{"id":20404,"date":"2021-05-17T08:28:50","date_gmt":"2021-05-17T08:28:50","guid":{"rendered":"https:\/\/www.jccpa.org.hk\/what_is_dementia\/dementia_assessment\/survey\/"},"modified":"2021-10-04T17:03:03","modified_gmt":"2021-10-04T09:03:03","slug":"survey","status":"publish","type":"page","link":"https:\/\/www.jccpa.org.hk\/en\/about-dementia\/dementia-screening-test\/survey\/","title":{"rendered":"Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"20404\" class=\"elementor elementor-20404 elementor-4432\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-276eefa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"276eefa\" data-element_type=\"section\" id=\"introduction\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d7777a5\" data-id=\"d7777a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b1e23b elementor-widget elementor-widget-text-editor\" data-id=\"2b1e23b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>The IQ-CODE is a widely used screening tool of dementia. Research revealed that it has high reliability, sensitivity, and specificity, and it is very useful in differentiating elderly suffering from dementia from those experiencing normal aging.<\/p>\n\n<p>Now we want you to remember what your friend or relative was like 10 years ago and to compare it with what he\/she is like now. Below are situations where this person has to use his\/her memory or intelligence and we want you to indicate whether this has improved, stayed the same or got worse in that situation over the past 10 years.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-919f195 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"919f195\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d226a60\" data-id=\"d226a60\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32704f9 elementor-widget elementor-widget-shortcode\" data-id=\"32704f9\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\n\tvar llang = \"en\";\n<\/script>\n\n<div class=\"core-container my-2 size4\">\t\n<form name=\"ssform\" class=\"survey stage1\">\n\n\t\t\t\t\t<div class=\"form-panel\">\n\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-6\">\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<label for=\"\u5e74\u9f61\" class=\"form-label\">Age:<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\"  oninput=\"this.value = this.value.replace(\/[^0-9.]\/g, '').replace(\/(\\..*)\\.\/g, '$1');\" class=\"form-control\" id=\"age\" name=\"Age\" aria-describedby=\"\">\t\t\t \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-6\">\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<label for=\"\u6027\u5225\" class=\"form-label\">Gender:<\/label>\n\t\t\t\t\t\t\t\t<div><select class=\"select3\" name=\"sex\" id=\"sex\" style=\"width:100%\">\n\t\t\t\t\t\t\t\t\t<option value=\"m\">Male<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"f\">Female<\/option>\n\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t\t<\/div>\t \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<h5 class=\"my-5 text-center\"><b class=\"color-orange\">Compared with 10 years ago\uff0c<\/b>how is this person at:<\/h5>\n\t\t\t\t\t<div id=\"sticky-element-anchor\"><\/div>\n\t\t\t\t\t<div id=\"sticky-element\" >\n\t\t\t\t\t\t<div class=\"wrapper\">\n\t\t\t\t\t\t\t<div class=\"mb-1\">Please indicate the changes you have observed by checking the appropriate answer.<\/div>\n\t\t\t\t\t\t\t<div class=\"mb-3 list-num\">\n\t\t\t\t\t\t\t\t<span class=\"list-item\">\n\t\t\t\t\t\t\t\t\t<span class=\"number\">0<\/span>Not sure\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<span class=\"list-item\">\n\t\t\t\t\t\t\t\t\t<span class=\"number\">1<\/span>Much improved\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<span class=\"list-item\">\n\t\t\t\t\t\t\t\t\t<span class=\"number\">2<\/span>A bit improved\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<span class=\"list-item\">\n\t\t\t\t\t\t\t\t\t<span class=\"number\">3<\/span>Not much change\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<span class=\"list-item\">\n\t\t\t\t\t\t\t\t\t<span class=\"number\">4<\/span>A bit worse\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<span class=\"list-item\">\n\t\t\t\t\t\t\t\t\t<span class=\"number\">5<\/span>Much worse\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<br><small>***Cannot choose \u201cnot sure\u201d for more than 3 times***<\/small>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>1. Recognizing the faces of family and friends<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q1\" class=\"qbox q1\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q1\" class=\"qbox q1\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q1\" class=\"qbox q1\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q1\" class=\"qbox q1\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q1\" class=\"qbox q1\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q1\" class=\"qbox q1\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>2. Remembering the names of family and friends<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q2\" class=\"qbox q2\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q2\" class=\"qbox q2\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q2\" class=\"qbox q2\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q2\" class=\"qbox q2\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q2\" class=\"qbox q2\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q2\" class=\"qbox q2\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>3. Remembering things about family and friends e.g. occupations, birthdays, addresses<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q3\" class=\"qbox q3\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q3\" class=\"qbox q3\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q3\" class=\"qbox q3\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q3\" class=\"qbox q3\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q3\" class=\"qbox q3\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q3\" class=\"qbox q3\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>4. Remembering things that have happened