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Section AJ: DEMENTIA CHECKLIST & NEUROLOGICAL EXAM -  INITIAL VISIT  (Respondent)

==========================================================================================


HHID           HRS HOUSEHOLD IDENTIFIER
         Section: AJ    Level: Respondent      Type: Character  Width: 6   Decimals: 0

         This variable uniquely identifies an original HRS household across waves.

         .................................................................................
           856           010059-213468.  Household Identification Number


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PN             HRS PERSON NUMBER
         Section: AJ    Level: Respondent      Type: Character  Width: 3   Decimals: 0

         Each HRS respondent has a Person Number, PN, unique within an original
         household.  In combination, HHID and PN uniquely identify a respondent across
         all waves of the study.

         .................................................................................
           584         010.  Person Number
            11         011.  Person Number
           187         020.  Person Number
             1         021.  Person Number
            33         030.  Person Number
            39         040.  Person Number
             1         041.  Person Number


==========================================================================================


ADAMSSID       ADAMS SUBJECT IDENTIFIER
         Section: AJ    Level: Respondent      Type: Character  Width: 5   Decimals: 0

         This variable identifies an ADAMS subject in the ADAMS data files.

         .................................................................................
           856             00021-21311.  ADAMS Subject Identification Number


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AJNEURCOMP     WHETHER NEUROLLOGICAL EXAM COMPLETED
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: NEURCOMP

         NEUROLOGICAL EXAM COMPLETED?
         The CRN conducts this standardized neurological examination with the subject.
         For each question, Can't Execute and Missing will mean the following:
         CAN'T EXECUTE: Subject will not/cannot attempt task secondary to dementia.
         MISSING: Examiner omits task, subject refuses (not secondary to dementia), or
         subject unable to do task secondary to physical reason.

         .................................................................................
           819           1.  YES
            37           2.  NO


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AJRANGELAT     NEUROLOGICAL EXAM - RANGE, EXTENT OF LATERAL GAZE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RANGELAT

         RANGE/EXTENT OF LATERAL GAZE2

         .................................................................................
           725           1.  NORMAL -- complete gaze to left/right
            20           2.  ABNORMAL -- incomplete left or right gaze
             3           3.  ABNORMAL -- complete absence of left or right gaze
                         4.  OTHER (SPECIFY)
            45           8.  CAN'T EXECUTE
            26           9.  MISSING
            37       Blank.  Inap


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AJRANGEVER     NEUROLOGICAL EXAM - RANGE,EXTENT OF VERTICAL GAZE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RANGEVER

         RANGE/EXTENT OF VERTICAL GAZE

         .................................................................................
           734           1.  NORMAL -- complete up & down gaze
            13           2.  ABNORMAL -- incomplete up & down gaze
             4           3.  ABNORMAL -- complete absence of up & down gaze
                         4.  OTHER (SPECIFY)
            47           8.  CAN'T EXECUTE
            21           9.  MISSING
            37       Blank.  Inap


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AJPUPILLAR     NEUROLOGICAL EXAM - PUPILLARY REFLEX
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: PUPILLAR

         PUPILLARY REFLEX

         .................................................................................
           655           1.  NORMAL -- PERRLA
           120           2.  ABNORMAL -- re:pupil size, reaction time
            19           3.  OTHER (SPECIFY)
            10           8.  CAN'T EXECUTE
            15           9.  MISSING
            37       Blank.  Inap


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AJOPENJAW      NEUROLOGICAL EXAM - OPENING AND CLOSING JAW
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: OPENJAW

         OPENING AND CLOSING JAW

         .................................................................................
           774           1.  NORMAL -- No deviation of mandible
            14           2.  ABNORMAL (SPECIFY)
             1           3.  OTHER (SPECIFY)
            26           8.  CAN'T EXECUTE
             4           9.  MISSING
            37       Blank.  Inap


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AJPHARYNGE     NEUROLOGICAL EXAM - PHARYNGEAL MOVEMENTS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: PHARYNGE

         PHARYNGEAL MOVEMENTS (subject opens mouth, says 'ah')

         .................................................................................
           721           1.  NORMAL -- No deviation of uvula or tongue
            37           2.  ABNORMAL -- deviation to left or right
            14           3.  OTHER (SPECIFY)
            32           8.  CAN'T EXECUTE
            15           9.  MISSING
            37       Blank.  Inap


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AJCLOSEYES     NEUROLOGICAL EXAM - CLOSE EYES, RESIST OPENING
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CLOSEYES

         CLOSE EYES, RESIST OPENING BY EXAMINER

         .................................................................................
           745           1.  NORMAL -- no weakness of upper eyelid on either side
            27           2.  ABNORMAL -- unilateral or bilateral weakness
             2           3.  OTHER (SPECIFY)
            36           8.  CAN'T EXECUTE
             9           9.  MISSING
            37       Blank.  Inap


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AJBLOWOUT      NEUROLOGICAL EXAM - BLOW OUT CHEEKS WITH MOUTH CLOSED
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: BLOWOUT

         BLOW OUT CHEEKS WITH MOUTH CLOSED

         .................................................................................
           697           1.  NORMAL -- can perform evenly bilateral
            41           2.  ABNORMAL -- cannot perform evenly
            19           3.  ABNORMAL -- cannot perform with mouth closed
             7           4.  OTHER (SPECIFY)
            48           8.  CAN'T EXECUTE
             7           9.  MISSING
            37       Blank.  Inap


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AJWIDESMIL     NEUROLOGICAL EXAM - WIDE SMILE, SHOW TEETH
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: WIDESMIL

         WIDE SMILE- SHOW TEETH

         .................................................................................
           748           1.  NORMAL -- no weakness noted
             2           2.  ABNORMAL -- flattened nasolabial fold
            30           3.  ABNORMAL -- inability to raise corner of mouth on left or
                             right
             7           4.  OTHER (SPECIFY)
            26           8.  CAN'T EXECUTE
             6           9.  MISSING
            37       Blank.  Inap


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AJEYEBROWS     NEUROLOGICAL EXAM - RAISE EYEBROWS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: EYEBROWS

         FROWN WITH KNIT BROWS

         .................................................................................
           757           1.  NORMAL -- no weakness noted
            10           2.  ABNORMAL -- inability to raise eyebrow
             7           3.  ABNORMAL -- inability to wrinkle forehead on left or right
             3           4.  OTHER (SPECIFY)
            39           8.  CAN'T EXECUTE
             3           9.  MISSING
            37       Blank.  Inap


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AJWINK         NEUROLOGICAL EXAM - WINK WITH OTHER EYE OPEN
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: WINK

         WINK WITH OTHER EYE OPEN

         .................................................................................
           616           1.  NORMAL -- can perform with either eye
           124           2.  ABNORMAL -- can perform with one eye only
            38           3.  ABNORMAL -- cannot perform
             1           4.  OTHER
            35           8.  CAN'T EXECUTE
             5           9.  MISSING
            37       Blank.  Inap


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AJTONGUE       NEUROLOGICAL EXAM - RAPID TONGUE MOVEMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: TONGUE

         RAPID TONGUE MOVEMENT

         .................................................................................
           482           1.  NORMAL -- 4 touches/second
           279           2.  ABNORMAL -- <4 touches/second or arrhythmic
             9           3.  OTHER (SPECIFY)
            41           8.  CAN'T EXECUTE
             8           9.  MISSING
            37       Blank.  Inap


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AJMOTOR_A      NEUROLOGICAL EXAM - EYE CLOSURE X20 SECS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: MOTOR_A

         MOTOR IMPERSISTENCE: Eye Closure X 20 seconds
         A.  Eye closure x 20 seconds

         .................................................................................
           751           1.  NORMAL -- maintains act for 20 seconds
            24           2.  ABNORMAL -- opens eyes before 20 seconds
             2           3.  OTHER (SPECIFY)
            39           8.  CAN'T EXECUTE
             3           9.  MISSING
            37       Blank.  Inap


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AJMOTOR_B      NEUROLOGICAL EXAM - TONGUE PROTRUSION X20 SECS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: MOTOR_B

         MOTOR IMPERSISTENCE: Tongue protrusion x 20 seconds
         B.  Tongue protrusion x 20 seconds

         .................................................................................
           712           1.  NORMAL -- maintains act for 20 seconds
            54           2.  ABNORMAL -- pulls tongue in before 20 seconds
             2           3.  OTHER (SPECIFY)
            39           8.  CAN'T EXECUTE
            12           9.  MISSING
            37       Blank.  Inap


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AJRACOUSTA     NEUROLOGICAL EXAM - RUBBING OF FINGERS, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RACOUSTA

         RIGHT Acoustic nerve: Rubbing of fingers

         .................................................................................
           535           1.  NORMAL -- able to hear
           225           2.  ABNORMAL -- unable to hear
             1           3.  OTHER (SPECIFY)
            37           8.  CAN'T EXECUTE
            21           9.  MISSING
            37       Blank.  Inap


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AJLACOUSTA     NEUROLOGICAL EXAM - RUBBING OF FINGERS, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LACOUSTA

         LEFT Acoustic nerve: Rubbing of fingers

         .................................................................................
           544           1.  NORMAL -- able to hear
           217           2.  ABNORMAL -- unable to hear
                         3.  OTHER (SPECIFY)
            37           8.  CAN'T EXECUTE
            21           9.  MISSING
            37       Blank.  Inap


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AJRWHISPER     NEUROLOGICAL EXAM - WHISPERING, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RWHISPER

         RIGHT Acoustic nerve: whispering

         .................................................................................
           646           1.  NORMAL -- able to hear
           117           2.  ABNORMAL -- unable to hear
             2           3.  OTHER (SPECIFY)
            33           8.  CAN'T EXECUTE
            21           9.  MISSING
            37       Blank.  Inap


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AJLWHISPER     NEUROLOGICAL EXAM - WHISPERING, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LWHISPER

         LEFT Acoustic nerve: whispering

         .................................................................................
           627           1.  NORMAL -- able to hear
           137           2.  ABNORMAL -- unable to hear
             2           3.  OTHER (SPECIFY)
            32           8.  CAN'T EXECUTE
            21           9.  MISSING
            37       Blank.  Inap


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AJCHIN         NEUROLOGICAL EXAM - CHIN RESISTANCE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CHIN

         CHIN RESISTANCE

         .................................................................................
           721           1.  NORMAL -- no weakness noted on either side
            17           2.  ABNORMAL -- unilateral weakness
            22           3.  ABNORMAL -- bilateral weakness
             1           4.  OTHER (SPECIFY)
            45           8.  CAN'T EXECUTE
            13           9.  MISSING
            37       Blank.  Inap


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AJSHOULDER     NEUROLOGICAL EXAM - SHOULDER ELEVATION, SHRUG
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: SHOULDER

         SHOULDER ELEVATION (shrug)

         .................................................................................
           733           1.  NORMAL -- no weakness noted
             9           2.  ABNORMAL -- unilateral weakness
             5           3.  ABNORMAL -- bilateral weakness
             5           4.  OTHER (SPECIFY)
            44           8.  CAN'T EXECUTE
            23           9.  MISSING
            37       Blank.  Inap


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AJMUTE         NEUROLOGICAL EXAM - WHETHER SUBJECT IS MUTE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: MUTE

         IS SUBJECT MUTE?

