be explained 0. No 1. Mildly puzzled 2. Severely puzzled 8. 9.

    V152 Strange bodily sensations 0. No 1. Mild 2. Severe 8. 9.

    V153 Smells strange odours 0. No 1. Infrequently 2. Frequently/persistently 8. 9.

    V154 Unusual tastes in food/drink 0. No 1. Infrequent unpleasant taste 2. Persistent unpleasant taste 3. Mild gustatory hallucinations 4. Severe gustatory hallucinations 8. 9.

    V155 Hears things that others cannot 0. No voices 1. Infrequently hears voices 2. Persistently hears voices 8. 9.

  • Assessment interview CFAS I

    V156 Sees things that others do not 0. No visions 1. Infrequent visions 2. Persistent visions 8. 9.

    V157 Visions when wide awake 0. No 1. Yes 8. 9.

    Skipped if: V156=0

    V158 Thinks visions are real 0. No 1. Yes 8. 9.

    Skipped if: V156=0

    V159 Feels special messages are being sent 0. No 1. Yes 8. 9.

    V160 How long messages being sent Type: Length: Decimals:

    numeric 3 0

    Skipped if: V159=0

    V161 Feelings about these experiences 0. No response 1. Mild marked affective response 2. Severe marked affective resp 8. 9.

    Skipped if: V150 or VV151 or V152 or V153!=1 and !=2 and V154!=3 and !=4 and V155!=1 and !=2 and V156!=1 and !=2 and V159!=1

    V162 Deserves these experiences 0. No 1. Mildly indignant, undeserved 2. Severely indignant, undeserved 3. Mild feeling, deserved punishment 4. Severe feeling, deserved punishment 8. 9.

    V163 Rate-content of delusions etc 0. No 1. Mild 2. Severe 9.

    Skipped if: V52!=1 and V152!=2

  • Assessment interview CFAS I

    V164 Rate-rate how long delusional 0. Mood symptoms with hallucinations 1. Mood symptoms WITHOUT halluciations 8.

    Skipped if: V52!=1 and V152!=2

    Medication

    V165 Taking medication 0. No 1. Yes, for emotional problems 2. Yes, reason not known 8. 9.

    V166 Takes medicine to help calm 0. No 1. Barbiturates 2. Other hypnotics and sedatives 3. Tranquillizers 4. Other 8. 9.

    Drinking

    V167 Drinks alcohol more/less daily 0. No 1. Yes 8. 9.

    V168 Abstinence followed by drinking 0. No 1. Yes 8. 9.

    V169 Alcohol a problem 0. No problem 1. Mild problem 2. Severe problem 8. 9.

    V170 How much drinks alone 0. Less than 3 successive drinks 1. 3+ successive drinks - infrequently 2. 3+ successive drinks - frequently 8. 9.

    V171 Number of drinks daily 0. Less than 4 1. 4+ throughout day - infrequently 2. 4+ throughout day - frequently 8. 9.

  • Assessment interview CFAS I

    V172 How long spends drinking 0. Not more than 3 hours 1. 3+ hrs sustained/day - infrequent 2. 3+ hrs sustained/day - frequent 8. 9.

    V173 Fallen/been unsteady recently 0. No 1. Yes 8. 9.

    Skipped if: V171=0 and V172=0

    V174 Needs a drink in the morning 0. No 1. Yes 8. 9.

    Skipped if: V171=0 and V172=0

    V175 OBS-rate drinking problem 0. No 1. Yes 9.

    Quality of life

    V176 Satisfaction with life 0. Good 1. Fair 2. Poor 8. 9.

    V177 General level of happiness 0. Very happy 1. Fairly happy 2. Not very happy 3. Not happy at all 8. 9.

    V178 Anything else Type: free text

    Orientation

    V179 Day of the week 0. Incorrect 1. Correct 9.

    V180A Todays date 1. Correct 2. Incorrect by 1 day 3. Incorrect by more than 1 day 7. 8. 9.

  • Assessment interview CFAS I

    V180B What is the month 1. Correct 2. Incorrect by 1 month 3. Incorrect by more than 1 month 7. 8. 9.

    V180C What is the year 1. Correct 2. Incorrect by 1 year 3. Incorrect by more than 1 year 7. 8. 9.

    V181 What is the season 0. Incorrect 1. Correct 9.

    V182 Name of this county 0. Incorrect 1. Correct 9.

    V183 Name of this town 0. Incorrect 1. Correct 9.

    V184 Named two nearby streets 0. Incorrect 1. Correct 9.

    V185 Named floor of building 0. Incorrect 1. Correct 9.