recently<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q4\" class=\"qbox q4\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q4\" class=\"qbox q4\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q4\" class=\"qbox q4\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q4\" class=\"qbox q4\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q4\" class=\"qbox q4\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q4\" class=\"qbox q4\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>5. Recalling conversations a few days later<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q5\" class=\"qbox q5\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q5\" class=\"qbox q5\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q5\" class=\"qbox q5\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q5\" class=\"qbox q5\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q5\" class=\"qbox q5\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q5\" class=\"qbox q5\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>6. Forgetting what he\/she wanted to say in the middle of a conversation<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q6\" class=\"qbox q6\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q6\" class=\"qbox q6\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q6\" class=\"qbox q6\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q6\" class=\"qbox q6\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q6\" class=\"qbox q6\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q6\" class=\"qbox q6\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>7. Remembering his\/her address and telephone number<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q7\" class=\"qbox q7\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q7\" class=\"qbox q7\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q7\" class=\"qbox q7\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q7\" class=\"qbox q7\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q7\" class=\"qbox q7\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q7\" class=\"qbox q7\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>8. Remembering what day and month it is<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q8\" class=\"qbox q8\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q8\" class=\"qbox q8\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q8\" class=\"qbox q8\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q8\" class=\"qbox q8\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q8\" class=\"qbox q8\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q8\" class=\"qbox q8\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>9. Remembering where things are usually kept<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q9\" class=\"qbox q9\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q9\" class=\"qbox q9\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q9\" class=\"qbox q9\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q9\" class=\"qbox q9\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q9\" class=\"qbox q9\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q9\" class=\"qbox q9\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>10. Remembering where to find things which have been put in a different place from usual<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q10\" class=\"qbox q10\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q10\" class=\"qbox q10\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q10\" class=\"qbox q10\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q10\" class=\"qbox q10\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q10\" class=\"qbox q10\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q10\" class=\"qbox q10\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>11. Adjusting to any change in his\/her day-to-day routine<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q11\" class=\"qbox q11\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q11\" class=\"qbox q11\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q11\" class=\"qbox q11\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q11\" class=\"qbox q11\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q11\" class=\"qbox q11\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q11\" class=\"qbox q11\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>12. Knowing how to work familiar machines around the house<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q12\" class=\"qbox q12\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q12\" class=\"qbox q12\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q12\" class=\"qbox q12\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q12\" class=\"qbox q12\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q12\" class=\"qbox q12\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q12\" class=\"qbox q12\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>13. Learning to use a new gadget or machine around the house<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q13\" class=\"qbox q13\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q13\" class=\"qbox q13\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q13\" class=\"qbox q13\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q13\" class=\"qbox q13\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q13\" class=\"qbox q13\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q13\" class=\"qbox q13\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>14. Learning new things in general<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q14\" class=\"qbox q14\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q14\" class=\"qbox q14\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q14\" class=\"qbox q14\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q14\" class=\"qbox q14\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q14\" class=\"qbox q14\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q14\" class=\"qbox q14\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>15. Remembering things that happened to him\/her when