         .................................................................................
             9           1.  YES
           810           2.  NO
            37       Blank.  Inap


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AJREPEAT_A     NEUROLOGICAL EXAM - REPEAT LA,LA,LA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: REPEAT_A

         REPEAT LA, LA, LA, LA, LA
         A).  'La, La, La, La, La'

         .................................................................................
           683           1.  NORMAL -- regular rate, rhythm and > 4 syllables/second,
                             each syllable clear
            37           2.  ABNORMAL -- arrhythmic
            27           3.  ABNORMAL -- < 4 syllables/second
            22           4.  ABNORMAL -- slurred words
             2           5.  OTHER (SPECIFY)
            30           8.  CAN'T EXECUTE
             9           9.  MISSING
            46       Blank.  Inap


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AJREPEAT_B     NEUROLOGICAL EXAM - REPEAT GO,GO,GO
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: REPEAT_B

         REPEAT GO, GO, GO, GO, GO
         B).  'Go, Go, Go, Go, Go'

         .................................................................................
           670           1.  NORMAL -- regular rate, rhythm and > 4 syllables/second,
                             each syllable clear
            37           2.  ABNORMAL -- arrhythmic
            39           3.  ABNORMAL -- < 4 syllables/second
            20           4.  ABNORMAL -- slurred words
             6           5.  OTHER (SPECIFY)
            30           8.  CAN'T EXECUTE
             8           9.  MISSING
            46       Blank.  Inap


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AJREPEAT_C     NEUROLOGICAL EXAM - REPEAT KITTY,KITTY,KITTY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: REPEAT_C

         REPEAT KITTY, KITTY, KITTY, KITTY, KITTY
         C).  'Kitty, Kitty, Kitty, Kitty, Kitty'

         .................................................................................
           682           1.  NORMAL -- regular rate, rhythm and > 4 syllables/second,
                             each syllable clear
            39           2.  ABNORMAL -- arrhythmic
            34           3.  ABNORMAL -- < 4 syllables/second
            16           4.  ABNORMAL -- slurred words
             2           5.  OTHER (SPECIFY)
            28           8.  CAN'T EXECUTE
             9           9.  MISSING
            46       Blank.  Inap


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AJRATECONV     NEUROLOGICAL EXAM - RATE OF CONVERSATION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RATECONV

         RATE OF CONVERSATION

         .................................................................................
           730           1.  NORMAL -- normal speed
             8           2.  ABNORMAL -- too fast
            55           3.  ABNORMAL -- too slow
             6           4.  OTHER (SPECIFY)
            10           8.  CAN'T EXECUTE
             1           9.  MISSING
            46       Blank.  Inap


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AJCLARCONV     NEUROLOGICAL EXAM - CLARITY OF CONVERSATION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CLARCONV

         CLARITY OF CONVERSATION

         .................................................................................
           697           1.  NORMAL -- normally understandable
            77           2.  ABNORMAL -- examiner must listen carefully
             8           3.  ABNORMAL -- subject must repeat to be understood
            20           4.  ABNORMAL -- almost incomprehensible
             2           5.  OTHER (SPECIFY)
             6           8.  CAN'T EXECUTE
                         9.  MISSING
            46       Blank.  Inap


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AJF_NRIGHT     NEUROLOGICAL EXAM - FINGER TO NOSE TOUCH, RIGHT REV
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: F_NRIGHT

         RIGHT FINGER -TO-NOSE TOUCHING

         .................................................................................
           506           1.  NORMAL -- quickly, smooth and accurate
           175           2.  ABNORMAL -- slow but accurate
            48           3.  ABNORMAL -- dysmetria noted
             6           4.  OTHER (SPECIFY)
            51           8.  CAN'T EXECUTE
            33           9.  MISSING
            37       Blank.  Inap


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AJF_NLEFT      NEUROLOGICAL EXAM - FINGER TO NOSE TOUCH, LEFT REV
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: F_NLEFT

         LEFT FINGER -TO-NOSE TOUCHING

         .................................................................................
           469           1.  NORMAL -- quickly, smooth and accurate
           191           2.  ABNORMAL -- slow but accurate
            68           3.  ABNORMAL -- dysmetria noted
             6           4.  OTHER (SPECIFY)
            50           8.  CAN'T EXECUTE
            35           9.  MISSING
            37       Blank.  Inap


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AJRF_TTAPP     NEUROLOGICAL EXAM - FINGER THUMB TAPPING, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RF_TTAPP

         RIGHT:  FINGER-THUMB TAPPING

         .................................................................................
           672           1.  NORMAL -- 4 taps/second
            47           2.  ABNORMAL -- 3 taps/second or faster but arrhythmic
            30           3.  ABNORMAL -- < 3 taps/second
             2           4.  OTHER (SPECIFY)
            47           8.  CAN'T EXECUTE
            21           9.  MISSING
            37       Blank.  Inap


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AJLF_TTAPP     NEUROLOGICAL EXAM - FINGER THUMB TAPPING, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LF_TTAPP

         LEFT:  FINGER-THUMB TAPPING

         .................................................................................
           660           1.  NORMAL -- 4 taps/second
            52           2.  ABNORMAL -- 3 taps/second or faster but arrhythmic
            31           3.  ABNORMAL -- < 3 taps/second
             6           4.  OTHER (SPECIFY)
            47           8.  CAN'T EXECUTE
            23           9.  MISSING
            37       Blank.  Inap


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AJRDIADOCH     NEUROLOGICAL EXAM - DIADOCHOKINESIS, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RDIADOCH

         RIGHT:  DIADOCHOKINESIS

         .................................................................................
           578           1.  NORMAL -- at least 3 pats/second and smooth
           128           2.  ABNORMAL -- 2 pats/second or faster but arrhythmic
                         3.  ABNORMAL -- < 2 pats/second
            26           4.  OTHER (SPECIFY)
            53           8.  CAN'T EXECUTE
            34           9.  MISSING
            37       Blank.  Inap


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AJRDIADCOD     NEUROLOGICAL EXAM - DIADOCHOKINESIS ABNORM CODE RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RDIADCOD

         RIGHT: Type of Abnormality

         .................................................................................
            33           1.  <3 pats/second
            41           2.  Arrhythmic =2
            54           3.  Both
           728       Blank.  Inap


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AJLDIADOCH     NEUROLOGICAL EXAM - DIADOCHOKINESIS, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LDIADOCH

         LEFT:  DIADOCHOKINESIS

         .................................................................................
           515           1.  NORMAL -- at least 3 pats/second and smooth
           187           2.  ABNORMAL -- 2 pats/second or faster but arrhythmic
                         3.  ABNORMAL -- < 2 pats/second
            26           4.  OTHER (SPECIFY)
            54           8.  CAN'T EXECUTE
            37           9.  MISSING
            37       Blank.  Inap


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AJLDIADCOD     NEUROLOGICAL EXAM - DIADOCHOKINESIS ABNORM CODE LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LDIADCOD

         LEFT : Type of Abnormality

         .................................................................................
            45           1.  <3 pats/second
            65           2.  Arrhythmic =2
            77           3.  Both
           669       Blank.  Inap


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AJHAND_A       NEUROLOGICAL EXAM - INTERLOCKING THUMBS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: HAND_A

         HAND PRAXIS TASKS: INTER-LOCKING FINGERS
         A).  Inter-locking fingers

         .................................................................................
           656           1.  NORMAL -- performs correctly
            93           2.  ABNORMAL -- performs incorrectly
             1           3.  OTHER (SPECIFY)
            40           8.  CAN'T EXECUTE
            29           9.  MISSING
            37       Blank.  Inap


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AJHAND_B       NEUROLOGICAL EXAM - MIRRORED FINGERS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: HAND_B

         HAND PRAXIS TASKS: MIRRORED FINGERS
         B).  Mirrored fingers

         .................................................................................
           648           1.  NORMAL -- performs correctly
           102           2.  ABNORMAL -- performs incorrectly
                         3.  OTHER (SPECIFY)
            43           8.  CAN'T EXECUTE
            26           9.  MISSING
            37       Blank.  Inap


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AJRGRASP       NEUROLOGICAL EXAM - GRASP, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RGRASP

         RIGHT GRASP

         .................................................................................
           779           1.  NORMAL -- absent
             6           2.  ABNORMAL -- subject grasps examiner's hand on stimulation
             1           3.  ABNORMAL -- grasps after verbal request not to do so
                         4.  OTHER (SPECIFY)
            23           8.  CAN'T EXECUTE
            10           9.  MISSING
            37       Blank.  Inap


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AJLGRASP       NEUROLOGICAL EXAM - GRASP, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LGRASP

         LEFT  GRASP

         .................................................................................
           779           1.  NORMAL -- absent
             5           2.  ABNORMAL -- subject grasps examiner's hand on stimulation
             1           3.  ABNORMAL -- grasps after verbal request not to do so
                         4.  OTHER (SPECIFY)
            23           8.  CAN'T EXECUTE
            11           9.  MISSING
            37       Blank.  Inap


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AJRMUSCLE      NEUROLOGICAL EXAM - MUSCLE TONUS, ELBOW,WRIST, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RMUSCLE

         RIGHT  MUSCLE TONUS (passive flexion/extension at elbow and wrist)

         .................................................................................
           697           1.  NORMAL -- normal muscle tone, no rigidity
            93           2.  ABNORMAL -- rigidity or stiffness present
             2           3.  OTHER (SPECIFY)
             7           8.  CAN'T EXECUTE
            20           9.  MISSING
            37       Blank.  Inap


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AJLMUSCLE      NEUROLOGICAL EXAM - MUSCLE TONUS, ELBOW,WRIST, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LMUSCLE

         LEFT  MUSCLE TONUS (passive flexion/extension at elbow and wrist)

         .................................................................................
           692           1.  NORMAL -- normal muscle tone, no rigidity
            94           2.  ABNORMAL -- rigidity or stiffness present
             4           3.  OTHER (SPECIFY)
             7           8.  CAN'T EXECUTE
            22           9.  MISSING
            37       Blank.  Inap


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AJRCOGWHL      NEUROLOGICAL EXAM - COGWHEEL PHENOMENON, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RCOGWHL

         RIGHT  COGWHEEL PHENOMENON

         .................................................................................
           790           1.  NORMAL -- no cogwheeling noted
            10           2.  ABNORMAL -- slight or noticeable rhythmicity throughout
                         3.  OTHER (SPECIFY)
             8           8.  CAN'T EXECUTE
            11           9.  MISSING
            37       Blank.  Inap


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AJLCOGWHL      NEUROLOGICAL EXAM - COGWHEEL PHENOMENON, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LCOGWHL

         LEFT  COGWHEEL PHENOMENON

         .................................................................................
           789           1.  NORMAL -- no cogwheeling noted
            11           2.  ABNORMAL -- slight or noticeable rhythmicity throughout
             2           3.  OTHER (SPECIFY)
             8           8.  CAN'T EXECUTE
             9           9.  MISSING
            37       Blank.  Inap


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AJRANKLE       NEUROLOGICAL EXAM - ANKLE CLONUS, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RANKLE

         RIGHT  ANKLE CLONUS
         Right

         .................................................................................
           722           1.  NORMAL -- absent
            19           2.  ABNORMAL -- present
             4           3.  OTHER (SPECIFY)
            11           8.  CAN'T EXECUTE
            63           9.  MISSING
            37       Blank.  Inap


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AJLANKLE       NEUROLOGICAL EXAM - ANKLE CLONUS, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LANKLE

         LEFT  ANKLE CLONUS
         Left

         .................................................................................
           713           1.  NORMAL -- absent
            21           2.  ABNORMAL -- present
             3           3.  OTHER (SPECIFY)
            12           8.  CAN'T EXECUTE
            70           9.  MISSING
            37       Blank.  Inap


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AJRPROPRIC     NEUROLOGICAL EXAM - PROPRIOCEPTION, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RPROPRIC

         RIGHT  KINESTHESIS

         .................................................................................
           521           1.  PRESENT
           120           2.  ABSENT
            56           8.  CAN'T EXECUTE
           122           9.  MISSING
            37       Blank.  Inap


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AJLPROPRIC     NEUROLOGICAL EXAM - PROPRIOCEPTION, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LPROPRIC

         LEFT  KINESTHESIS

         .................................................................................
           529           1.  PRESENT
           112           2.  ABSENT
            57           8.  CAN'T EXECUTE
           121           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJRVIBRAT      NEUROLOGICAL EXAM - VIBRATING SENSATION, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RVIBRAT

         RIGHT  VIBRATING SENSATION

         .................................................................................
           542           1.  PRESENT
           189           2.  ABSENT
            39           8.  CAN'T EXECUTE
            49           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJLVIBRAT      NEUROLOGICAL EXAM - VIBRATING SENSATION, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LVIBRAT

         LEFT  VIBRATING SENSATION

         .................................................................................
           533           1.  PRESENT
           198           2.  ABSENT
            39           8.  CAN'T EXECUTE
            49           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJRPLANTAR     NEUROLOGICAL EXAM - PLANTAR RESPONSE, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RPLANTAR

         RIGHT  PLANTAR RESPONSE

         .................................................................................
           452           1.  NORMAL -- plantar flexion of great toe
            64           2.  ABNORMAL -- extension of great toe
           147           3.  ABNORMAL -- no reflex present
             7           4.  OTHER (SPECIFY)
            21           8.  CAN'T EXECUTE
           128           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJLPLANTAR     NEUROLOGICAL EXAM - PLANTAR RESPONSE, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LPLANTAR

         LEFT  PLANTAR RESPONSE

         .................................................................................
           455           1.  NORMAL -- plantar flexion of great toe
            67           2.  ABNORMAL -- extension of great toe
           138           3.  ABNORMAL -- no reflex present
             6           4.  OTHER (SPECIFY)
            21           8.  CAN'T EXECUTE
           132           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJRHEEL        NEUROLOGICAL EXAM - HEEL TO KNEE TEST, RIGHT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: RHEEL

