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Cognitive Failure Questionnaire (CFQ)
Broadbent DE, et al. Br J Psychol
1982;21: 1-16
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The following questions are about minor mistakes which everyone
makes from time to time, but some of which happen more often than
others. We want to know how often these things have happened to
you in the last four weeks. Per statement you can choose one out
of five answer categories, varying from very often; quite often;
occasionally; very rarely; and never. Please chose the appropriate
answer.
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1.
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Do you read something and find you haven't been
thinking about it and must read it again? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 2. |
Do you find you forget why you went from one part of the house to
the other? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 3. |
Do you fail to notice signposts on the road? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 4. |
Do
you find you confuse right and left when giving directions? |
| |
Very
often
Quite often
Occasionally
Very rarely
Never |
| 5. |
Do you bump into people? |
| |
Very
often
Quite often
Occasionally
Very rarely
Never |
| 6. |
Do
you find you forget whether you've turned off a light or a fire or
locked the door? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 7. |
Do you fail to listen to people's names when you are meeting them? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 8. |
Do
you say something and realize afterwards that it might be taken as
insulting? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 9. |
Do you fail to hear people speaking to you when you are doing
something else? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 10. |
Do
you lose your temper and regret it? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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11. |
Do you leave important letters unanswered for
days? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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12. |
Do
you find you forget which way to turn on a road you know well but
rarely use? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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13. |
Do you fail to see what you want in a supermarket
(although it's there)? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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14. |
Do
you find yourself suddenly wondering whether you've used a word
correctly? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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15. |
Do you have trouble making up your mind? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
| 16. |
Do
you find you forget appointments? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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17. |
Do you forget where you put something like a
news-paper or a book? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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18. |
Do
you find you accidentally throw away the thing you want and keep
what you meant to throw away - as in the example of throwing away
the matchbox and putting the used match in your pocket? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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19. |
Do you daydream when you ought to be listening to
something? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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20. |
Do
you find you forget people's names? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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21. |
Do you start doing one thing at home and get
distracted into doing something else (unintentionally)? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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22. |
Do
you find you can't quite remember something although it's 'on the
tip of your tongue'? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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23. |
Do you find you forget what you came to the shops
to buy? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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24. |
Do you drop things? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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25. |
Do you find you can't think of anything to say? |
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Very
often
Quite often
Occasionally
Very rarely
Never |
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When all questions are answered, please push
the button >>
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