he\/she was young<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q15\" class=\"qbox q15\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q15\" class=\"qbox q15\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q15\" class=\"qbox q15\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q15\" class=\"qbox q15\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q15\" class=\"qbox q15\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q15\" class=\"qbox q15\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>16. Remembering things he\/she learned when he\/she was young<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q16\" class=\"qbox q16\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q16\" class=\"qbox q16\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q16\" class=\"qbox q16\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q16\" class=\"qbox q16\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q16\" class=\"qbox q16\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q16\" class=\"qbox q16\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>17. Understanding the meaning of unusual words<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q17\" class=\"qbox q17\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q17\" class=\"qbox q17\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q17\" class=\"qbox q17\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q17\" class=\"qbox q17\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q17\" class=\"qbox q17\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q17\" class=\"qbox q17\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>18. Understanding magazine or newspaper articles<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q18\" class=\"qbox q18\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q18\" class=\"qbox q18\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q18\" class=\"qbox q18\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q18\" class=\"qbox q18\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q18\" class=\"qbox q18\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q18\" class=\"qbox q18\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>19. Following a story in a book or on TV<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q19\" class=\"qbox q19\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q19\" class=\"qbox q19\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q19\" class=\"qbox q19\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q19\" class=\"qbox q19\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q19\" class=\"qbox q19\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q19\" class=\"qbox q19\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>20. Composing a letter to friends or for business purposes<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q20\" class=\"qbox q20\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q20\" class=\"qbox q20\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q20\" class=\"qbox q20\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q20\" class=\"qbox q20\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q20\" class=\"qbox q20\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q20\" class=\"qbox q20\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>21. Knowing about important historical events of the past<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q21\" class=\"qbox q21\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q21\" class=\"qbox q21\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q21\" class=\"qbox q21\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q21\" class=\"qbox q21\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q21\" class=\"qbox q21\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q21\" class=\"qbox q21\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>22. Making decisions on everyday matters<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q22\" class=\"qbox q22\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q22\" class=\"qbox q22\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q22\" class=\"qbox q22\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q22\" class=\"qbox q22\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q22\" class=\"qbox q22\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q22\" class=\"qbox q22\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>23. Handling money for shopping<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q23\" class=\"qbox q23\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q23\" class=\"qbox q23\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q23\" class=\"qbox q23\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q23\" class=\"qbox q23\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q23\" class=\"qbox q23\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q23\" class=\"qbox q23\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>24. Handling financial matters <br><div class=\"small-cap\">e.g. the pension, dealing with the bank<\/div><\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q24\" class=\"qbox q24\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q24\" class=\"qbox q24\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q24\" class=\"qbox q24\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q24\" class=\"qbox q24\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q24\" class=\"qbox q24\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q24\" class=\"qbox q24\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>25. Handling other everyday arithmetic problems<div class=\"small-cap\">e.g. knowing how much food to buy, knowing how long between visits from family or friends<\/div><\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q25\" class=\"qbox q25\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q25\" class=\"qbox q25\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q25\" class=\"qbox q25\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q25\" class=\"qbox q25\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q25\" class=\"qbox