         RIGHT  HEEL - TO - KNEE TEST

         .................................................................................
           505           1.  NORMAL -- moving foot is dorsi flexed and motion down shin
                             is smooth, slow and accurate
            40           2.  ABNORMAL -- path of heel is shaky, jerky, wavering
            26           3.  ABNORMAL -- knee is overshot
             3           4.  ABNORMAL -- slide down skin accompanied by action tremor
            19           5.  OTHER (SPECIFY)
            55           8.  CAN'T EXECUTE
           171           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJLHEEL        NEUROLOGICAL EXAM - HEEL TO KNEE TEST, LEFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: LHEEL

         LEFT  HEEL - TO - KNEE TEST

         .................................................................................
           485           1.  NORMAL -- moving foot is dorsiflexed and motion down shin is
                             smooth, slow and accurate
            48           2.  ABNORMAL -- path of heel is shaky, jerky, wavering
            34           3.  ABNORMAL -- knee is overshot
             3           4.  ABNORMAL -- slide down skin accompanied by action tremor
            21           5.  OTHER (SPECIFY)
            56           8.  CAN'T EXECUTE
           172           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJROMBERG      NEUROLOGICAL EXAM - ROMBERGS SIGN
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: ROMBERG

         ROMBERG'S SIGN  (stand with feet together for 10-15 seconds)

         .................................................................................
           502           1.  NORMAL -- normally still or slight weaving
            26           2.  ABNORMAL -- falls to one side with eyes closed
                         3.  ABNORMAL -- falls to one side with eyes open
            31           4.  ABNORMAL -- needs widened base to stay in one place
             5           5.  OTHER (SPECIFY)
            32           8.  CAN'T EXECUTE
           223           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJGAIT_A       NEUROLOGICAL EXAM - WALK HALL 10 PACES
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: GAIT_A

         GAIT ACTIVITIES: WALKING DOWN HALL AT LEAST 10 PACES
         A).  Walking down a hall at least 10 paces

         .................................................................................
           503           1.  NORMAL -- normal gait, narrow base
            41           2.  ABNORMAL -- deviation from straight line
            71           3.  OTHER (SPECIFY)
            28           8.  CAN'T EXECUTE
           176           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJGAIT_B       NEUROLOGICAL EXAM - PIVOT WHILE TURNING
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: GAIT_B

         GAIT ACTIVITIES: PIVOT WHILE TURNING
         B).  Pivot while turning

         .................................................................................
           429           1.  NORMAL -- pivots on narrow base
            48           2.  ABNORMAL -- hesitates
            78           3.  ABNORMAL -- widens base or moves feet
            53           4.  ABNORMAL -- turns slowly or awkwardly
             5           5.  OTHER (SPECIFY)
            29           8.  CAN' T EXECUTE
           177           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJGAIT_C       NEUROLOGICAL EXAM - STOPPING ON UNEXPECTED COMMAND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: GAIT_C

         GAIT ACTIVITIES: STOPPING ON UNEXPECTED COMMAND
         C).  Stopping on unexpected command

         .................................................................................
           508           1.  NORMAL -- stops on command or takes one small step
            13           2.  ABNORMAL -- stops but body lurches forward
            21           3.  ABNORMAL -- takes > 1 step before stopping
            11           4.  OTHER (SPECIFY)
            33           8.  CAN'T EXECUTE
           233           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJGAIT_D       NEUROLOGICAL EXAM - FESTINATION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: GAIT_D

         GAIT ACTIVITIES: FESTINATION
         D).  Festination

         .................................................................................
           526           1.  NORMAL -- none
            70           2.  ABNORMAL -- slow start
            18           3.  ABNORMAL -- shuffling gait
             2           4.  OTHER (SPECIFY)
            27           8.  CAN'T EXECUTE
           176           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJGAIT_E       NEUROLOGICAL EXAM - ACCESSORY MOVEMENTS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: GAIT_E

         GAIT ACTIVITIES: ACCESSORY MOVEMENTS
         E).  Accessory movements

         .................................................................................
           462           1.  NORMAL -- normal
           122           2.  ABNORMAL -- decrease of arm swings
            14           3.  ABNORMAL -- trunk/neck rigid and flexed
             2           4.  ABNORMAL -- width of gait gets smaller
            13           5.  OTHER (SPECIFY)
            27           8.  CAN'T EXECUTE
           179           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJTREMOR       NEUROLOGICAL EXAM - TREMOR AT REST
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: TREMOR

         TREMOR AT REST

         .................................................................................
           712           1.  NORMAL -- none
            63           2.  ABNORMAL -- slight/occasional
            29           3.  ABNORMAL -- moderate to severe
             1           4.  OTHER (SPECIFY)
             6           8.  CAN'T EXECUTE
             8           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJTREM_ARM     NEUROLOGICAL EXAM - TREMOR ARMS OUTSTRETCHED
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: TREM_ARM

         TREMOR WITH ARMS OUTSTRETCHED

         .................................................................................
           606           1.  NORMAL -- none
           130           2.  ABNORMAL -- slight/ occasional
            21           3.  ABNORMAL -- moderate to severe
             2           4.  OTHER (SPECIFY)
            32           8.  CAN'T EXECUTE
            28           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJPRONAT       NEUROLOGICAL EXAM - PRONATOR DRIFT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: PRONAT

         PRONATOR DRIFT   (arms out-stretched, palms up, eyes closed)

         .................................................................................
           691           1.  NORMAL -- absence of drift
            37           2.  ABNORMAL -- spontaneous drift of either /both hands
             3           3.  OTHER (SPECIFY)
            41           8.  CAN'T EXECUTE
            47           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJSTRENGTH     NEUROLOGICAL EXAM - STRENGTH DIFFERENCE, DOWN PRESSURE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: STRENGTH

         STRENGTH DIFFERENCE WITH DOWNWARD PRESSURE AND THEN SUDDEN RELEASE BY EXAMINER
         (arms outstretched, resists examiner's pressure)

         .................................................................................
           604           1.  NORMAL -- no strength difference, equal rebound
            78           2.  ABNORMAL -- unequal rebound
             6           3.  OTHER (SPECIFY)
            43           8.  CAN' T EXECUTE
            88           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJGRIP_BIC     NEUROLOGICAL EXAM - UPPER EXTREMITY, WHICH TEST
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: GRIP_BIC

         UPPER EXTREMITY MOTOR STRENGTH. GRIP STRENGTH, OR BICEPS PULL. STRENGTH
         DIFFERENCE BETWEEN L AND R FINGER GRASP OR BICEPS PULL.  SUBJECT GRASPS
         EXAMINER'S EXTENDED FINGERS (2 digits) WITH R AND L TRIALS.
         WHICH TEST DID THE SUBJECT PERFORM?

         .................................................................................
           806           1.  GRIP STRENGTH TEST
             3           2.  BICEPS PULL
            47       Blank.  Inap


==========================================================================================


AJUPPEREXT     NEUROLOGICAL EXAM - UPPER EXTREMITY MOTOR STRENGTH
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: UPPEREXT

         UPPER EXTREMITY MOTOR STRENGTH.  GRIP STRENGTH OR BICEPS PULL.  STRENGTH
         DIFFERENCE BETWEEN L AND R FINGER GRASP OR BICEPS PULL. SUBJECT GRASPS
         EXAMINER'S EXTENDED FINGERS (2 digits) WITH R AND L TRIALS.

         .................................................................................
           624           1.  NORMAL -- No strength difference between R and L trials
           133           2.  ABNORMAL -- Specify weakness (L or R)
             5           3.  OTHER
            25           8.  CAN' T EXECUTE
            32           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJBRADYKIN     NEUROLOGICAL EXAM - BRADYKENESIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: BRADYKIN

         BRADYKINESIA

         .................................................................................
           719           1.  NORMAL -- voluntary movements are NORMAL
            80           2.  ABNORMAL -- mild or marked slowness
             2           3.  OTHER (SPECIFY)
            11           8.  CAN' T EXECUTE
             7           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJMYOCLONU     NEUROLOGICAL EXAM - MYOCLONUS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: MYOCLONU

         MYOCLONUS

         .................................................................................
           798           1.  NORMAL -- absent
             4           2.  ABNORMAL -- mild  myoclonus
             5           3.  ABNORMAL -- occasional myoclonus
             1           4.  ABNORMAL -- frequent myoclonus
                         5.  ABNORMAL -- severe myoclonus
                         6.  OTHER (SPECIFY)
             6           8.  CAN'T EXECUTE
             5           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJPOSTURE      NEUROLOGICAL EXAM - POSTURE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: POSTURE

         POSTURE

         .................................................................................
           464           1.  NORMAL -- normal, erect
           269           2.  ABNORMAL -- slightly stooped
            38           3.  ABNORMAL -- very stooped
            21           4.  ABNORMAL -- leans to one side
             5           5.  OTHER (SPECIFY)
             6           8.  CAN'T EXECUTE
            16           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJCOMB         NEUROLOGICAL EXAM - PRAXIS, COMB YOUR HAIR
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: COMB

         PRAXIS TASKS (PRETEND TO COMB YOUR HAIR)

         .................................................................................
           589           1.  NORMAL, PERFORMS CORRECTLY
           158           2.  ABNORMAL (SPECIFY)
                         3.  OTHER (SPECIFY)
            50           8.  CAN'T EXECUTE
            22           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJHAMMER       NEUROLOGICAL EXAM - PRAXIS, HAMMER A NAIL
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: HAMMER

         PRAXIS TASKS (PRETEND TO HAMMER A NAIL)

         .................................................................................
           500           1.  NORMAL, PERFORMS CORRECTLY
           236           2.  ABNORMAL (SPECIFY)
             1           3.  OTHER (SPECIFY)
            57           8.  CAN'T EXECUTE
            25           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJBRUSH        NEUROLOGICAL EXAM - PRAXIS, BRUSH YOUR TEETH
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: BRUSH

         PRAXIS TASKS (PRETEND TO BRUSH YOUR TEETH)

         .................................................................................
           591           1.  NORMAL, PERFORMS CORRECTLY
           147           2.  ABNORMAL (SPECIFY)
             2           3.  OTHER (SPECIFY)
            53           8.  CAN'T EXECUTE
            26           9.  MISSING
            37       Blank.  Inap


==========================================================================================


AJCHKDONE      WHETHER DEMENTIA CHECKLIST COMPLETED
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CHKDONE

         DEMENTIA CHECKLIST COMPLETED

         .................................................................................
           856           1.  YES
                         2.  NO


==========================================================================================


AJA1           DEMENTIA, DSM IV, MEM IMPAIRMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA1

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         1. Memory Impairment 'short or long term)

         .................................................................................
           592           1.  YES
           260           2.  NO
             4           8.  DK


==========================================================================================


AJA2           DEMENTIA, DSM IV, APHASIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA2

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         2. Aphasia

         .................................................................................
           253           1.  YES
           576           2.  NO
            27           8.  DK


==========================================================================================


AJA3           DEMENTIA, DSM IV, APRAXIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA3

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         3. Apraxia

         .................................................................................
           237           1.  YES
           579           2.  NO
            40           8.  DK


==========================================================================================


AJA4           DEMENTIA, DSM IV, AGNOSIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA4

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         4. Agnosia

         .................................................................................
           126           1.  YES
           691           2.  NO
            39           8.  DK


==========================================================================================


AJA5           DEMENTIA, DSM IV, EXEC FUNCTION DISTURBANCE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA5

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         5. Disturbance in executive functioning

         .................................................................................
           382           1.  YES
           463           2.  NO
            11           8.  DK


==========================================================================================


AJA6           DEMENTIA, DSM IV, SOCIAL OR OCCUP IMPAIRMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA6

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         6. 1 - 5 cause significant impairment in social or occupational functioning

         .................................................................................
           311           1.  YES
           136           2.  NO
             3           8.  DK
           406       Blank.  Inap


==========================================================================================


AJA7           DEMENTIA, DSM IV, SIGNIFICANT DECLINE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA7

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         7. 1 - 5 Represent significant decline from previous level of functioning

         .................................................................................
           447           1.  YES
             1           2.  NO
             1           8.  DK
           407       Blank.  Inap


==========================================================================================


AJA8           DEMENTIA, DSM IV, COG DEFICITS DURING DELIRIUM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA8

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         8. Cognitive deficits occur exclusively during delirium

         .................................................................................
                         1.  YES
           449           2.  NO
                         8.  DK
           407       Blank.  Inap


==========================================================================================


AJA1MET        DEMENTIA - CRITERIA FOR CKA1
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA1MET

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         CHECKLIST IS MET IF CKA1=YES

         .................................................................................
           264           0.  NO
           592           1.  YES


==========================================================================================


