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Clinician Access
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Cognitive & Attention Questionnaire
Patient Self-Report  ·  CAQ-1.0
Self-report questionnaire
Cognitive & Attention Questionnaire
This questionnaire asks about your attention, focus, and daily functioning over the past 4 weeks. There are 10 questions. Read each one carefully and choose the answer that best describes your experience.

Your answers go directly to your care team. The system scores your responses automatically and generates a summary for your clinician to review.
โฑ About 3 minutes
โœŽ 10 questions
๐Ÿ”’ Sent to your clinician
๐Ÿ“… Past 4 weeks
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Thank you for completing the questionnaire
Your answers have been saved and sent to your care team. There is nothing else you need to do right now.
๐Ÿฅ Please hand the tablet back to your nurse or clinician.
CLINICIAN VIEW
CAQ Results โ€” Margaret Thornton
Scores not shown to patient  ยท  PIN-protected access
For demonstration purposes only. This is not a diagnostic tool. Results are for clinician review only and do not constitute a clinical diagnosis or treatment recommendation.