Q88 How much do you worry? 0. Not unduly 1. Worries a lot about 1 or 2 things. 2. Is a worrier 3. Both 1 & 2 8. No answer 9. Not asked Q88 The question refers to undue worry as R defines it. Rate only if R regards worrying as a substantial part of his / her behaviour. Q89 Does this worrying bother you a lot? Is it unpleasant? (Can you stop yourself worrying?) Do the thoughts keep coming back? 0. No 1. Yes 8. No answer 9. Not asked Q89 Rate positive only for unpleasant worrying which returns repeatedly or which cannot be stopped. It is not imperative that the worrying be out of proportion to the event but in practice this will often be the case. IF THE RESPONDENT HAS SAID THEY HAVE CHILDREN ASK Q90 OTHERWISE SKIP TO Q92 Q90 Is there anything about your relationship with your children that bothers or upsets you? (If YES: what?) 0. No 1. Yes 8. No answer 9. Not asked Q90 Rate 1 if R unusually bothered by the relationship. Q91 Specify what? GENERAL ANXIETY Q92 Do you get frightened? (very anxious) (If YES: has that happened lately?) (What made you feel that way?) 0. No 1. Infrequently 2. Frequently/Persistently 8. No answer 9. Not asked Q92-Q93 All forms of free floating subjective fear, apprehension and anxiety are rated here including the anxiety which may accompany delusions. Do not confuse anxiety with worry, which is not necessarily accompanied by anxiety nor with depressive mood, nor tension which is experienced physically, e.g. in the muscles. Q93 Have you had attacks of fear or panic when you had to do something about it? (e.g. like running out of the room) or felt you would collapse or lose control of yourself?
1. Yes within the last year 2. Yes, more than 1 year ago Q185 Have you ever suffered from… attacks of dizziness in you seem to move? 0. No 1. Yes within the last year 2. Yes, more than 1 year ago IF Q183 = 0 AND Q184 = 0 AND Q185 = 0 SKIP TO Q188 Q186 Nowadays how much does the dizziness or unsteadiness worry, annoy or upset you? 0. Do not have problems with dizziness or unsteadiness 1. Not at all annoying 2. Slightly annoying 3. Moderately annoying 4. Severely annoying Q187 Has dizziness or unsteadiness ever stopped you working or carrying out your normal activities for more than one day? 0. No 1. Yes, for 1 day or more, but less than 1 week 2. Yes, for 1 week or more, but less than 1 month 3. Yes, for 1 or more 188 OBSERVATION INTERVIEWEE LOOKS EMACIATED, FRAIL, OR PHYSICALLY ILL 0. No 1. Mild 2. Severe 9. Not applicable 188 This is a global rating concerning the conspicuous presence of physical illness (examples would be extreme pallor, central cyanosis or breathlessness at rest) or handicap, including severe degrees of emaciation or frailty (for example, very weak). 189 OBSERVATION ONE OR MORE LIMBS APPEAR TO BE WHOLLY OR PARTIALLY PARALYSED, OR ONE 189 A positive rating would normally indicate the aftermath of a stroke.
SIDE OF THE FACE. (AS IN THE AFTERMATH OF A STROKE) 0. No 1. Yes, left paralysis 2. Yes, right sided paralysis 3. 9. Not applicable IF RATED 1, 2 OR 3 ASK Q190 OTHERWISE SKIP TO Q191 Q190 What did your doctor say was wrong with your .....? Was the possibility of a stroke mentioned? 0. No stroke 1. Probable stroke 2. Certain stroke 8. No answer 9. Not asked Q190 Accept here R's belief that they have had a stroke, unless it is clearly false. If R is uncertain, ask about transient weakness in an arm or leg, and particularly an arm or leg on the same side of the body. SOMATIC DYSFUNCTION Q191 What has your appetite been like? Do you enjoy your food? In the last month, have you been eating more or less than 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. No answer 9. Not Q191Rate here either a diminution of the desire for food or a marked increase. Some individuals will continue to eat because they know that not taking a meal can weaken them physically, although they may have lost the desire for food. A marked increase may take the form of eating or a general increase in the consumption of carbohydrates. Usually R will find it difficult to control. IF RATED 1 OR 2 ASK Q192, IF RATED 3 OR 4 ASK Q193, IF NEITHER SKIP TO Q194 Q192 Why is that? 0. NO medical condition or nausea 1. Poor appetite due to illness or nausea 8. No answer 9. Not asked Q192 Try here to exclude any medical condition or bodily ailment (including alcohol abuse and heavy smoking) as causes of appetite loss. If none of these explains poor appetite rate 0. Q193 Has it been like that most days in the last month?