AJA2MET        DEMENTIA -  CRITERIA FOR CKA2 - CKA5
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA2MET

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         CHECKLIST IS MET IF AT LEAST ONE OF CKA2-CKA5=YES

         .................................................................................
           371           0.  NO
           485           1.  YES


==========================================================================================


AJA3MET        DEMENTIA - CRITERIA FOR CKA6 AND CKA7
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA3MET

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         CHECKLIST IS MET IF BOTH CKA6 AND CKA7=YES

         .................................................................................
           545           0.  NO
           311           1.  YES


==========================================================================================


AJA4MET        DEMENTIA - CRITERIA FOR CKA8
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKA4MET

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         CHECKLIST IS MET IF CKA8=YES

         .................................................................................
           408           0.  NO
           448           1.  YES


==========================================================================================


AJAMET         DEMENTIA - WHETHER OVERALL DSM IV CRITERIA MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKAMET

         CHECKLIST ONE
         CHECKLIST FOR DEMENTIA (DSM-IV)
         OVERALL CHECKLIST ONE CRITERIA MET=YES IF CKA1MET, CKA2MET, CKA3MET AND
         CKA4MET=YES

         .................................................................................
           546           0.  NO
           310           1.  YES


==========================================================================================


AJB1           DEMENTIA, DSM III R, SHORT TERM MEMORY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB1

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         1. Short Term Memory

         .................................................................................
           548           1.  YES
           304           2.  NO
             4           8.  DK


==========================================================================================


AJB2           DEMENTIA, DSM III R, LONG TERM MEMORY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB2

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         2. Long Term Memory

         .................................................................................
           428           1.  YES
           421           2.  NO
             7           8.  DK


==========================================================================================


AJB3           DEMENTIA, DSM III R, ABSTRACT THINKING
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB3

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         3. Abstract thinking

         .................................................................................
           315           1.  YES
           517           2.  NO
            24           8.  DK


==========================================================================================


AJB4           DEMENTIA, DSM III R, JUDGEMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB4

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         4. Judgement

         .................................................................................
           306           1.  YES
           529           2.  NO
            21           8.  DK


==========================================================================================


AJB5           DEMENTIA, DSM III R, OTHER HIGHER CORTICAL FUNCTIONING
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB5

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         5. Other Higher Cortical Functioning

         .................................................................................
           416           1.  YES
           434           2.  NO
             6           8.  DK


==========================================================================================


AJB6           DEMENTIA, DSM III R, PERSONALITY CHANGE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB6

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         6. Personality Change

         .................................................................................
           217           1.  YES
           622           2.  NO
            12           8.  DK
             5       Blank.  Inap


==========================================================================================


AJB7           DEMENTIA, DSM III R, SOCIAL OR OCCUP IMPAIRMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB7

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         7. 1 - 6 cause significant impairment in social or occupational functioning

         .................................................................................
           297           1.  YES
            76           2.  NO
             2           8.  DK
           481       Blank.  Inap


==========================================================================================


AJB8           DEMENTIA, DSM III R, SIGNIFICANT DECLINE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB8

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         8. 1 - 6 Represent significant decline from previous level of functioning

         .................................................................................
           374           1.  YES
             1           2.  NO
                         8.  DK
           481       Blank.  Inap


==========================================================================================


AJB9           DEMENTIA, DSM III R, COG DEFICITS DURING DELIRIUM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB9

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         9. Cognitive deficits occur exclusively during delirium

         .................................................................................
                         1.  YES
           375           2.  NO
                         8.  DK
           481       Blank.  Inap


==========================================================================================


AJB1MET        DEMENTIA, DSM III R - CRITERIA FOR CKB1 AND CKB2
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB1MET

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         CHECKLIST MET IF CKB1 AND CKB2=YES

         .................................................................................
           473           0.  NO
           383           1.  YES


==========================================================================================


AJB2MET        DEMENTIA, DSM III R - CRITERIA FOR CKB3 - CKB6
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB2MET

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         CHECKLIST MET IF AT LEAST ONE OF CKB3-CKB6=YES

         .................................................................................
           376           0.  NO
           480           1.  YES


==========================================================================================


AJB3MET        DEMENTIA, DSM III R - CRITERIA FOR CKB7 AND CKB8
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB3MET

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         CHECKLIST MET IF CKB7 AND CKB8=YES

         .................................................................................
           559           0.  NO
           297           1.  YES


==========================================================================================


AJB4MET        DEMENTIA, DSM III R - CRITERIA FOR CKB9
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKB4MET

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         CHECKLIST MET IF CKB9=NO

         .................................................................................
           481           0.  NO
           375           1.  YES


==========================================================================================


AJBMET         DEMENTIA, DSM III R - WHETHER OVERALL DSM III R CRITERIA MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKBMET

         CHECKLIST TWO
         CHECKLIST FOR DEMENTIA (DSM-III-R)
         OVERALL CHECKLIST TWO CRITERIA MET=YES IF CKB1MET, CKB2MET, CKB3MET AND
         CKB4MET=YES

         .................................................................................
           572           0.  NO
           284           1.  YES


==========================================================================================


AJC1           PROB AD, DEMENTIA, ESTABLISHED BY CKAMET OR CKBMET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKC1

         CHECKLIST THREE
         Checklist for Probable Alzheimer's Disease
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information

         .................................................................................
            29           1.  YES
                         2.  NO
                         8.  DK
           827       Blank.  Inap


==========================================================================================


AJC2           PROB AD, PROGRESSION OF COGNITIVE SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKC2

         CHECKLIST THREE
         Checklist for Probable Alzheimer's Disease
         2. Progression of cognitive symptoms over time.

         .................................................................................
            29           1.  YES
                         2.  NO
                         8.  DK
           827       Blank.  Inap


==========================================================================================


AJC3           PROB AD, ABSENCE OF OTHER CONDITIONS SUFFICIENT TO CAUSE DEM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKC3

         CHECKLIST THREE
         Checklist for Probable Alzheimer's Disease
         3. Absence of other conditions or other brain diseases that may alone be
         sufficient to cause dementia

         .................................................................................
            29           1.  YES
                         2.  NO
                         8.  DK
           827       Blank.  Inap


==========================================================================================


AJC4           PROB AD, RPT OF MED EVAL TO RULE OUT OTHER CAUSES OF DEMENTIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKC4

         CHECKLIST THREE
         Checklist for Probable Alzheimer's Disease
         4. Report that a medical evaluation has been done to rule out other causes for
         the dementia

         .................................................................................
            28           1.  YES
                         2.  NO
             1           8.  DK
           827       Blank.  Inap


==========================================================================================


AJC5           PROB AD, ONSET AFTER AGE 40
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKC5

         CHECKLIST THREE
         Checklist for Probable Alzheimer's Disease
         5. Onset after age 40

         .................................................................................
            29           1.  YES
                         2.  NO
                         8.  DK
           827       Blank.  Inap


==========================================================================================


AJC1MET        PROB AD - CRITERIA FOR CKC1 - CKC5
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKC1MET

         CHECKLIST THREE
         Checklist for Probable Alzheimer's Disease
         CHECKLIST IS MET IF CKC1-CKC5=YES

         .................................................................................
             1           0.  NO
            28           1.  YES
           827       Blank.  Inap


==========================================================================================


AJCMET         PROB AD - CRITERIA FOR CKC1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKCMET

         CHECKLIST THREE
         Checklist for Probable Alzheimer's Disease
         OVERALL CHECKLIST THREE CRITERIA MET=YES IF CKC1MET=YES

         .................................................................................
             1           0.  NO
            28           1.  YES
           827       Blank.  Inap


==========================================================================================


AJD1           POSS AD - CRITERIA FOR CKAMET OR CKBMET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD1

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information)

         .................................................................................
           147           1.  YES
             9           2.  NO
                         8.  DK
           700       Blank.  Inap


==========================================================================================


AJD2           POSS AD, PROGRESSION OF COGNITIVE SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD2

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         2. Progression of symptoms over time

         .................................................................................
           155           1.  YES
             1           2.  NO
                         8.  DK
           700       Blank.  Inap


==========================================================================================


AJD3           POSS AD, ONSET AFTER AGE 40
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD3

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         3. Onset after age 40

         .................................................................................
           156           1.  YES
                         2.  NO
                         8.  DK
           700       Blank.  Inap


==========================================================================================


AJD4           POSS AD, ATYPICAL ONSET, PRESENTATION OR PROGRESSION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD4

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         4. Atypical onset, presentation or progression of cognitive/personality symptoms

         .................................................................................
            35           1.  YES
           120           2.  NO
             1           8.  DK
           700       Blank.  Inap


==========================================================================================


AJD5           POSS AD, PRESENCE OF SYSTEMIC OR BRAIN DISORDER, NOT SOLE CA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD5

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         5. Presence of another systemic or brain disorder sufficient to cause dementia,
         but which is not thought to be the sole cause of the dementia

         .................................................................................
            47           1.  YES
           108           2.  NO
             1           8.  DK
           700       Blank.  Inap


==========================================================================================


AJD6           POSS AD, NO RPT OF MED EVAL TO RULE OUT OTHER DEM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD6

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         6. No report that a medical evaluation has been done to rule out other causes
         for the dementia

         .................................................................................
           111           1.  YES
            38           2.  NO
             7           8.  DK
           700       Blank.  Inap


==========================================================================================


AJD1MET        POSS AD - CRITERIA FOR CKD1 - CKD3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD1MET

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         CHECKLIST MET IF CKD1-CKD3=YES

         .................................................................................
             9           0.  NO
           147           1.  YES
           700       Blank.  Inap


==========================================================================================


AJD2MET        POSS AD - CRITERIA FOR CKD4 - CKD6
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKD2MET

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         CHECKLIST MET IF CKD4-CKD6=YES

         .................................................................................
                         0.  NO
           156           1.  YES
           700       Blank.  Inap


==========================================================================================


AJDMET         POSS AD - CRITERIA FOR CKD1MET AND CKD2MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKDMET

         CHECKLIST FOUR
         Checklist for Possible Alzheimer's Disease
         OVERALL CHECKLIST FOUR CRITERIA MET=YES IF CKD1MET AND CKD2MET=YES

         .................................................................................
             9           0.  NO
           147           1.  YES
           700       Blank.  Inap


==========================================================================================


AJE1           PROB VASC DEM - CRITERIA FOR CKAMET OR CKBMET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE1

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         1. Dementia based on DSM-III-R or DSM- IV criteria

         .................................................................................
            14           1.  YES
                         2.  NO
                         8.  DK
           842       Blank.  Inap


==========================================================================================


AJE2           PROB VASC DEM, IMPAIRMENT IN MEM AND 2 OTHER COG DOMAINS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE2

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         2. Impairment in memory and two other cognitive domains.

         .................................................................................
            14           1.  YES
                         2.  NO
                         8.  DK
           842       Blank.  Inap


==========================================================================================


AJE3           PROB VASC DEM, SOCIAL OR OCCUP IMPAIRMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE3

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         3. Impairment in occupational and social functioning and in daily activities is
         not due solely to physical effects of stroke.

         .................................................................................
            14           1.  YES
                         2.  NO
                         8.  DK
           842       Blank.  Inap


==========================================================================================


AJE4           PROB VASC DEM, CVD BASED ON HIST OR EXAM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE4

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         4. Cerebrovascular disease (CVD) based history or examination. This may include
         focal signs on neurologic examination that are consistent with stroke (with or
         without history of stroke).

         .................................................................................
            14           1.  YES
                         2.  NO
                         8.  DK
           842       Blank.  Inap


==========================================================================================


AJE5           PROB VASC DEM, EVIDENCE OF RELEVANT CVD NOTED ON BRAIN IMAGI
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE5

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         5. Evidence of relevant CVD noted on report of brain imaging.

         .................................................................................
            11           1.  YES
                         2.  NO
             3           8.  DK
           842       Blank.  Inap


==========================================================================================


AJE6           PROB VASC DEM, ONSET OF DEM WITHIN 3 MOS OF STROKE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE6

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         6. Temporal relationship between stroke and dementia (onset of dementia
         generally within three months of stroke).

         .................................................................................
            14           1.  YES
                         2.  NO
                         8.  DK
           842       Blank.  Inap


==========================================================================================


AJE7           PROB VASC DEM, DETERIORATION IN FUNCTION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE7

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         7. Abrupt or stepwise deterioration in mental function or fluctuating course.