q25\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q25\" class=\"qbox q25\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"form-panel qrow\">\n\t\t\t\t\t\t<div class=\"row mb-2\">\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-7\"><h5>26. Using his\/her intelligence to understand what's going on and to reason things through<\/h5><\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"col-12 col-sm-5\">\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"0\" name=\"q26\" class=\"qbox q26\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">0<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"1\" name=\"q26\" class=\"qbox q26\"><\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"num\">1<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"2\" name=\"q26\" class=\"qbox q26\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">2<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"3\" name=\"q26\" class=\"qbox q26\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">3<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"4\" name=\"q26\" class=\"qbox q26\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">4<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"ii\">\n\t\t\t\t\t\t\t\t<span class=\"check\"><input type=\"radio\"  value=\"5\" name=\"q26\" class=\"qbox q26\"><\/span>\n\t\t\t\t\t\t\t\t<span class=\"num\">5<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"btn-list text-center mb-5\">\n\t\t\t\t\t\t<a href=\"javascript:;\" onclick=\"jsResetServey()\" class=\"btn theme4\">Reset<\/a>\n\t\t\t\t\t\t<a href=\"javascript:;\" onclick=\"jsSubmitServey()\" class=\"btn theme3\">Submit<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n\t<\/form>\n\t\t\t\t\t<div class=\"tnc stage1 mb-5\">\n\t\t\t\t\t\tDisclaimer: The IQ-CODE could only be used for screening purpose only and it's not a tool for formal clinical diagnosis of dementia. If you have any inquiries on the results, please arrange with our memory clinic or specialized physicians for detailed consultation and diagnosis.\n\t\t\t\t\t\t<p>Use with permission from Dr. A.F. Jorm & J.L. Fuh.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"remark text-start stage1 mb-5\">\n\t\t\t\t\t\t<b class=\"color-orange\">Reference<\/b>\n\t\t\t\t\t\t<ol><li>Fuh J. L., Teng E. L., Lin K. N., Larson E. B., Wang S. J., Liu C. Y., et al. (1995). The Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE) as a screening tool for dementia for a predominantly illiterate Chinese population. Neurology, 45, 92-96.<\/li>\n\t\t\t\t\t\t<li>Jorm, A. F. (1994). A short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE): Development and cross-validation. Psychological Medicine, 24, 145-153.<\/li>\n\t\t\t\t\t\t<li>Jorm, A. F., Broe, G.A., Creasey, H., et al. (1996). Further data on the validity of the Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE). International Journal Geriatric Psychiatry, 11, 131-139.<\/li>\n\t\t\t\t\t\t<\/ol>\n\t\t\t\t\t<\/div>\n<\/div>\n\n\t\t\t\t\t<div class=\"cssAnsp op1\">\n\t\t\t\t\t\t<h1 class=\"text-center my-5 entry-title\">Results<\/h1>\n\t\t\t\t\t  \t<div class=\"ans-box\" style=\"background-image: url('https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/07\/bg2-2.jpg');\">\n\t\t\t\t\t\t\t<div class=\"container\">\n\t\t\t\t\t\t\t\t<div class=\"ans box-style score-wrapper text-center\">\n\t\t\t\t\t\t\t\t\t\t<!--they need a score to cal here-->\n\t\t\t\t\t\t\t\t\t\t<h3 class=\"color-orange score\">Rating: <span class=\"fscore\"><\/span> <\/h3>\n\t\t\t\t\t\t\t\t\t\t<div class=\"content\">Cannot choose \u201cnot sure\u201d for more than 3 times<\/div>\n\t\t\t\t\t\t\t\t\t\t<a class=\"viewmore-btn  size3\" href=\"\/enabout-dementia\/dementia-screening-test\/survey\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"text\">Return to IQ-CODE<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cssAnsp op2\">\n\t\t\t\t\t\t<h1 class=\"text-center my-5 entry-title\">Results<\/h1>\n\t\t\t\t\t\t<div class=\"ans-box\" style=\"background-image: url('https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/07\/bg2-2.jpg');\">\n\t\t\t\t\t\t\t<div class=\"container\">\n\t\t\t\t\t\t\t\t<div class=\"ans box-style score-wrapper text-center\">\n\t\t\t\t\t\t\t\t\t<!--they need a score to cal here-->\n\t\t\t\t\t\t\t\t\t<h3 class=\"color-orange score\">Rating: <span class=\"fscore\"><\/span> <\/h3>\n\t\t\t\t\t\t\t\t\t<div class=\"content\">According to the rating, your relative or friend had suffered from significant decline in level of cognitive functioning. Research indicated that the observed changes may be signs of dementia. Please arrange your relative or friend for further diagnosis.<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"ans box-style text-center\">\n\t\t\t\t\t\t\t\t\t<p class=\"mt-3\"><\/p>\n\t\t\t\t\t\t\t\t\t<h3 class=\"color-orange subtitle\">JCCPA's recommendation<\/h3>\n\t\t\t\t\t\t\t\t\t<div class=\"content\">Early intervention can effectively delay cognitive decline and minimize pressure for family caregivers. Please refer to <a href=\"\/en\/services\/memory-clinic\/\" class=\"hyperlink\">Memory Clinic<\/a> for assessment arrangement or contact our social worker on 2636 6323.<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"btn-container button-center mt-3\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"viewmore-btn size3\" href=\"\/en\/about-dementia\/dementia-screening-test\/survey\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"text\">Return to IQ-CODE<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cssAnsp op3\">\n\t\t\t\t\t\t<h1 class=\"entry-title\">Results<\/h1>\n\t\t\t\t\t\t<div class=\"ans-box\" style=\"background-image: url('https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/07\/bg2-2.jpg');\">\n\t\t\t\t\t\t\t<div class=\"container\">\n\t\t\t\t\t\t\t\t<div class=\"ans box-style text-center\">\n\t\t\t\t\t\t\t\t\t<!--they need a score to cal here-->\n\t\t\t\t\t\t\t\t\t<h3 class=\"color-orange score\">Rating: <span class=\"fscore\"><\/span> <\/h3>\n\t\t\t\t\t\t\t\t\t<div class=\"content\">According to the rating, your relative or friend\u2019s level of cognitive functioning ranged from slightly decline to stably maintain. Research indicated that the observed changes were within the range of normal aging. Chance for your relative or friend to develop dementia is relatively low.