GPCOG (61)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT GPCOG
LAST UPDATE 2022-04-08 09:01:49
ENTRY CHECKSUM 713517703
ENTRY SPECIFICATION
{"name": "GPCOG", 
    }, 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}]
}
   {"id": "q5527", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "1. What is the date? (Answer must be exact.)", 
    "intro": "I am going to give you a name and address. After I have said it, I want you to
 repeat it. Remember this name and address because I am going to ask you to tell
 it to me again in a few minutes: John  Brown, 42 West Street, Kensington. (Allow
 a maximum of 4 attempts to memorize.)  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
 "restartDays": 2, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5528", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "2. Please draw a clock on the paper provided. Mark in all the numbers to indicate
 the hours of a clock (Correct: the numbers 12, 3, 6, and 9 should be in the
 correct quadrants of the circle and the  other numbers should be approximately
 correctly placed.)", 
    "intro": "I am going to give you a name and address. After I have said it, I want you to
 repeat it. Remember this name and address because I am going to ask you to tell
 it to me again in a few minutes: John  Brown, 42 West Street, Kensington. (Allow
 "printTitle": "General Practitioner Assessment of Cognition",
 a maximum of 4 attempts to memorize.)  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5529", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "3. Please mark in hands to show 10 minutes past eleven o'clock, 11:10. (Correct:
 the hands should be pointing to the 11 and the 2, but do not penalize if the
 respondent fails to distinguish the long and  short hands.)", 
 "content":[
    "intro": "I am going to give you a name and address. After I have said it, I want you to
 repeat it. Remember this name and address because I am going to ask you to tell
 it to me again in a few minutes: John  Brown, 42 West Street, Kensington. (Allow
 a maximum of 4 attempts to memorize.)  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5530", "type": "ChoiceQuestion", "required": false, "inline": true, 
   {"id": "i607", "type": "IntroText", 
    "text": "4. Can you tell me something that happened in the news recently? (Correct: Must
 be in the last week. Extensive details are not required but a general answer
 without details, e.g., war, lots of rain, after prodding, is incorrect.)", 
    "intro": "I am going to give you a name and address. After I have said it, I want you to
 repeat it. Remember this name and address because I am going to ask you to tell
 it to me again in a few minutes: John  Brown, 42 West Street, Kensington. (Allow
 a maximum of 4 attempts to memorize.)  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
    "text": "I am going to give you a name and address. After I have said it, I want you to
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "i608", "type": "IntroText", 
    "text": "What was the name and address I asked you to remember?  "
    }, 
   {"id": "q5531", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "5A. John", 
    "intro": "What was the name and address I asked you to remember?  ", 
    "columns": 2, 
    "choices":[
 repeat it. Remember this name and address because I am going to ask you to tell
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5532", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "5B. Brown", 
    "intro": "What was the name and address I asked you to remember?  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
 it to me again in a few minutes: John  Brown, 42 West Street, Kensington. (Allow
   ]}, 
   {"id": "q5533", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "5C. 42", 
    "intro": "What was the name and address I asked you to remember?  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5534", "type": "ChoiceQuestion", "required": false, "inline": true, 
 a maximum of 4 attempts to memorize.)  "
    "text": "5D. West (Street)", 
    "intro": "What was the name and address I asked you to remember?  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5535", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "5E. Kensington", 
    "intro": "What was the name and address I asked you to remember?  ",