         .................................................................................
            13           1.  YES
                         2.  NO
             1           8.  DK
           842       Blank.  Inap


==========================================================================================


AJE8           PROB VASC DEM, SPECIFIC BRAIN IMAGING INDICATE DAMAGE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE8

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         8. Specific brain imaging findings, indicating damage to regions important for
         higher cerebral function

         .................................................................................
                         1.  YES
             1           2.  NO
            13           8.  DK
           842       Blank.  Inap


==========================================================================================


AJE1MET        PROB VASC DEM - CRITERIA FOR CKE1 - CKE5
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE1MET

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         CHECKLIST MET IF CKE1-CKE5=YES

         .................................................................................
             3           0.  NO
            11           1.  YES
           842       Blank.  Inap


==========================================================================================


AJE2MET        PROB VASC DEM - CRITERIA FOR CKE6, CKE7, OR CKE8
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKE2MET

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         CHECKLIST MET IF AT LEAST ONE OF CKE6-CKE8=YES

         .................................................................................
                         0.  NO
            14           1.  YES
           842       Blank.  Inap


==========================================================================================


AJEMET         PROB VASC DEM - CRITERIA FOR CKE1MET AND CKE2MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKEMET

         CHECKLIST FIVE
         Checklist for Probable Vascular Dementia
         OVERALL CHECKLIST FIVE CRITERIA MET=YES IF CKE1MET AND CKE2MET=YES

         .................................................................................
             3           0.  NO
            11           1.  YES
           842       Blank.  Inap


==========================================================================================


AJF1           POSS VASC DEM, EST BY CKAMET OR CKBMET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF1

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         1. Dementia based on DSM-III-R or DSM- IV criteria.

         .................................................................................
            32           1.  YES
             3           2.  NO
                         8.  DON'T KNOW
           821       Blank.  Inap


==========================================================================================


AJF2           POSS VASC DEM, IMPAIRMENT IN MEM AND 2 OTHER COG DOMAINS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF2

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         2. Impairment in memory and two other cognitive domains

         .................................................................................
            32           1.  YES
             3           2.  NO
                         8.  DON'T KNOW
           821       Blank.  Inap


==========================================================================================


AJF3           POSS VASC DEM, SOCIAL OR OCCUP IMPAIRMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF3

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         3. Impairment in occupational and social functioning and in daily activities is
         not due solely to physical effects of stroke

         .................................................................................
            35           1.  YES
                         2.  NO
                         8.  DON'T KNOW
           821       Blank.  Inap


==========================================================================================


AJF4           POSS VASC DEM, CVD BASED ON HIST OR EXAM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF4

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         4. Cerebrovascular disease (CVD) based history or examination. This may include
         focal signs on neurologic examination that are consistent with stroke (with or
         without history of stroke).

         .................................................................................
            34           1.  YES
             1           2.  NO
                         8.  DON'T KNOW
           821       Blank.  Inap


==========================================================================================


AJF5           POSS VASC DEM, BRAIN IMAGING HAS NOT BEEN DONE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF5

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         5. Brain imaging has not been done.

         .................................................................................
             7           1.  YES
            17           2.  NO
            11           8.  DON'T KNOW
           821       Blank.  Inap


==========================================================================================


AJF6           POSS VASC DEM, UNCLEAR REL BET STROKE AND DEMENTIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF6

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         6. There is an absence of a clear temporal relationship between stroke and
         dementia

         .................................................................................
            24           1.  YES
            11           2.  NO
                         8.  DON'T KNOW
           821       Blank.  Inap


==========================================================================================


AJF7           POSS VASC DEM, SUBTLE ONSET AND VARIABLE COURSE OF COG DEFICITS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF7

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         7. There was a subtle onset and variable course (plateau or improvement) of
         cognitive deficits.

         .................................................................................
            13           1.  YES
            20           2.  NO
             2           8.  DON'T KNOW
           821       Blank.  Inap


==========================================================================================


AJF1MET        PROB VASC DEM - CRITERIA FOR CKF1 - CKF4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF1MET

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         CHECKLIST MET IF CKF1-CKF4=YES

         .................................................................................
             5           0.  NO
            30           1.  YES
           821       Blank.  Inap


==========================================================================================


AJF2MET        PROB VASC DEM - CRITERIA FOR CKF5 - CKF7
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKF2MET

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         CHECKLIST MET IF CKF5-CKF7=YES

         .................................................................................
             2           0.  NO
            33           1.  YES
           821       Blank.  Inap


==========================================================================================


AJFMET         PROB VASC DEM - CRITERIA FOR CKF1MET AND CKF2MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKFMET

         CHECKLIST SIX
         Checklist for Possible Vascular Dementia
         OVERALL CHECKLIST SIX CRITERIA MET=YES IF CKF1MET AND CKF2MET=YES

         .................................................................................
             7           0.  NO
            28           1.  YES
           821       Blank.  Inap


==========================================================================================


AJG1           CIND, SHORT TERM OR LONG TERM MEMORY IMPAIRMENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG1

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         1. Short-term and/or long-term impairment based on performance >1.5 standard
         deviations below appropriate mean on any of the memory measures

         .................................................................................
           260           1.  YES
            11           2.  NO
             6           8.  DK
           579       Blank.  Inap


==========================================================================================


AJG2           CIND, EXECUTIVE FUNCTION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG2

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         2. Executive function (>1.5 s.d. below mean)

         .................................................................................
           211           1.  YES
            47           2.  NO
            19           8.  DK
           579       Blank.  Inap


==========================================================================================


AJG3           CIND, LANGUAGE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG3

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         3. Language (>1.5 s.d. below mean)

         .................................................................................
           193           1.  YES
            81           2.  NO
             3           8.  DK
           579       Blank.  Inap


==========================================================================================


AJG4           CIND, PRAXIS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG4

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         4. Praxis (>1.5 s.d. below mean)

         .................................................................................
            43           1.  YES
           216           2.  NO
            18           8.  DK
           579       Blank.  Inap


==========================================================================================


AJG5           CIND, ORIENTATION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG5

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         5. Orientation (>1.5 s.d. below mean)

         .................................................................................
            58           1.  YES
           217           2.  NO
             2           8.  DK
           579       Blank.  Inap


==========================================================================================


AJG6           CIND, BASED ON DSRS SCORE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG6

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         6. Dementia Severity Rating Scale score >5, but generally < 12

         .................................................................................
            79           1.  YES
           183           2.  NO
            15           8.  DK
           579       Blank.  Inap


==========================================================================================


AJG7           CIND, DOES NOT MEET CRITERIA FOR CKAMET OR CKBMET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG7

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         7. Does not meet DSM-III-R or DSM-IV criteria for dementia

         .................................................................................
           228           1.  YES
            49           2.  NO
                         8.  DK
           579       Blank.  Inap


==========================================================================================


AJG1MET        CIND - CRITERIA FOR CKG1 - CKG6
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG1MET

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         CHECKLIST MET IF AT LEAST ONE OF CKG1-CKG6=YES

         .................................................................................
             4           0.  NO
           273           1.  YES
           579       Blank.  Inap


==========================================================================================


AJG2MET        CIND - CRITERIA FOR CKG7
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKG2MET

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         CHECKLIST MET IF CKG7=YES

         .................................................................................
            49           0.  NO
           228           1.  YES
           579       Blank.  Inap


==========================================================================================


AJGMET         CIND - CRITERIA FOR CKG1MET AND CKG2MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKGMET

         CHECKLIST SEVEN
         Checklist for Cognitive Impairment, Not Demented
         OVERALL CHECKLIST SEVEN CRITERIA MET=YES IF CKG1MET AND CKG2MET=YES

         .................................................................................
            52           0.  NO
           225           1.  YES
           579       Blank.  Inap


==========================================================================================


AJH1           MCI, MEMORY COMPLAINT BY INFORMANT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKH1

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         1. Memory complaint verified by informant (determined by Memory score on
         Dementia Severity Rating Scale >2)

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJH2           MCI, MEMORY IMPAIRMENT BY MEASUREMENT ON MEMORY TASKS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKH2

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         2. Memory impairment based on objective measurement (>1.5 standard deviation
         below appropriate mean on either Wechsler Memory Scale Revised Logical Memory II
         or Delayed Recall on CERAD Word List or the Delayed Recall)

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJH3           MCI, BASED ON MMSE SCORE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKH3

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         3. MMSE > 24

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJH4           MCI, BASED ON CDR MEMORY SCORE AND OVERALL CDR
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKH4

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         4. Memory score on CDR = 0.5 and overall CDR < 1.0

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJH5           MCI, NOT DUE TO MCKOR DEPRESSION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKH5

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         5. Major depression as determined by NPI and clinical history can not explain
         impairment

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJH6           MCI, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKH6

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         6. Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJH1MET        MCI - CRITERIA FOR CKH1 - CKH6
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKH1MET

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         CHECKLIST MET IF CKH1-CKH6=YES

         .................................................................................
                         0.  NO
             1           1.  YES
           855       Blank.  Inap


==========================================================================================


AJHMET         MCI - CRITERIA FOR CKH1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKHMET

         CHECKLIST EIGHT
         Checklist for Mild Cognitive Impairment (MCI)
         OVERALL CHECKLIST EIGHT CRITERIA MET=YES IF CKH1MET=YES

         .................................................................................
                         0.  NO
             1           1.  YES
           855       Blank.  Inap


==========================================================================================


AJI1           MAJOR DEPRESSION BASED ON NPI, CIDI, OR CLINICAL OR MEDICAL HISTORY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKI1

         CHECKLIST NINE
         Checklist for Depression
         1. Presence of Major Depression based on the NPI, CIDI or clinical/medical
         history

         .................................................................................
            12           1.  YES
                         2.  NO
                         8.  DK
           844       Blank.  Inap


==========================================================================================


AJI2           DEPRESSION, IMPAIRMENT NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKI2

         CHECKLIST NINE
         Checklist for Depression
         2. Impairment can not be better explained by another etiology listed under
         Cognitive Impairment, Not Demented.

         .................................................................................
            12           1.  YES
                         2.  NO
                         8.  DK
           844       Blank.  Inap


==========================================================================================


AJI3           DEPRESSION, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKI3

         CHECKLIST NINE
         Checklist for Depression
         3. Meets criteria for Cognitive Impairment

         .................................................................................
             9           1.  YES
             3           2.  NO
                         8.  DK
           844       Blank.  Inap


==========================================================================================


AJI1MET        DEPRESSION - CRITERIA FOR CKI1, CKI2, AND CKI3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKI1MET

         CHECKLIST NINE
         Checklist for Depression
         CHECKLIST MET IF CKI1-CKI3=YES

         .................................................................................
             3           0.  NO
             9           1.  YES
           844       Blank.  Inap


==========================================================================================


AJIMET         DEPRESSION - CRITERIA FOR CKI1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKIMET

         CHECKLIST NINE
         Checklist for Depression
         OVERALL CHECKLIST NINE CRITERIA MET=YES IF CKI1MET=YES

         .................................................................................
             3           0.  NO
             9           1.  YES
           844       Blank.  Inap


==========================================================================================


AJJ1           NEUROPSYCHIATRIC DISORDER  - CLINICAL OR MEDICAL HISTORY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKJ1

         CHECKLIST TEN
         Checklist for Psychiatric Disorder
         1. Presence of a neuropsychiatric disorder (includes bipolar disorder,
         schizophrenia, personality disorder) based on clinical and medical history

         .................................................................................
             3           1.  YES
                         2.  NO
                         8.  DK
           853       Blank.  Inap


==========================================================================================


AJJ2           NEUROPSYCHIATRIC DISORDER, NOT OTHERWISE EXPLAINED
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKJ2

         CHECKLIST TEN
         Checklist for Psychiatric Disorder
         2. Impairment can not be better explained by another etiology listed under
         Cognitive Impairment, Not Demented

         .................................................................................
             3           1.  YES
                         2.  NO
                         8.  DK
           853       Blank.  Inap


==========================================================================================


AJJ3           NEUROPSYCHIATRIC DISORDER, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKJ3

         CHECKLIST TEN
         Checklist for Psychiatric Disorder
         3. Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
             1           1.  YES
             2           2.  NO
                         8.  DK
           853       Blank.  Inap


==========================================================================================


AJJ1MET        NEUROPSYCHIATRIC DISORDER, CRITERIA FOR CKJ1 - CKJ3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKJ1MET

         CHECKLIST TEN
         Checklist for Psychiatric Disorder
         CHECKLIST MET IF CKJ1-CKJ3=YES

         .................................................................................
             2           0.  NO
             1           1.  YES
           853       Blank.  Inap


==========================================================================================


AJJMET         NEUROPSYCHIATRIC DISORDER, CRITERIA FOR CKJ1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKJMET

         CHECKLIST TEN
         Checklist for Psychiatric Disorder
         OVERALL CHECKLIST TEN CRITERIA MET=YES IF CKJ1MET=YES

         .................................................................................
             2           0.  NO
             1           1.  YES
           853       Blank.  Inap


==========================================================================================


AJK1           LIFELONG HISTORY OF MENT RET, LD, LOW BASELINE INTELLECT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKK1

         CHECKLIST ELEVEN
         Checklist for Mental Retardation/ Learning Disorder/Low Baseline Intellect
         1. Lifelong history of mental retardation of marked learning disorder based
         clinical, educational, social, and medical history. Performance on the Shipley
         Vocabulary Test may be used to support this.