<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"ans box-style text-center\">\n\t\t\t\t\t\t\t\t\t<p class=\"mt-3\"><\/p>\n\t\t\t\t\t\t\t\t\t<h3 class=\"color-orange subtitle\">JCCPA's recommendation<\/h3>\n\t\t\t\t\t\t\t\t\t<div class=\"content\">You \/ your relative are encouraged to check out <a href=\"\/en\/about-dementia\/brain-health-tips\/\" class=\"hyperlink\">\"Brain Health Tips\"<\/a> and the social media platforms of JCCPA for more information about brain health. It is also recommended that you should complete this questionnaire every year for preliminary assessment on regular basis.\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"btn-container button-center mt-3\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"viewmore-btn size3\" href=\"en\/about-dementia\/dementia-screening-test\/survey\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"text\">Return to IQ-CODE<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cssAnsp op4\">\n\t\t\t\t\t\t<div class=\"ans\">\n\t\t\t\t\t\t\t<div class=\"ans-box\" style=\"background-image: url('https:\/\/www.jccpa.org.hk\/wp-content\/uploads\/2021\/07\/bg2-2.jpg');\">\n\t\t\t\t\t\t\t\t<div class=\"container\">\n\t\t\t\t\t\t\t\t\t<div class=\"ans box-style text-center\">\n\t\t\t\t\t\t\t\t\t\t<!--they need a score to cal here-->\n\t\t\t\t\t\t\t\t\t\t<h3 class=\"color-orange score\">Rating: <span class=\"fscore\"><\/span> <\/h3>\n\t\t\t\t\t\t\t\t\t\t<div class=\"content\">According to the rating, your relative or friend had no significant change in his\/her level of cognitive functioning. Research indicated that the chance for your relative or friend to develop dementia is very low.<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ans box-style text-center\">\n\t\t\t\t\t\t\t\t\t\t<p class=\"mt-3\"><\/p>\n\t\t\t\t\t\t\t\t\t\t<h3 class=\"color-orange subtitle\">JCCPA's recommendation<\/h3>\n\t\t\t\t\t\t\t\t\t\t<div class=\"content\">You \/ your relative are encouraged to check out <a href=\"\/en\/about-dementia\/brain-health-tips\/\" class=\"hyperlink\">\"Brain Health Tips\"<\/a> and the social media platforms of JCCPA for more information about brain health. It is also recommended that you should complete this questionnaire every year for preliminary assessment on regular basis.<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"btn-container button-center mt-3\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"viewmore-btn  size3\" href=\"\/enabout-dementia\/dementia-screening-test\/survey\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"text\">Return to IQ-CODE<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"icon icon--right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<use xlink:href=\"#arrow-right\"><\/use>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t\t<svg style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<symbol id=\"arrow-right\" viewBox=\"0 0 20 10\">\n\t\t\t\t\t\t\t\t\t\t\t\t<path d=\"M14.84 0l-1.08 1.06 3.3 3.2H0v1.49h17.05l-3.3 3.2L14.84 10 20 5l-5.16-5z\"><\/path>\n\t\t\t\t\t\t\t\t\t\t\t<\/symbol>\n\t\t\t\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\n\n\t\t\t\t\n\n\n\n\n\n<script>\n\n\t$(document).ready(function() {\n    \/\/ Cache selectors for faster performance.\n    var $window = $(window),\n        $mainMenuBar = $(\"#sticky-element\"),\n        $mainMenuBarAnchor = $(\"#sticky-element-anchor\");\n\n    \/\/ Run this on scroll events.\n    $window.scroll(function() {\n        var window_top = $window.scrollTop();\n        var div_top = $mainMenuBarAnchor.offset().top;\n        if (window_top > div_top) {\n            \/\/ Make the div sticky.\n            $mainMenuBar.addClass('sticky');\n            $mainMenuBarAnchor.height($mainMenuBar.height());\n        }\n        else {\n            \/\/ Unstick the div.\n            $mainMenuBar.removeClass('sticky');\n            $mainMenuBarAnchor.height(0);\n        }\n    });\n});\n\n $(\"#age\").attr(\"maxlength\", \"3\");\n  $(\"#age\").keypress(function(e) {\n    var kk = e.which;\n    if(kk < 2 || kk > 100)\n      e.preventDefault();\n  });\n\tfunction jsRefresh(){\n        location.reload();\n    };\n\t$(\".select3\").select2({\n    \t minimumResultsForSearch: Infinity,\n    });\n\n     $(document).ready(function(){\n  $(\"input\").iCheck({\n    checkboxClass: 'icheckbox_flat-green',\n    radioClass: 'iradio_flat'\n  });\n});\n<\/script>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The IQ-CODE is a widely used screening tool of dementia. Research revealed that it has high reliability, sensitivity, and specificity, and it is very useful in differentiating elderly suffering from dementia from those experiencing normal aging. Now we want you to remember what your friend or relative was like 10 years ago and to compare&hellip; <a class=\"more-link\" href=\"https:\/\/www.jccpa.org.hk\/en\/about-dementia\/dementia-screening-test\/survey\/\">Continue reading <span class=\"screen-reader-text\">Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE)<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":17196,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"tpl\/pagewbanner.php","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE) - Jockey Club Centre for Positive Ageing | Professional Support for Dementia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jccpa.org.hk\/en\/about-dementia\/dementia-screening-test\/survey\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Informant Questionnaire on Cognitive Decline in the Elderly (IQ-CODE) - Jockey Club Centre for Positive Ageing | Professional Support for Dementia\" \/>\n<meta property=\"og:description\" content=\"The IQ-CODE is a widely used screening tool of dementia. Research revealed that it has high reliability, sensitivity, and specificity, and it is very useful in differentiating elderly suffering from dementia from those experiencing normal aging. 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