9 Not asked. SLEEP SECTION Q201 Have you had any trouble sleeping recently? 0. No trouble/no change in pattern 1. Yes 8. No answer 9. Not asked Q201 This item refers to any type of sleep disturbance which R has noticed. If R has recently been admitted to an institution, sleep performance should be assessed on the one month prior to admission. IF YES ASK Q202, OTHERWISE SKIP TO Q211 Q202 Have you taken anything to help you sleep? Does it help? 0. Not taken anything 1. Mild/Infrequent problems despite 2. Severe/Persistent problems despite 3. Taken & no problems 8. No answer 9. Not asked Q202 Rate here for the use of medication or alcohol to aid sleep. Medication refers to specific sleeping tablets or certain sedatives which are being used for the purpose of inducing or assisting the onset of sleep. Q203 How long has it been going on for? What used to happen? 0. No persistent problem 1. Mild marked insomnia 2. Severe marked insomnia 3. Mild marked excessive 4. Severe marked excessive sleep 8. No answer 9. Not asked Q203 Rate for excessive sleep if R feels the need for several hours more sleep a night than usual and probably awakens the next morning still feeling tired. Rate most nights for at two weeks in the last month. 204 RATE HAS INSOMNIA MOST OF THE NIGHT AND SLEEPS MAINLY DURING THE DAY (If not established ASK When do you get any sleep?) 0. No 1. Infrequent 2. Frequent/Persistent 8. No answer 9. Not asked 204 Rate here a reversal of sleep pattern whereby R lies awake most of the night or fails to go to bed and sleeps mainly during the day time.
Q281 SHOW PICTURE OF TYPEWRITER 0. Incorrect 1. Typewriter 9. Not asked Q282 SHOW PICTURE OF SCALES 0. Incorrect 1. Scales 9. Not Q283 SHOW PICTURE OF SUITCASE 0. Incorrect 1. Suitcase, portmanteau, case 9. Not asked Q284 SHOW PICTURE OF BAROMETER 0. Incorrect 1. Barometer 9. Not asked Q285 SHOW PICTURE OF TABLE LAMP 0. Incorrect 1. lamp, lamp 9. Not Q286 Now I’d like you to tell me as many different words beginning with the letter S as you can think of in one minute Nn Number recorded 99 Not asked Q286 Record on a separate sheet. Do not count repetitions and do not allow proper nouns. If respondent get stuck, encourage him/her with ‘Can you think of any more?’ Q287 Name as many different animals as you can think of. You will have one minute to do this. Nn Number recorded 99 Not asked Q287 Record names of animals on a separate sheet. Only if respondent asks for clarification, explain that animals include birds, insects, humans etc. If respondent gets stuck, encourage him/her with ‘Can you think of any more?’ Q288 What is a bridge? 0. Incorrect 1. Cross the bridge 2. Goes across a river etc 9. Not asked
Q289 What is an opinion? 0. Incorrect 1. A good opinion of someone 2. A person’s idea about something 9. Not asked. IF BOTH Q288 AND Q289 SCORE 2 SKIP TO Q292 Q290 Where do people usually go to buy medicine? 0. Incorrect 1. Chemist, pharmacy, surgery, supermarket 9. Not Correct answer: chemist, pharmacy (accept locally appropriate answer) Q291 What do you do with a hammer? 0. Incorrect 1. Any correct use 9. Not Q291 The answer does not have to be specific. If you can’t code the answer seek clarification; say ‘Can you tell me more about that?’ *Q292 I am now to say something and I would like you to repeat it after me. No Ifs, ands or buts’ 0. Incorrect 1. Correct phrase only) 9. Not Q292 Only one presentation is allowed so it is essential that you read the phrase clearly and slowly, enunciating all the S’s MEMORY Q293 Can you tell me what were the object in the coloured pictures I showed you a little while ago? A. Shoe, sandal 0. Incorrect 1. Correct 9. Not asked Q293 This is a test of memory so either a description or accurate names are acceptable. If the respondent incorrectly named an object in the earlier questions (Q199-Q204) and uses the same name again, count as correct. Q294 Typewriter
1. Response is concrete 2. Correct mime 9. Not asked IF SCORES 2 SKIP TO Q348 Q347 Can you show me how you wave goodbye? 0 Incorrect 1. Correct 9. Not asked CALCULATION I am now going to place a coin into your hand and I want you to tell me what it is without looking at it. PALM DOWN; IN RESPONDENT’S HAND, ONE AT A TIME. Q348 1p 0. Incorrect 1. Correct 9. Not asked Q349 10p 0. Incorrect. 1. Correct 9. Not TAKE THE BACK Q350 HAND TWO COINS AS IF THEY ARE DIFFERENT ONES How much money does this make? 0. Incorrect 1. Correct (11p) 9. Not Respondent may look at coins to see if s/he was correct. Mental calculation is rated here - no pen & paper Q351 If someone gave you this amount (11p) as change from £1, how much did you 0. Incorrect 1. Correct (89p) Q351 Mental calculation is required. Paper and pencil are not allowed.
Q362 B. Pope 0. Incorrect 1. Pope, Archbishop, Bishop 9. Not asked SHOW RECOGNITION OF OBJECTS IN BOOKLET These are pictures of objects taken from unusual angles. Can you tell me what they are? Q363 A. Spectacles 0. Incorrect 1. Correct 9. Not asked Q364 B. Shoe 0. Incorrect 1. Correct 9. Not Q365 C. Purse, suitcase, briefcase 0. Incorrect 1. Correct 9. Not asked Q366 D. Cup and saucer 0. Incorrect 1. Correct 9. Not asked Q367 E. Telephone 0. Incorrect 1. Correct 9. Not asked Q368 F. Pipe 0. Incorrect 1. Correct 9. Not asked Q360-Q368 Criterion is whether the object is recognised, not that it is named correctly, therefore descriptions of function are acceptable.