    Language (cognitive section)

    V186 Nod your head 0. Incorrect 1. Correct 9.

    V187 Touch right ear with left hand 0. Incorrect 1. Correct 9.

    V188 Look to floor then ceiling 0. Incorrect 1. Correct 9.

  • Assessment interview CFAS I

    V189 Tap shoulder 0. Incorrect 1. Correct 9.

    V190 Is this place a hotel 0. Incorrect 1. Correct (no) 9.

    V191 Are villages larger than towns 0. Incorrect 1. Correct (no) 9.

    V192 Was wireless invented before tv 0. Incorrect 1. Correct (yes) 9.

    V193 Identified pencil 0. Incorrect 1. Correct 9.

    V194 Identified wristwatch 0. Incorrect 1. Correct (watch) 9.

    V195 Identified shoe 0. Incorrect 1. Shoe, sandal 9.

    V196 Identified typewriter 0. Incorrect 1. Typewriter 9.

    V197 Identified scales 0. Incorrect 1. Scales 9.

    V198 Identified suitcase 0. Incorrect 1. Suitcase, portmanteau, case 9.

    V199 Identified barometer 0. Incorrect 1. Barometer 9.

    V200 Identifies table lamp 0. Incorrect 1. Table lamp, lamp 9.

  • Assessment interview CFAS I

    V201 As many words beginning with F Type: Length: Decimals:

    numeric 2 0

    V202 Name as many animals as you can Type: Length: Decimals:

    numeric 2 0

    V203 Use of a hammer 0. Incorrect 1. Any correct use 9.

    V204 Place to buy medicine 0. Incorrect, shop 1. Chemist, pharmacy, surgery 9.

    V205 What is a bridge 0. Incorrect 1. Cross the bridge 2. Goes across a river etc 9.

    V206 What is an opinion 0. Incorrect 1. A good opinion of someone 2. A persons ideas about something 9.

    V207 Repeats No ifs, ands or buts 0. Incorrect 1. Correct 9.

    Memory (cognitive section)

    V208A Memory-shoe picture 0. Not recalled 1. Recalled 9.

    V208B Memory-typewriter picture 0. Not recalled 1. Recalled 9.

    V208C Memory-scales picture 0. Not recalled 1. Recalled 9.

    V208D Memory-suitcase picture 0. Not recalled 1. Recalled 9.

  • Assessment interview CFAS I

    V208E Memory-barometer picture 0. Not recalled 1. Recalled 9.

    V208F Memory-table lamp picture 0. Not recalled 1. Recalled 9.

    V209A Recognition-shoe 0. Not recognized 1. Recognized 9.

    V209B Recognition-typewriter 0. Not recognized 1. Recognized 9.

    V209C Recognition-scale 0. Not recognized 1. Recognized 9.

    V209D Recognition-suitcase 0. Not recognized 1. Recognized 9.

    V209E Recognition-barometer 0. Not recognized 1. Recognized 9.

    V209F Recognition-table lamp 0. Not recognized 1. Recognized 9.

    V210 Beginning of 1st world war 0. Incorrect 1. 1914 within a year 9.

    V211 Beginning of 2nd world war 0. Incorrect 1. 1939 within 1 year 9.

    V212 Leader of 2nd WW Germany 0. Incorrect 1. Hitler 9.

    V213 Leader of 2nd WW Russia 0. Incorrect 1. Stalin 9.

  • Assessment interview CFAS I

    V214 Why Mae West famous 0. Incorrect 1. Entertainer, film star 9.

    V215 Whose son was kidnapped 0. Incorrect 1. Lindbergh 9.

    V216 Name of Queen 0. Incorrect 1. Correct 9.

    V217 Who will follow Queen 0. Incorrect 1. Correct 9.

    V218 Name of Prime Minister 0. Incorrect 1. Correct 9.

    V219 Who was Prime Minister 0. Incorrect 1. Correct 9.

    V220 Recalled recent news 0. Incorrect 1. Correct 9.

    V221A Repeat-tree 0. Not named on first try 1. Named on first try 9.

    V221B Repeat-clock 0. Not named on first try 1. Named on first try 9.

    V221C Repeat-boat 0. Not named on first try 1. Named on first try 9.

    V222 OBS-rate number of repeats Type: Length: Decimals:

    numeric 2 0

  • Assessment interview CFAS I

    Attention/concentration (cognitive section)

    V223 Count backwards 0. Two or more errors 1. One error 2. Correct 9.