         .................................................................................
             7           1.  YES
                         2.  NO
                         8.  DK
           849       Blank.  Inap


==========================================================================================


AJK2           MENT RET, LD, LOW BASELINE INTELLECT NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKK2

         CHECKLIST ELEVEN
         Checklist for Mental Retardation/ Learning Disorder/Low Baseline Intellect
         2. Impairment can not be explained by another etiology listed under Cognitive
         Impairment, Not Demented

         .................................................................................
             7           1.  YES
                         2.  NO
                         8.  DK
           849       Blank.  Inap


==========================================================================================


AJK3           MENT RET, LD, LOW BASELINE INTELLECT, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKK3

         CHECKLIST ELEVEN
         Checklist for Mental Retardation/ Learning Disorder/Low Baseline Intellect
         3 Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
             7           1.  YES
                         2.  NO
                         8.  DK
           849       Blank.  Inap


==========================================================================================


AJK1MET        MENT RET, LD, LOW BASELINE INTELLECT - CRITERIA FOR CKK1 - CKK3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKK1MET

         CHECKLIST ELEVEN
         Checklist for Mental Retardation/ Learning Disorder/Low Baseline Intellect
         CHECKLIST MET IF CKK1-CKK3=YES

         .................................................................................
                         0.  NO
             7           1.  YES
           849       Blank.  Inap


==========================================================================================


AJKMET         MENT RET, LD, LOW BASELINE INTELLECT - CRITERIA FOR AKJMET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKKMET

         CHECKLIST ELEVEN
         Checklist for Mental Retardation/ Learning Disorder/Low Baseline Intellect
         OVERALL CHECKLIST ELEVEN CRITERIA MET=YES IF CKK1MET=YES

         .................................................................................
                         0.  NO
             7           1.  YES
           849       Blank.  Inap


==========================================================================================


AJL1           HISTORY OF PAST ALCOHOL ABUSE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKL1

         CHECKLIST TWELVE
         Checklist for Alcohol Abuse (past)
         1. History of past abuse of alcohol based on clinical and medical history.
         History of DUI's, missing work, alcohol-abuse related treatment, alcohol-related
         medical conditions or neurological signs, and negative effects of alcohol use on
         personal relationships support this.

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJL2           ALCOHOL ABUSE PAST, DISCONTINUED AT LEAST SIX MONTHS PRIOR TO EVAL
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKL2

         CHECKLIST TWELVE
         Checklist for Alcohol Abuse (past)
         2. Discontinued alcohol abuse > 6 months prior.

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJL3           PAST ALCOHOL ABUSE, NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKL3

         CHECKLIST TWELVE
         Checklist for Alcohol Abuse (past)
         3. Impairment can not be better explained by another etiology listed under
         Cognitive Impairment, Not Demented.

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJL4           PAST ALCOHOL ABUSE, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKL4

         CHECKLIST TWELVE
         Checklist for Alcohol Abuse (past)
         4. Meets criteria for Cognitive Impairment, Not Dementia

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJL1MET        PAST ALCOHOL ABUSE - CRITERIA FOR CKL1 - CKL4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKL1MET

         CHECKLIST TWELVE
         Checklist for Alcohol Abuse (past)
         CHECKLIST MET IF CKL1-CKL4=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJLMET         PAST ALCOHOL ABUSE - CRITERIA FOR CKL1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKLMET

         CHECKLIST TWELVE
         Checklist for Alcohol Abuse (past)
         OVERALL CHECKLIST TWELVE CRITERIA MET=YES IF CKL1MET=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJM1           HISTORY OF PAST AND CURRENT ALCOHOL ABUSE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKM1

         CHECKLIST THIRTEEN
         Checklist for Alcohol Abuse (current)
         1. Report of past and current abuse of alcohol based on clinical and medical
         history. History of DUI's, missing work, alcohol-abuse related treatment,
         alcohol-related medical conditions or neurological signs, and negative effects
         of alcohol use on personal relationships support this.

         .................................................................................
             2           1.  YES
                         2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJM2           HAS ABUSED ALCOHOL IN THE PAST SIX MONTHS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKM2

         CHECKLIST THIRTEEN
         Checklist for Alcohol Abuse (current)
         2. Has abused alcohol in the past 6 months.

         .................................................................................
             2           1.  YES
                         2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJM3           CURRENT ALCOHOL ABUSE, NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKM3

         CHECKLIST THIRTEEN
         Checklist for Alcohol Abuse (current)
         3. Impairment can not be better explained by another etiology listed under
         Cognitive Impairment, Not Demented.

         .................................................................................
             2           1.  YES
                         2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJM4           CURRENT ALCOHOL ABUSE, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKM4

         CHECKLIST THIRTEEN
         Checklist for Alcohol Abuse (current)
         4. Meets criteria for Cognitive Impairment, Not Dementia

         .................................................................................
                         1.  YES
             2           2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJM1MET        CURRENT ALCOHOL ABUSE - CRITERIA FOR CKM1 - CKM4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKM1MET

         CHECKLIST THIRTEEN
         Checklist for Alcohol Abuse (current)
         CHECKLIST MET IF CKM1-CKM4=YES

         .................................................................................
             2           0.  NO
                         1.  YES
           854       Blank.  Inap


==========================================================================================


AJMMET         CURRENT ALCOHOL ABUSE - CRITERIA FOR CKM1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKMMET

         CHECKLIST THIRTEEN
         Checklist for Alcohol Abuse (current)
         OVERALL CHECKLIST THIRTEEN CRITERIA MET=YES IF CKM1MET=YES

         .................................................................................
             2           0.  NO
                         1.  YES
           854       Blank.  Inap


==========================================================================================


AJN1           STROKE HIST BASED ON CLINICAL, MED HISTORY, OR NEUROLOGICAL EXAM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKN1

         CHECKLIST FOURTEEN
         Checklist for Stroke
         1. History of stroke based on clinical or medical history or neurological exam.

         .................................................................................
            38           1.  YES
                         2.  NO
                         8.  DK
           818       Blank.  Inap


==========================================================================================


AJN2           STROKE SYMPTOM ONSET WITHIN THREE MONTHS AFTER REPORTED STROKE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKN2

         CHECKLIST FOURTEEN
         Checklist for Stroke
         2. Onset of symptoms within three months after reported stroke

         .................................................................................
            17           1.  YES
            14           2.  NO
             7           8.  DK
           818       Blank.  Inap


==========================================================================================


AJN3           STROKE, IMPAIRMENT NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKN3

         CHECKLIST FOURTEEN
         Checklist for Stroke
         3. Impairment can not be explained by another etiology listed under Cognitive
         Impairment, No Dementia

         .................................................................................
            38           1.  YES
                         2.  NO
                         8.  DK
           818       Blank.  Inap


==========================================================================================


AJN4           STROKE, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKN4

         CHECKLIST FOURTEEN
         Checklist for Stroke
         4. Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
            33           1.  YES
             5           2.  NO
                         8.  DK
           818       Blank.  Inap


==========================================================================================


AJN1MET        STROKE - CRITERIA FOR CKN1 - CKN4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKN1MET

         CHECKLIST FOURTEEN
         Checklist for Stroke
         CHECKLIST MET IF CKN1-CKN4=YES

         .................................................................................
            25           0.  NO
            13           1.  YES
           818       Blank.  Inap


==========================================================================================


AJNMET         STROKE - CRITERIA FOR CKN1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKNMET

         CHECKLIST FOURTEEN
         Checklist for Stroke
         OVERALL CHECKLIST FOURTEEN CRITERIA MET=YES IF CKN1MET=YES

         .................................................................................
            25           0.  NO
            13           1.  YES
           818       Blank.  Inap


==========================================================================================


AJO1           OTHER NEUROL COND, PRESENCE OF NEUROLOGICAL CONDITION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKO1

         CHECKLIST FIFTEEN
         Checklist for Other Neurological Condition
         1. Presence of a neurological condition sufficient to cause cognitive
         impairment. Based on clinical history, medical history or neurological exam. May
         include: Parkinson's disease, history of head injury, normal pressure
         hydrocephalus w/out dementia, multiple sclerosis, Parkinsonism, hypoxic episode

         .................................................................................
            10           1.  YES
                         2.  NO
                         8.  DK
           846       Blank.  Inap


==========================================================================================


AJO2           OTHER NEUROL COND, NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKO2

         CHECKLIST FIFTEEN
         Checklist for Other Neurological Condition
         2. Impairment can not be explained by another etiology listed under Cognitive
         Impairment, No Dementia

         .................................................................................
            10           1.  YES
                         2.  NO
                         8.  DK
           846       Blank.  Inap


==========================================================================================


AJO3           OTHER NEUROL COND, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKO3

         CHECKLIST FIFTEEN
         Checklist for Other Neurological Condition
         3. Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
             7           1.  YES
             3           2.  NO
                         8.  DK
           846       Blank.  Inap


==========================================================================================


AJO1MET        OTHER NEUROL COND - CRITERIA FOR CKO1 - CKO3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKO1MET

         CHECKLIST FIFTEEN
         Checklist for Other Neurological Condition
         CHECKLIST MET IF CKO1-CK03=YES

         .................................................................................
             3           0.  NO
             7           1.  YES
           846       Blank.  Inap


==========================================================================================


AJOMET         OTHER NEUROL COND - CRITERIA FOR CKO1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKOMET

         CHECKLIST FIFTEEN
         Checklist for Other Neurological Condition
         OVERALL CHECKLIST FIFTEEN CRITERIA MET=YES IF CKO1MET=YES

         .................................................................................
             3           0.  NO
             7           1.  YES
           846       Blank.  Inap


==========================================================================================


AJP1           OTHER MEDICAL COND, PRESENCE OF MEDICAL CONDITION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKP1

         CHECKLIST SIXTEEN
         Checklist for Other Medical Condition
         1. Presence of a medical condition sufficient enough to cause cognitive
         impairment. Based on clinical history, medical history  May include: medication
         effects, COPD, delirium, toxic effects of chemotherapy or other chemicals,
         congestive heart failure, chronic pain, and many other chronic conditions.

         .................................................................................
            61           1.  YES
                         2.  NO
                         8.  DK
           795       Blank.  Inap


==========================================================================================


AJP2           OTHER MEDICAL COND, NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKP2

         CHECKLIST SIXTEEN
         Checklist for Other Medical Condition
         2. Impairment can not be explained by another etiology listed under Cognitive
         Impairment, No Dementia

         .................................................................................
            60           1.  YES
                         2.  NO
             1           8.  DK
           795       Blank.  Inap


==========================================================================================


AJP3           OTHER MEDICAL COND, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKP3

         CHECKLIST SIXTEEN
         Checklist for Other Medical Condition
         3. Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
            50           1.  YES
            11           2.  NO
                         8.  DK
           795       Blank.  Inap


==========================================================================================


AJP1MET        OTHER MEDICAL COND - CRITERIA FOR CKP1 - CKP3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKP1MET

         CHECKLIST SIXTEEN
         Checklist for Other Medical Condition
         CHECKLIST MET IF CKP1-CKP3=YES

         .................................................................................
            11           0.  NO
            50           1.  YES
           795       Blank.  Inap


==========================================================================================


AJPMET         OTHER MEDICAL COND - CRITERIA FOR CKP1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKPMET

         CHECKLIST SIXTEEN
         Checklist for Other Medical Condition
         OVERALL CHECKLIST SIXTEEN CRITERIA MET=YES IF CKP1MET=YES

         .................................................................................
            11           0.  NO
            50           1.  YES
           795       Blank.  Inap


==========================================================================================


AJQ1           PRESENCE OF CEREBROVASCULAR OR CARDIOVASCULAR CONDITIONS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKQ1

         CHECKLIST SEVENTEEN
         Checklist for Cognitive Impairment Secondary to Vascular Disease
         1. Presence of a cerebrovascular/cardiovascular conditions thought sufficient to
         cause cerebrovascular changes. May include: atrial fibrillation, history of
         possible TIA's history of coronary bypass, diabetes mellitus, and coronary
         artery disease

         .................................................................................
            46           1.  YES
                         2.  NO
                         8.  DK
           810       Blank.  Inap


==========================================================================================


AJQ2           IMPAIRMENT NOT LINKED TO ONE FOCAL VASCULAR LESION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKQ2

         CHECKLIST SEVENTEEN
         Checklist for Cognitive Impairment Secondary to Vascular Disease
         2. Impairment was not linked in time to one focal vascular lesion and can not be
         explained by one focal lesion.

