Fill in your perception base on the video in previous page.
For each statement please choose the point which is closest to your feeling. For your convenience, this video is shown again as following.
Calculation
1. The conversation partner fully knows what this elderly wants her to do
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
2. This person has difficulty keeping the conversation going.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
3. This person needs a long time to think before answering people.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
4. This person has difficulty looking for the particular words.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
5. This person’s cognitive impairment affects the conversation.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
6. This person often hesitates, pauses and repeats herself.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
7. This person often uses vague words like “thing” or “it” instead of using the correct name of a person, place, or thing.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
8. I fully understand what this person is talking about.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
9. This person likes to talk to me.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
10. This person is in control of this situation.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
11. This person can live independently.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
12. This person is self-confident.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
13. This person is lonely.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
14. This person is vulnerable.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
15. This person is competent (e.g., being able to take care of herself).
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
16. This person’s words might not be trusted by others due to her cognitive status.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
17. This person might be blamed by others for her difficulties in communication.
*
0
1
2
3
4
5
6
7
8
9
10
Strongly disagree
Strongly agree
0 is Strongly disagree, 10 is Strongly agree
提交
Should be Empty: