| | | | | | Compared with two years ago, how is at remembering address and  
| | | | | | telephone number?  
| | | | | | 1 Much improved  
| | | | | | 2 A bit improved  
| | | | | | 3 Not much change  
| | | | | | 4 A bit worse  
| | | | | | 5 Much worse  
| | | | | |  
| | | | | | HEIQF  
| | | | | |  
| | | | | | SHOW CARD C10  
| | | | | |  
| | | | | | Compared with two years ago, how is at remembering what day and  
| | | | | | month it is?  
| | | | | | 1 Much improved  
| | | | | | 2 A bit improved  
| | | | | | 3 Not much change  
| | | | | | 4 A bit worse  
| | | | | | 5 Much worse  
| | | | | |  
| | | | | | HEIQG  
| | | | | |  
| | | | | | SHOW CARD C10  
| | | | | |  
| | | | | | Compared with two years ago, how is at remembering where things are  
| | | | | | usually kept?  
| | | | | | 1 Much improved  
| | | | | | 2 A bit improved  
| | | | | | 3 Not much change  
| | | | | | 4 A bit worse  
| | | | | | 5 Much worse  
| | | | | |  
| | | | | | HEIQH  
| | | | | |  
| | | | | | SHOW CARD C10  
| | | | | |  
| | | | | | Compared with two years ago, how is at remembering where to find  
| | | | | | things which have been put in a different place from usual?  
| | | | | | 1 Much improved  
| | | | | | 2 A bit improved  
| | | | | | 3 Not much change  
| | | | | | 4 A bit worse  
| | | | | | 5 Much worse  
| | | | | |  
| | | | | | HEIQI  
| | | | | |  
| | | | | | SHOW CARD C10  
| | | | | |  
| | | | | | Compared with two years ago, how is at knowing how to work familiar  
| | | | | | machines around the house?  
| | | | | | 1 Much improved  
| | | | | | 2 A bit improved  
| | | | | | 3 Not much change  
| | | | | | 4 A bit worse  
| | | | | | 5 Much worse