         .................................................................................
            44           1.  YES
             2           2.  NO
                         8.  DK
           810       Blank.  Inap


==========================================================================================


AJQ3           GRADUAL ONSET OF CEREBROVASCULAR OR CARDIOVASCULAR SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKQ3

         CHECKLIST SEVENTEEN
         Checklist for Cognitive Impairment Secondary to Vascular Disease
         3. Gradual onset of symptoms and history suggests progression of symptoms

         .................................................................................
            25           1.  YES
            18           2.  NO
             3           8.  DK
           810       Blank.  Inap


==========================================================================================


AJQ4           CIND SECONDARY TO VASCULAR DISEASE, NOT EXPLAINED BY OTHER ETIOLOGY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKQ4

         CHECKLIST SEVENTEEN
         Checklist for Cognitive Impairment Secondary to Vascular Disease
         4. Impairment can not be better explained by another etiology listed under
         Cognitive Impairment, No Dementia

         .................................................................................
            46           1.  YES
                         2.  NO
                         8.  DK
           810       Blank.  Inap


==========================================================================================


AJQ5           CIND SECONDARY TO VASCULAR DISEASE, MEETS CIND CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKQ5

         CHECKLIST SEVENTEEN
         Checklist for Cognitive Impairment Secondary to Vascular Disease
         5. Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
            36           1.  YES
            10           2.  NO
                         8.  DK
           810       Blank.  Inap


==========================================================================================


AJQ1MET        CIND SECONDARY TO VASCULAR DISEASE, CRITERIA FOR CKQ1 - CKQ5
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKQ1MET

         CHECKLIST SEVENTEEN
         Checklist for Cognitive Impairment Secondary to Vascular Disease
         CHECKLIST MET IF CKQ1-CKQ5=YES

         .................................................................................
            29           0.  NO
            17           1.  YES
           810       Blank.  Inap


==========================================================================================


AJQMET         CIND SECONDARY TO VASC DISEASE - CRITERIA FOR CKQ1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKQMET

         CHECKLIST SEVENTEEN
         Checklist for Cognitive Impairment Secondary to Vascular Disease
         OVERALL CHECKLIST SEVENTEEN CRITERIA MET=YES IF CKQ1MET=YES

         .................................................................................
            29           0.  NO
            17           1.  YES
           810       Blank.  Inap


==========================================================================================


AJR1           MILD AMBIGUOUS, IMPAIRMENT NOT EXPLAINED BY ETIOLOGY IN CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKR1

         CHECKLIST EIGHTEEN
         Checklist for Mild Ambiguous
         1. Impairment can not be better explained by another etiology listed under
         Cognitive Impairment, No Dementia. Typically is primarily memory impairment, but
         memory is not always the only impairment

         .................................................................................
            97           1.  YES
                         2.  NO
                         8.  DK
           759       Blank.  Inap


==========================================================================================


AJR2           MILD AMBIGUOUS, GRADUAL ONSET AND PROGRESSION OF SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKR2

         CHECKLIST EIGHTEEN
         Checklist for Mild Ambiguous
         2. Gradual onset of symptoms and history suggests progression of symptoms

         .................................................................................
            67           1.  YES
            29           2.  NO
             1           8.  DK
           759       Blank.  Inap


==========================================================================================


AJR3           MILD AMBIGUOUS, MEETS CRITERIA FOR CIND
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKR3

         CHECKLIST EIGHTEEN
         Checklist for Mild Ambiguous
         3. Meets criteria for Cognitive Impairment, No Dementia

         .................................................................................
            81           1.  YES
            16           2.  NO
                         8.  DK
           759       Blank.  Inap


==========================================================================================


AJR1MET        MILD AMBIGUOUS - CRITERIA FOR CKR1 - CKR3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKR1MET

         CHECKLIST EIGHTEEN
         Checklist for Mild Ambiguous
         CHECKLIST MET IF CKR1-CKR3=YES

         .................................................................................
            46           0.  NO
            51           1.  YES
           759       Blank.  Inap


==========================================================================================


AJRMET         MILD AMBIGUOUS - CRITERIA FOR CKR1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKRMET

         CHECKLIST EIGHTEEN
         Checklist for Mild Ambiguous
         OVERALL CHECKLIST EIGHTEEN CRITERIA MET=YES IF CKR1MET=YES

         .................................................................................
            46           0.  NO
            51           1.  YES
           759       Blank.  Inap


==========================================================================================


AJS1           DEM UNDETERMINED ETIOLOGY, EST BY DSM III OR DSM IV CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKS1

         CHECKLIST NINETEEN
         Checklist for Dementia Undetermined Etiology
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information

         .................................................................................
            40           1.  YES
             8           2.  NO
                         8.  DK
           808       Blank.  Inap


==========================================================================================


AJS2           DEMENTIA UNDETERMINED ETIOLOGY PROGRESSION OF SYMPTOMS OVER TIME
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKS2

         CHECKLIST NINETEEN
         Checklist for Dementia Undetermined Etiology
         2. Progression of symptoms over time

         .................................................................................
            38           1.  YES
             7           2.  NO
             3           8.  DK
           808       Blank.  Inap


==========================================================================================


AJS3           DEMENTIA UNDETERMINED ETIOLOGY, ATYPICAL FEATURES
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKS3

         CHECKLIST NINETEEN
         Checklist for Dementia Undetermined Etiology
         3. Atypical features that exceed those usually seen in Possible AD, but they do
         not clearly meet the criteria for any other type of dementia

         .................................................................................
            45           1.  YES
             1           2.  NO
             2           8.  DK
           808       Blank.  Inap


==========================================================================================


AJS1MET        DEMENTIA UNDETERMINED ETIOLOGY - CRITERIA FOR CKS1 - CKS3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKS1MET

         CHECKLIST NINETEEN
         Checklist for Dementia Undetermined Etiology
         CHECKLIST MET IF CKS1-CKS3=YES

         .................................................................................
            11           0.  NO
            37           1.  YES
           808       Blank.  Inap


==========================================================================================


AJSMET         DEMENTIA UNDETERMINED ETIOLOGY - CRITERIA FOR CKS1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKSMET

         CHECKLIST NINETEEN
         Checklist for Dementia Undetermined Etiology
         OVERALL CHECKLIST NINETEEN CRITERIA MET=YES IF CKS1MET=YES

         .................................................................................
            11           0.  NO
            37           1.  YES
           808       Blank.  Inap


==========================================================================================


AJT1           PD, DEM ESTABLISHED BY DSM III OR DSM IV CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKT1

         CHECKLIST TWENTY
         Checklist for Parkinson's Dementia
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information

         .................................................................................
             1           1.  YES
             1           2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJT2           PD, DIAGNOSIS OF PD
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKT2

         CHECKLIST TWENTY
         Checklist for Parkinson's Dementia
         2. Diagnosis of Parkinson's disease

         .................................................................................
             2           1.  YES
                         2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJT3           PD, COG SYMPTOMS PRIMARILY SUBCORTICAL
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKT3

         CHECKLIST TWENTY
         Checklist for Parkinson's Dementia
         3. Cognitive symptoms primarily subcortical in nature

         .................................................................................
             1           1.  YES
             1           2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJT4           PD, ONSET OF COG SYMPTOMS AT LEAST 1 YR PAST MOTOR SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKT4

         CHECKLIST TWENTY
         Checklist for Parkinson's Dementia
         4. Onset of cognitive symptoms at least one year after onset of motor symptoms

         .................................................................................
             1           1.  YES
             1           2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJT1MET        PD - CRITERIA FOR CKT1 - CKT4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKT1MET

         CHECKLIST TWENTY
         Checklist for Parkinson's Dementia
         CHECKLIST MET IF CKT1-CKT4=YES

         .................................................................................
             2           0.  NO
                         1.  YES
           854       Blank.  Inap


==========================================================================================


AJTMET         PD - CRITERIA FOR CKT1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKTMET

         CHECKLIST TWENTY
         Checklist for Parkinson's Dementia
         OVERALL CHECKLIST TWENTY CRITERIA MET=YES IF CKT1MET=YES

         .................................................................................
             2           0.  NO
                         1.  YES
           854       Blank.  Inap


==========================================================================================


AJU1           PROB LEWY BODY DEMENTIA EST BY DSM III OR DSM IV CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU1

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information)

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU2           PROB LEWY BODY DEMENTIA, FLUCTUATING COGNITION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU2

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         2. Fluctuating cognition with pronounced variation in attention and alertness

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU3           PROB LEWY BODY DEMENTIA, RECURRENT VISUAL HALLUCINATIONS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU3

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         3. Recurrent visual hallucinations that are typically well formed and detailed

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU4           PROB LEWY BODY DEMENTIA, MOTOR FEATURES OF PARKINSONISM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU4

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         4. Spontaneous motor features of parkinsonism

         .................................................................................
                         1.  YES
             1           2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU5           PROB LEWY BODY DEMENTIA, REPEATED FALLS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU5

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         5. Repeated falls

         .................................................................................
                         1.  YES
             1           2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU6           PROB LEWY BODY DEMENTIA, SYNCOPE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU6

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         6. Syncope

         .................................................................................
                         1.  YES
             1           2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU7           PROB LEWY BODY DEMENTIA, LOSS OF CONSCIOUSNESS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU7

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         7. Transient loss of consciousness

         .................................................................................
                         1.  YES
             1           2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU8           PROB LEWY BODY DEMENTIA, NEUROLEPTIC SENSITIVITY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU8

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         8. Neuroleptic sensitivity

         .................................................................................
                         1.  YES
                         2.  NO
             1           8.  DK
           855       Blank.  Inap


==========================================================================================


AJU9           PROB LEWY BODY DEMENTIA, SYSTEMATIZED DELUSIONS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU9

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         9. Systematized delusions

         .................................................................................
                         1.  YES
             1           2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU10          PROB LEWY BODY DEMENTIA, OTHER MODAL HALLUCINATIONS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU10

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         10. Hallucinations in other modalities

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU11          PROB LEWY BODY DEMENTIA, REM SLEEP DISORDER
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU11

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         11. REM sleep behavior disorder

         .................................................................................
                         1.  YES
                         2.  NO
             1           8.  DK
           855       Blank.  Inap


==========================================================================================


AJU12          PROB LEWY BODY DEMENTIA, DEPRESSIVE SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU12

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         12. Depressive symptoms

         .................................................................................
                         1.  YES
             1           2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJU1MET        PROB LEWY BODY DEMENTIA - CRITERIA FOR CKU1
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU1MET

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         CHECKLIST MET IF CKU1=YES

         .................................................................................
                         0.  NO
             1           1.  YES
           855       Blank.  Inap


==========================================================================================


AJU2MET        PROB LEWY BODY DEMENTIA - CRITERIA FOR CKU2 - CKU4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKU2MET

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         CHECKLIST MET IF AT LEAST TWO OF CKU2-CKU4=YES

         .................................................................................
                         0.  NO
             1           1.  YES
           855       Blank.  Inap


==========================================================================================


AJUMET         PROB LEWY BODY DEM - CRITERIA FOR CKU1MET AND CKU2MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKUMET

         CHECKLIST TWENTY ONE
         Checklist for Probable Lewy Body Dementia
         OVERALL CHECKLIST TWENTY-ONE CRITERIA MET=YES IF CKU1MET AND CKU2MET=YES

         .................................................................................
                         0.  NO
             1           1.  YES
           855       Blank.  Inap


==========================================================================================


AJV1           PSP, DEMENTIA EST BY DSM III OR DSM IV CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKV1

         CHECKLIST TWENTY TWO
         Checklist for Progressive Supranuclear Palsy Dementia
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information)

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJV2           PSP, IMPAIRMENT OF VOLUNTARY DOWNWARD GAZE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKV2

         CHECKLIST TWENTY TWO
         Checklist for Progressive Supranuclear Palsy Dementia
         2. Impairment of voluntary downward gaze

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJV3           PSP, IMPAIRMENT NOT EXPLAINED BY ANOTHER DEMENTIA TYPE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKV3

         CHECKLIST TWENTY TWO
         Checklist for Progressive Supranuclear Palsy Dementia
         3. Impairment can not be better explained by another type of dementia

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJV1MET        PSP, CRITERIA FOR CKV1 - CKV3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKV1MET

