Elementor #10314 — 周教授的心理客廳

Academia Mentality Parlor

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Gender

Male

Female

Neutral

None

Age

31-40

41-50

51-60

61-70

≥71

None

Education level

Primary School or Illiterate

Secondary School

High school

University / Higher education

Master’s degree or above

None

Marital status

Unmarried

Married

Divorce

None

Living area/ location

Taiwan, Penghu, Kinmen, Matsu

China, Hong Kong, Macau

America and Canada

European region

other

None

1. Lose your train of thought when speaking?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

2. Have difficulty remembering the names of people even if you have met them several times?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

3. Forget what you came into the room for?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

4. Have trouble getting things organized?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

5. Have trouble concentrating on what people are saying during a conversation?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

6. Forget if you had already done something?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

7. Miss appointments and meetings you had scheduled?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

8. Have difficulty planning what to do during the day?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

9. Have trouble concentrating on things like watching a television program or reading a book?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

10. Forget what you did the night before?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

11. Forget the date unless you looked it up?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

12. Have trouble getting started, even when you had a lot of things to do?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

13. Find your mind drifting?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

14. Forget what you talked about after a telephone conversation?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

15. Forget to do things like turn off the stove, or lock the door?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

16. Feel like your mind went totally blank?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

17. Have trouble holding phone numbers in your head, even for a few seconds?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

18. Forget what you did last weekend?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

19. Forget to take your medication?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

20. Have trouble making decisions?

Never(0 times)

Sometimes(1-2 times a week)

Often(3-5 times a week)

Always(every day)

None

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