Date of visit/assessment
Item
1. Date of visit/assessment
date
Informed consent
Item
Informed consent
text
Item
1. Did subject meet all MoCA eligibility criteria?
text
Code List
1. Did subject meet all MoCA eligibility criteria?
CL Item
No, please select all boxes corresponding to the criteria that were not met (N)
Availability of an approved translation
Item
[I51] 1. Availability of an approved translation
boolean
informed consent
Item
[I52] 2. Signed written informed consent prior to assessing the MoCA. Note: Consent to participate in the MoCA assessment is seperate from consent to participate in the parent study.
boolean
physical limitation
Item
[E51] 1. Inability to complete all items on the MoCA due to physical limitation(s)
boolean
MoCA Status
Item
MoCA Status
text
Montreal Cognitive Assessment (MoCA)
Item
Montreal Cognitive Assessment (MoCA)
text