    V224A Serial sevens (1) Type: Length: Decimals:

    numeric 3 0

    V224B Serial sevens (2) Type: Length: Decimals:

    numeric 3 0

    Skipped if: V224A=999

    V224C Serial sevens (3) Type: Length: Decimals:

    numeric 3 0

    Skipped if: V224B=999

    V224D Serial sevens (4) Type: Length: Decimals:

    numeric 3 0

    Skipped if: V224C=999

    V224E Serial sevens (5) Type: Length: Decimals:

    numeric 3 0

    Skipped if: V224D=999

    V224F Serial sevens (score) Type: Length: Decimals:

    numeric 2 0

    Skipped if: V224E=999

    Memory (cognitive section)

    V225A Recall-tree 0. Not recalled 1. Recalled 9.

    V225B Recall-clock 0. Not recalled 1. Recalled 9.

    V225C Recall-boat 0. Not recalled 1. Recalled 9.

  • Assessment interview CFAS I

    Language (cognitive section)

    V226 Close your eyes 0. Incorrect 1. Correct 9.

    V227 Hands behind head etc 0. Incorrect 1. Correct 9.

    Praxis (cognitive section)

    V228 Draw pentagon 0. Incorrect 1. Correct 9.

    V229 Draw spiral 0. Incorrect 1. Correct 9.

    V230 Draw 3D house 0. Incorrect 1. Correct 9.

    V231A Draw clock face 0. Incorrect 1. Correct (circle or square) 9.

    V231B Put all the numbers in 0. Incorrect 1. Correct 9.

    V232 Set clock hands 0. Incorrect 1. Correct 9.

    V233 Write a sentence 0. Incorrect 1. Correct 9.

    V234A Paper-right hand 0. Incorrect 1. Correct 9.

    V234B Paper-fold 0. Incorrect 1. Correct 9.

  • Assessment interview CFAS I

    V234C Paper-on lap 0. Incorrect 1. Correct 9.

    V235 Paper-in envelope 0. Incorrect 1. Correct 9.

    V236 Write-name and address 0. Incorrect 1. Poor but acceptable 2. Correct 9.

    V237 Wave goodbye 0. Incorrect 1. Correct 9.

    V238 Cut with scissors 0. Incorrect 1. Concrete response 2. Correct mime 9.

    V239 Brush teeth 0. Incorrect 1. Concrete response 2. Correct mime 9.

    Perception (cognitive section)

    V240A Tactile-1p coin 0. Incorrect 1. Correct 9.

    V240B Tactile-10p coin 0. Incorrect 1. Correct 9.

    Calculation (cognitive section)

    V241 Calculation-how much money 0. Incorrect 1. Correct (11p) 9.

    V242 Calculation-how much change 0. Incorrect 1. Correct (89p) 9.

  • Assessment interview CFAS I

    Memory (cognitive section)

    V243A Recall-first name 0. Not recalled 1. Recalled 9.

    V243B Recall-surname 0. Not recalled 1. Recalled 9.

    V243C Recall-house number 0. Not recalled 1. Recalled 9.

    V243D Recall-Road name 0. Not recalled 1. Recalled 9.

    V243E Recall-town name 0. Not recalled 1. Recalled 9.

    Abstract thinking (cognitive section)

    V244 Abstract thinking-fruit 0. Round, have calories 1. Food, grow, have peel 2. Fruit 9.

    V245 Abstract thinking-clothes 0. Have buttons 1. To wear, made of cloth, keep you warm 2. Clothing, garments 9.

    V246 Abstract thinking-furniture 0. Wooden, have 4 legs 1. Household objects, used for meals 2. Furniture 9.

    V247 Abstract thinking-living things 0. Useful to man, carry germs 1. Grow, need food, natural 2. Living things 9.

  • Assessment interview CFAS I

    Perception (cognitive section)

    V248A Recognition-queen 0. Incorrect 1. Correct 9.

    V248B Recognition-pope 0. Incorrect 1. Pope, Archbishop, Bishop 9.

    V249A Recognition-spectacles 0. Incorrect 1. Correct 9.

    V249B Recognition-shoe 0. Incorrect 1. Correct 9.

    V249C Recognition-Purse 0. Incorrect 1. Correct 9.

    V249D Recognition-cup 0. Incorrect 1. Correct 9.

    V249E Recognition-telephone 0. Incorrect 1. Correct 9.

    V249F Recognition-pipe 0. Incorrect 1. Correct 9.

    Extra cognitive items

    V250 Memory-recollection of news story 0. Nothing recalled 1. Something recalled 2. No attempt made 9.

    V250A News story items recalled immediately

    Type: Length: Decimals:

    numeric 2 0

  • Assessment interview CFAS I

    V251A Memory-doctors first name 0. Incorrect 1. Approximation (Harry) 2. Correct (Harold) 9.