         CHECKLIST TWENTY TWO
         Checklist for Progressive Supranuclear Palsy Dementia
         CHECKLIST MET IF CKV1-CKV3=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJVMET         PSP, CRITERIA FOR CKV1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKVMET

         CHECKLIST TWENTY TWO
         Checklist for Progressive Supranuclear Palsy Dementia
         OVERALL CHECKLIST TWENTY-TWO CRITERIA MET=YES IF CKV1MET =YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJW1           NORMAL PRESSURE HYDROCEPHALUS, EST BY DSM III OR DSM IV CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKW1

         CHECKLIST TWENTY THREE
         Checklist for Dementia due to Normal Pressure Hydrocephalus
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJW2           NORMAL PRESSURE HYDROCEPHALUS, REPORT FROM NEUROIMAGING
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKW2

         CHECKLIST TWENTY THREE
         Checklist for Dementia due to Normal Pressure Hydrocephalus
         2. Report of NPH based on neuroimaging

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJW3           NORMAL PRESSURE HYDROCEPHALUS, NOT EXPLAINED BY OTHER DEMENTIA TYPE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKW3

         CHECKLIST TWENTY THREE
         Checklist for Dementia due to Normal Pressure Hydrocephalus
         3. Impairment can not be better explained by another type of dementia

         .................................................................................
             1           1.  YES
                         2.  NO
                         8.  DK
           855       Blank.  Inap


==========================================================================================


AJW1MET        NORMAL PRESSURE HYDROCEPHALUS, CRITERIA FOR CKW1 - CKW3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKW1MET

         CHECKLIST TWENTY THREE
         Checklist for Dementia due to Normal Pressure Hydrocephalus
         CHECKLIST MET IF CKW1-CKW3 = YES

         .................................................................................
                         0.  NO
             1           1.  YES
           855       Blank.  Inap


==========================================================================================


AJWMET         NORMAL PRESSURE HYDROCEPHALUS - CRITERIA FOR CKW1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKWMET

         CHECKLIST TWENTY THREE
         Checklist for Dementia due to Normal Pressure Hydrocephalus
         OVERALL CHECKLIST TWENTY-THREE CRITERIA MET=YES IF CKW1MET =YES

         .................................................................................
                         0.  NO
             1           1.  YES
           855       Blank.  Inap


==========================================================================================


AJX1           HUNTINGTONS DEMENTIA, EST BY DSM III OR DSM IV CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKX1

         CHECKLIST TWENTY FOUR
         Checklist for Huntington's Dementia
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information)

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJX2           HUNTINGTONS, DIAGNOSIS OF HUNTINGTONS DISEASE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKX2

         CHECKLIST TWENTY FOUR
         Checklist for Huntington's Dementia
         2. Diagnosis of Huntington's disease

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJX1MET        HUNTINGTONS DEMENTIA, CRITERIA FOR CKX1 AND CKX2
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKX1MET

         CHECKLIST TWENTY FOUR
         Checklist for Huntington's Dementia
         CHECKLIST MET IF CKX1 AND CKX2=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJXMET         HUNTINGTONS DEMENTIA, CRITERIA FOR CKX1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKXMET

         CHECKLIST TWENTY FOUR
         Checklist for Huntington's Dementia
         OVERALL CHECKLIST TWENTY-FOUR CRITERIA MET=YES IF CKX1MET =YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJY1           FRONTAL LOBE, INSIDIOUS ONSET AND SLOWLY PROGRESSIVE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY1

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         1. Behavioral disorder which is insidious in onset, slowly progressive, and
         characterized by any of the following early features:
         a) Loss of personal awareness (neglect of personal hygiene or grooming)
         b) Loss of social awareness (e.g. loss of social tact, misdemeanors, etc)
         c) Decreased insight of pathologic changes in their own behavior or mental state
         d) Disinhibition early in course (e.g. unrestrained sexuality)
         e) Mental inflexibility
         f) Hyperorality
         g) Sterotyped and perseverative behaviors
         h) Utilization behavior (unrestrained exploration of objects in the environment)

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY2           FRONTAL LOBE, PROFOUND FAILURE ON FRONTAL LOBE TESTS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY2

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         2. Neuropsychological findings of profound failure on frontal lobe tests.
         Absence of severe memory impairments, aphasic disorder, or perceptual spatial
         disturbance

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY3           FRONTAL LOBE, PERCEPTUAL SPATIAL DISORDERS ARE ABSENT
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY3

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         3. Perceptual spatial disorders are absent. Intact abilities to negotiate the
         environment

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY4           FRONTAL LOBE, UNIQUE SPEECH DISTURBANCES
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY4

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         4.Speech disturbances characteristic of the disorder uniquely identify it form
         other common dementias. Symptoms include:
         a. Progressive reduction of speech (aspontaneity, economy of utterance)
         b. Sterotyped speech (limited repertoire of words or themes)
         c. Echolalia or perseveration
         d. Late mutism

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY5           FRONTAL LOBE, COMMON AFFECTIVE SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY5

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         5. Affective symptoms are common and include any of the following:
         a. Depression, anxiety, sentimentality, suicidal and fixed ideation of delusions
         early in the disorder
         b. Hypochondriasis or bizarre somatic preoccupations early in the illness
         c. Emotional indifference or lack of empathy, sympathy, apathy
         Amimia (inertia, aspontaneity)

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY6           FRONTAL LOBE SIGNS AND OTHER PHYSICAL SIGNS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY6

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         6. Frontal lobe signs and other physical signs
         a. Early primitive reflexes
         b. Early incontinence
         c. Late akinesia, rigidity, tremor
         Low and labile blood pressure

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY7           FRONTAL LOBE, NORMAL EEG
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY7

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         7. Normal EEG despite clinically evident dementia

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY8           FRONTAL LOBE, BRAIN IMAGING
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY8

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         8. Brain imaging 'structural or functional or both) that show predominantly
         frontal or anterior temporal lobe abnormalities

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY9           FRONTAL LOBE, OTHER SUPPORTIVE DIAGNOSTIC FEATURES
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY9

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         9. Supportive Diagnostic Features
         a) Onset before age 65
         b) Positive family history of similar disorder in first degree relative (parent,
         sibling)
         c) Bulbar palsy, muscular weakness, wasting, fasciculations (motor neuron
         disease)

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY10          FRONTAL LOBE, EXCLUSIONARY FEATURES (LIST)
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY10

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         10. Exclusionary Features
         Abrupt onset with ictal events
         Head trauma related to the onset
         Early severe amnesia
         Early spatial disorientation or  other signs of agnosia
         Early severe apraxia
         Logoclonic speech with rapid
         Loss of train of thought
         Myoclonus
         Corticobulbar and spinal deficits
         Cerebellar ataxia
         Coreo-athetosis
         Early, severe pathological EEG
         Laboratory tests indicating brain inflammatory process
         Brain imaging with either:
         predominant post-central  structural or functional defect
         or multi-focal cerebral lesions on CT or MRI.

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJY1MET        FRONTAL LOBE, CRITERIA FOR CKY1
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY1MET

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         CHECKLIST MET IF CKY1=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJY2MET        FRONTAL LOBE, CRITERIA FOR CKY2
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY2MET

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         CHECKLIST MET IF CHY2=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJY3MET        FRONTAL LOBE, CRITERIA FOR CKY3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY3MET

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         CHECKLIST MET IF CKY3=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJY4MET        FRONTAL LOBE, CRITERIA FOR CKY4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY4MET

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         CHECKLIST MET IF CKY4=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJY5MET        FRONTAL LOBE, CRITERIA FOR CKY10
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKY5MET

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         CHECKLIST MET IF CKY10=NO

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJYMET         FRONTAL LOBE - CRITERIA FOR CKY1MET - CKY5MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKYMET

         CHECKLIST TWENTY FIVE
         Checklist for Frontal Lobe Dementia
         OVERALL CHECKLIST TWENTY-FIVE CRITERIA MET=YES IF CKY1MET-CKY5MET =YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJZ1           POSS LEWY BODY DEMENTIA EST BY DSM III OR DSM IV CRITERIA
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ1

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information)

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ2           POSS LEWY BODY DEMENTIA, FLUCTUATING COGNITION
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ2

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         2. Fluctuating cognition with pronounced variation in attention and alertness

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ3           POSS LEWY BODY DEMENTIA, RECURRENT VISUAL HALLUCINATIONS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ3

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         3. Recurrent visual hallucinations that are typically well formed and detailed

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ4           POSS LEWY BODY DEMENTIA, MOTOR FEATURES OF PARKINSONISM
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ4

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         4. Spontaneous motor features of parkinsonism

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ5           POSS LEWY BODY DEMENTIA, REPEATED FALLS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ5

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         5. Repeated falls

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ6           POSS LEWY BODY DEMENTIA, SYNCOPE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ6

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         6. Syncope

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ7           POSS LEWY BODY DEMENTIA, LOSS OF CONSCIOUSNESS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ7

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         7. Transient loss of consciousness

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ8           POSS LEWY BODY DEMENTIA, NEUROLEPTIC SENSITIVITY
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ8

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         8. Neuroleptic sensitivity

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ9           POSS LEWY BODY DEMENTIA, SYSTEMATIZED DELUSIONS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ9

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         9. Systematized delusions

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ10          POSS LEWY BODY DEMENTIA, OTHER MODAL HALLUCINATIONS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ10

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         10. Hallucinations in other modalities

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ11          POSS LEWY BODY DEMENTIA, REM SLEEP DISORDER
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ11

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         11. REM sleep behavior disorder

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ12          POSS LEWY BODY DEMENTIA, DEPRESSIVE SYMPTOMS
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ12

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         12. Depressive symptoms

         .................................................................................
                         1.  YES
                         2.  NO
                         8.  DK
           856       Blank.  Inap


==========================================================================================


AJZ1MET        POSS LEWY BODY DEMENTIA - CRITERIA FOR CKZ1
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ1MET

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         CHECKLIST MET IF CKZ1=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJZ2MET        POSS LEWY BODY DEMENTIA - CRITERIA FOR CKZ2 - CKZ4
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZ2MET

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         CHECKLIST MET IF AT LEAST ONE OF CKZ2-CKZ4=YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJZMET         POSS LEWY BODY DEMENTIA - CRITERIA FOR CKZ1MET AND CKZ2MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKZMET

         CHECKLIST TWENTY SIX
         Checklist for Possible Lewy Body Dementia
         OVERALL CHECKLIST TWENTY-SIX CRITERIA MET=YES IF CKZ1MET AND CKZ2MET =YES

         .................................................................................
                         0.  NO
                         1.  YES
           856       Blank.  Inap


==========================================================================================


AJAA1          SEVERE HEAD TRAUMA, DEM ESTABLISHED BY CKAMET OR CKBMET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKAA1

         CHECKLIST TWENTY SEVEN
         Checklist for Dementia due to Severe Head Trauma
         1. Dementia established by DSM-III-R or DSM-IV criteria (based on clinical and
         neuropsychological assessment information

         .................................................................................
             2           1.  YES
                         2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJAA2          SEVERE HEAD TRAUMA, SEVERE COGNITIVE SEQUELAE
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKAA2

         CHECKLIST TWENTY SEVEN
         Checklist for Dementia due to Severe Head Trauma
         2. Report of head trauma resulting in severe cognitive sequelae that begins
         immediately after trauma and does not resolve over time

         .................................................................................
             2           1.  YES
                         2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJAA3          SEVERE HEAD TRAUMA, IMPAIRMENT NOT OTHERWISE EXPLAINED
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKAA3

         CHECKLIST TWENTY SEVEN
         Checklist for Dementia due to Severe Head Trauma
         3. Impairment can not be better explained by another type of dementia

         .................................................................................
             2           1.  YES
                         2.  NO
                         8.  DK
           854       Blank.  Inap


==========================================================================================


AJAA1MET       SEVERE HEAD TRAUMA - CRITERIA FOR CKAA1 - CKAA3
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKAA1MET

         CHECKLIST TWENTY SEVEN
         Checklist for Dementia due to Severe Head Trauma
         CHECKLIST MET IF CKAA1-CKAA3 =YES

         .................................................................................
                         0.  NO
             2           1.  YES
           854       Blank.  Inap


==========================================================================================


AJAAMET        SEVERE HEAD TRAUMA - CRITERIA FOR CKAA1MET
         Section: AJ    Level: Respondent      Type: Numeric    Width: 1   Decimals: 0
         Ref: CKAAMET

         CHECKLIST TWENTY SEVEN
         Checklist for Dementia due to Severe Head Trauma

         .................................................................................
                         0.  NO
             2           1.  YES
           854       Blank.  Inap