<section data-block="SingleChoice"><h3>How easily can you recall a list of items (e.g., a grocery list) without writing it down?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you perform simple arithmetic in your head (e.g., addition, subtraction)?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How quickly can you learn and retain new information?</h3><ul><li>Very quickly</li><li>Somewhat quickly</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>Can you easily follow multi-step instructions?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you concentrate on a task without becoming easily distracted?</h3><ul><li>Very well</li><li>Somewhat well</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How effectively can you solve problems and make decisions?</h3><ul><li>Very effectively</li><li>Somewhat effectively</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>Can you accurately remember and relay information after a period of time has passed (e.g., a day, a week)?</h3><ul><li>Very accurately</li><li>Somewhat accurately</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you understand and interpret complex information (e.g., a scientific article, a legal document)?</h3><ul><li>Very well</li><li>Somewhat well</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>Can you quickly and accurately perform tasks requiring hand-eye coordination (e.g., catching a ball, threading a needle)?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you recognize and remember faces?</h3><ul><li>Very well</li><li>Somewhat well</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How easily can you switch between tasks or adapt to changes in routine?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you organize and prioritize tasks or responsibilities?</h3><ul><li>Very well</li><li>Somewhat well</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>Can you easily find your way around familiar environments, such as your neighborhood or workplace?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you express yourself through writing or speaking?</h3><ul><li>Very well</li><li>Somewhat well</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How accurately can you estimate time or the passage of time (e.g., determining how long an activity took or when an event occurred)?</h3><ul><li>Very accurately</li><li>Somewhat accurately</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How easily can you learn new technology or adapt to changes in familiar technology?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>Can you effectively judge the emotions and feelings of others during social interactions?</h3><ul><li>Very effectively</li><li>Somewhat effectively</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you remember and follow a sequence of tasks or events (e.g., the order of tasks in a recipe)?</h3><ul><li>Very well</li><li>Somewhat well</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>Can you easily recall and recite information you've read or heard (e.g., news headlines, song lyrics)?</h3><ul><li>Very easily</li><li>Somewhat easily</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section><section data-block="SingleChoice"><h3>How well can you visualize objects or scenes in your mind (e.g., imagining a room layout or a specific object)?</h3><ul><li>Very well</li><li>Somewhat well</li><li>With some difficulty</li><li>With great difficulty or not at all</li></ul></section>
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