    V251B Memory-doctors surname 0. Incorrect 1. Approximation (Tyler) 2. Correct (Taylor) 9.

    V251C Memory-vicars first name 0. Incorrect 1. Approximation (Bert) 2. Correct (Albert) 9.

    V251D Memory-vicars surname 0. Incorrect 1. Approximation (Watkins) 2. Correct (Wilkins) 9.

    V252A Ps and Ws completed 0. Task completed 1. Task not completed 2. Not attempted 9.

    V252B Why Ps and Ws incomplete (UNCODED MEMO)

    Type: free text Skipped if: V252A!=1

    V252C Ps and Ws correctly crossed out Type: Length: Decimals:

    numeric 2 0

    V252D Ps and Ws NOT crossed out to point reached Type: Length: Decimals:

    numeric 2 0

    V252E Non-Ps or Ws crossed out Type: Length: Decimals:

    numeric 2 0

    V252F Line reached on Ps and Ws sheet Type: Length: Decimals:

    numeric 2 0

    V252G Column reached on Ps and Ws sheet Type: Length: Decimals:

    numeric 2 0

    V253 Recollection of news story 0. Nothing recalled 1. Something recalled 2. Not attempted 9.

  • Assessment interview CFAS I

    V253A News story items recalled after delay Type: Length: Decimals:

    numeric 2 0

    V254A Recall doctors first name 0. Incorrect 1. Approximation (Harry) 2. Correct (Harold) 9.

    V254B Recall doctors surname 0. Incorrect 1. Approximation (Tyler) 2. Correct (Taylor) 9.

    V254C Recall vicars first name 0. Incorrect 1. Approximation (Bert) 2. Correct (Albert) 9.

    V254D Recall vicars surname 0. Incorrect 1. Approximation (Watkins) 2. Correct (Wilkins) 9.

    V255A Silly sentences completed 0. Task completed 1. Task not completed (specify) 2. Not attempted 9.

    V255B Reason silly sentences incomplete

    Type: free text

    V255C (P) Silly sentences correct (A1) Type: Length: Decimals:

    numeric 2 0

    V255D (P) Silly sentences incorrect (A1) Type: Length: Decimals:

    numeric 2 0

    V255E (P) Silly sentences correct (A2) Type: Length: Decimals:

    numeric 2 0

    V255F (P) Silly sentences incorrect (A2) Type: Length: Decimals:

    numeric 2 0

  • Assessment interview CFAS I

    Orientation

    V256 Time to nearest hour 0. Incorrect 1. Correct 2. Invalid, clock in view 9.

    Background questions

    V257A Concerns about interview 1. Very anxious 2. Somewhat concerned 3. Unconcerned 4. Enjoyed it 8. 9.

    V257B Comments on the interview (UNCODED MEMO) Type: free text

    V258 Approach informant? 0. Consent not given 1. Consent given 9.

    V260 Prepared to give blood sample 0. Unwilling 1. Willing, not taken 2. Willing, taken 9.

    Interviewer observations

    V261 Rate-Expressionless 0. Absent 1. Mild 2. Severe 8.

    V262 Rate-Monotonous voice 0. Absent 1. Mild 2. Severe 8.

    V263 Rate-Lability of mood 0. Absent 1. Mild 2. Severe 8.

    V264 Rate-Bouts of crying 0. Absent 1. Mild 2. Severe 8.

  • Assessment interview CFAS I

    V265 Rate-Bouts of laughing 0. Absent 1. Mild 2. Severe 8.

    V266 Rate-Infectious gaiety 0. Absent 1. Mild 2. Severe 8.

    V267 Rate-Uncooperative/argumentative 0. Absent 1. Mild 2. Severe 8.

    V268 Rate-Hostile or irritable 0. Absent 1. Mild 2. Severe 8.

    V269 Rate-restless 0. No 1. Yes 8.

    V270 Rate-Choreiform movements 0. Absent 1. Mild 2. Severe 8.

    V271 Rate-Athetoid movements 0. Absent 1. Mild 2. Severe 8.

    V272 Rate-Parkinsonian movements 0. Absent 1. Mild 2. Severe 8.

    V273 Rate-Abnormality of walking 0. Absent 1. Mild 2. Severe 8.

    V274 Rate-Paralysis/stroke 0. Absent 1. Mild 2. Severe 8.

  • Assessment interview CFAS I

    V275 Rate-Physical abnormality 0. Absent 1. Mild 2. Severe 8.

    V276 Rate-Gait normal 0. Absent 1. Mild 2. Severe 8.

