Question

Name

qi_112

Label

112

Question Text

Now I would like you to tell me the names of as many different animals as you can in one minute? Animals are everything that is not vegetable or mineral.

Instructions

If asks for clarification: animals include birds, insects, humans, etc. Set the stop watch for one minute and write down the animals on page 8 of the paper test booklet.

Type
Code List
Selection Style
SelectOne

Usage

352 questions before...

Later on I am going to give you a name and address to write on this envelope. When you have finished doing that I would like you to do the following: Turn it over, seal it, and write your initials on the back. Could you remember to do that then, without me reminding you?

Nurse: Hold up blank envelope. Nurse: Now put the envelope out of sight.

1
Respondent will do the test
2
Respondent refuses to do the test

Now I would like you to tell me the names of as many different animals as you can in one minute? Animals are everything that is not vegetable or mineral.

If asks for clarification: animals include birds, insects, humans, etc. Set the stop watch for one minute and write down the animals on page 8 of the paper test booklet.

1
Respondent will do the test
2
Respondent refuses to do the test

Please write the following name and address on this envelope: John Brown, 42 West Street, Bedford. Please go on remembering this name and address and I will ask you about it later.

Nurse: Hand over the envelope. Nurse record if envelope is sealed and initials written on back

1
Yes, both actions completed correctly, without prompting
2
Only one action completed, without prompting
3
No actions completed, without prompting
101 questions after...
View the complete questionnaire