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Visual Cognitive Impairment Assessment
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Visual Cognitive Impairment Assessment
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Please help our research and answer the questions below as fully as you are able. First, what is your age?
20 to 29
30 to 39
40 to 49
50 to 59
60 to 64
65 to 69
70 to 74
75 to 79
80 to 84
85 or greater.
What size of screen did you view the patterns on?
Under 5 inches
6 to 10 inches
11 to 15 inches
16 or greater
Have you ever been diagnosed with cognitive impairment?
Mild cognitive impairment?
Moderate cognitive impairment?
Severe cognitive impairment?
On which of the patterns did you see nothing?
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On which of the patterns did you see a horizontal lying bar?
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Visual Cognitive Impairment Assessment: Please help our research and answer the questions below as fully as you are able. First, what is your age?
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