    V277 Rate-Staggers as if drunk 0. Absent 1. Mild 2. Severe 8.

    V278 Rate-Slow shuffling steps 0. Absent 1. Mild 2. Severe 8.

    V279 Rate-Irrelevent speech 0. Absent 1. Mild 2. Severe 8.

    V280 Rate-Circumstantial speech 0. Absent 1. Mild 2. Severe 8.

    V281 Rate-Rambling speech 0. Absent 1. Mild 2. Severe 8.

    V282 Rate-Slow speech 0. Absent 1. Mild 2. Severe 8.

    V283 Rate-Long pauses 0. Absent 1. Mild 2. Severe 8.

    V284 Rate-Very rapid speech 0. Absent 1. Mild 2. Severe 8.

  • Assessment interview CFAS I

    V285 Rate-Restricted speech 0. Absent 1. Mild 2. Severe 8.

    V286 Rate-Perseveration 0. Absent 1. Mild 2. Severe 8.

    V287 Rate-Dysphasia 0. No 1. Yes 8.

    V288 Rate-Dysarthria-brain 0. No 1. Yes 8.

    V289 Rate-Dysarthria-tongue 0. No 1. Yes 8.

    V290 Rate-Lack of teeth 0. No 1. Yes 8.

    V291 Rate-Deafness 0. No 1. Yes 8.

    V292 Rate-Blindness 0. No 1. Yes 8.

    V293 Rate-Stuttering 0. No 1. Yes 8.

    V294 Rate-Mutism 0. No 1. Yes 8.

    V295 Rate-Weakness 0. No 1. Yes 8.

  • Assessment interview CFAS I

    V296 Rate-Low intelligence 0. No 1. Yes 8.

    V297 Rate-Poor English 0. No 1. Yes 8.

    V298 Rate-Slurring 0. No 1. Yes 8.

    V299 Rate-Poor interview conditions 0. No 1. Yes 8.

    V300 Rate-Respondent fell asleep 0. No 1. Yes 8.

    V301 Rate-Respondent drowsy 0. No 1. Yes 8.

    V302 Rate-Lack of insight 0. No 1. Yes 8.

    V303 Rate-Attentional problems 0. No 1. Yes 8.

    V304 Rate-Impaired judgement 0. No 1. Yes 8.

    V305 Rate-Hallucinating 0. No 1. Yes 8.

    V306 Rate-Incoherent 0. No 1. Yes 8.

    V307 Rate-Errors due to depression 0. No 1. Yes 8.

  • Assessment interview CFAS I

    V308 Rate-Memory defect 0. No 1. Yes 8.

    V309 Rate-Clouded consciousness 0. No 1. Yes 8.

    V310 Rate-Indifferent 0. No 1. Yes 8.

    V311 Rate-Clear cut memory defect 0. No 1. Yes 8.

    V312 Rate-Dubious memory defect 0. No 1. Yes 8.

    V313 Rate-Judgement problems 0. No 1. Mild 2. Severe 8.

    V314 Rate-Was interview completed 0. No 1. Yes

    V315 Rate-Respondent sad etc 0. No 1. Mild 2. Severe 8. 9.

    V316 Rate-Respondent tearful 0. No 1. Mild 2. Severe 8. 9.

    V317 Rate-Respondent slow 0. No 1. Mild 2. Severe 8. 9.

  • Assessment interview CFAS I

    V318 Rate-Respondent muddled 0. No 1. Mild 2. Severe 8. 9.

    V319 Rate-Respondent indecisive 0. No 1. Mild 2. Severe 8. 9.

    V320 Rate-Respondent suspicious 0. No 1. Mild 2. Severe 8. 9.

    V321 Rate-Respondent lack of concentration 0. No 1. Mild 2. Severe 8. 9.

    V322 Rate-Confidence in data 0. Reasonable 1. A few doubts 2. Moderate doubts 3. Grave doubts 4. Worthless

    V323 Rate-Data doubts due to exaggeration 0. No 1. Yes, mildly present 2. Yes, severely present

    V324 Rate-Data doubts due to minimization 0. No 1. Yes, mildly present 2. Yes, severely present

    V325 Rate-Are you a doctor 0. No 1. Yes

    V326 Rate-Interviewee is a case 0. Definite non-case 1. Probable non-case 2. Possible non-case 3. Mild case 4. Moderate case 5. Severe case 8.

  • Assessment interview CFAS I

    Administrative variables

    PC (P) extra cognitive items coded Type: Length: Decimals:

    numeric 2 0

    BLOCK Blocking flag Type: Length: Decimals:

    numeric 2 0

    VER Software version number Type: Length: Decimals:

    numeric 2 0