Brief cognitive symptoms inventory. Instructions: Now we would like to ask you questions specifically focusing on how your illness affected your ability to think clearly. By circling one number per line, please indicate whether each activity may have been a problem over the past 4 weeks.
Never a Problem | A Problem Some of the Time | A Problem Most of the Time | A Problem All of the Time – Unable To Do | ||
---|---|---|---|---|---|
1 | Remember details of your recent experiences | 0 | 1 | 2 | 3 |
2 | Remember details at home or work | 0 | 1 | 2 | 3 |
3 | Concentrate on a task you need to do | 0 | 1 | 2 | 3 |
4 | Concentrate on more than one task at a time | 0 | 1 | 2 | 3 |
5 | Concentrate on reading a book or newspaper | 0 | 1 | 2 | 3 |
6 | Find the correct word during a conversation | 0 | 1 | 2 | 3 |