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    Retrospective Form of the Informant Questionnaire on

    Cognitive Decline in the Elderly (Retrospective IQCODE)

    by A. F. Jorm

    Centre for Mental Health Research

    The Australian National University

    Canberra, Australia

    1990

    There is no copyright on the Retrospective IQCODE. However, the author

    appreciates being kept informed of research projects which make use of it.

    Note: As used in published studies, the IQCODE was always preceded by other

    questions covering the subject's sociodemographic characteristics and physical health.

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    Now we want you to remember what your friend or relative was like about 3 months

    before they died and to compare it with 10 years earlier.

    Below are situations where this person had to use his/her memory or intelligence and

    we want you to indicate whether this had improved, stayed the same, or got worse

    over the 10 year period.

    Note the importance of comparing his/her performance with 10 years earlier. So if

    this person forgot where he/she had left things, but had been the same 10 years

    before, this would be considered "Hasn't changed much".

    Please indicate the changes you observed by circling the appropriate answer.

    Compared with 10 years earlier how was this person at:

    1 2 3 4 5

    1. Recognizing the faces offamily and friends

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    2. Remembering the names offamily and friends

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    3. Remembering things aboutfamily and friends e.g.occupations, birthdays,

    addresses

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    4. Remembering things thathave happened recently

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    5. Recalling conversations afew days later

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    6. Forgetting what he/shewanted to say in the middle of aconversation

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    7. Remembering his/heraddress and telephone number

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    8. Remembering what day andmonth it is

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    9. Remembering where thingsare usually kept

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

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    10. Remembering where to findthings which have been put in adifferent place from usual

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    11. Adjusting to any change inhis/her day-to-day routine

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    12. Knowing how to workfamiliar machines around thehouse

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    13. Learning to use a newgadget or machine around thehouse

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    14. Learning new things ingeneral

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    15. Remembering things thathappened to him/her whenhe/she was young

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    16. Remembering things he/shelearned when he/she was young

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    17. Understanding the meaningof unusual words

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    18. Understanding magazine ornewspaper articles

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    19. Following a story in a bookor on TV

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    20. Composing a letter tofriends or for business purposes

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    21. Knowing about importanthistorical events of the past

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    22. Making decisions oneveryday matters

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    23. Handling money forshopping

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    24. Handling financial matterse.g. the pension, dealing withthe bank

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

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    25. Handling other everydayarithmetic problems e.g.knowing how much food to

    buy, knowing how longbetween visits from family orfriends

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse

    26. Using his/her intelligence tounderstand what's going on andto reason things through

    Muchimproved

    A bitimproved

    Not muchchange

    A bitworse

    Muchworse