The General Practitioner assessment of COGnition

Please ask an informant who knows the patient well. If you don't have an informant available today you can skip that part and complete it later. You will find a link to the informant interview on the start page.

Please note that the informant interview can be completed over the phone at any time.

How is the patient compared to say 5 to 10 years ago?

	yes	no	don't know	n\a
*Does the patient have more trouble remembering things that have happened recently than s\he used to?*

*Does he or she have more trouble recalling conversations a few days later?*

*When speaking, does the patient have more difficulty in finding the right word or tend to use the wrong words more often?*

*Is the patient less able to manage money and financial affairs (e.g. paying bills, budgeting)?*

*Is the patient less able to manage his or her medication independently?*

*Does the patient need more assistance with transport (either private or public)? If patient has difficulties due only to physical problems, e.g. bad leg, tick "no"*

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