Cognitive Skills Assessment

Below are a list of 4 assessments testing your cognitive skills respectively (attention, memory, critical
thinking and processing speed). Please try to answer all the assessments below.

Attention Control Scale (ATTC) – Short Form

Here are some different ways that people can feel about working and concentrating. Please indicate how
strongly each statement applies to you.

Statements Almost Never Sometimes Often Always

When I’m working hard on something, I still get
distracted by events around me. 4 3 2 1

When trying to focus my attention on something, I

have a difficulty blocking out distracting thoughts 4 3 2 1

I have a hard time concentrating when I’m excited

about something 4 3 2 1

I can quickly switch from one task to another

1 2 3 4
It takes me a while to get really involved in a new
task 4 3 2 1

It is difficult for me to coordinate my attention

between the listening and writing required when
4 3 2 1
taking notes during lectures.

I can become interested in a topic very quickly when

I need to 4 3 2 1

I have a hard time coming up with new ideas quickly

4 3 2 1
 After being interrupted or distracted, I can easily shift
1 2 3 4
my attention back to what I was doing before
It is easy for me to alternate between two different
1 2 3 4
task

Total in Attention Domain =

Everyday Memory Questionnaire

The 28 statements set out below are about forgetting things, something everyone does to an extent. Please
indicate how frequently the examples given have happened to you over the last 3 months, using the
following scales

0 = Not at all, 1 = About once, 2 = More than once, but less than once a month, 3 = about once a
month, 4 = more than once a month, but less than once a week, 5 = about once a week, 6 = more than
once a week, but less than once a day, 7 = About once a day, 8 = More than once a day

Statements
Forgetting where you have put
something. Losing things around the
0 1 2 3 4 5 6 7 8
house

Failing to recognise places that you are

told you have been before. 0 1 2 3 4 5 6 7 8

Finding a television story difficult to

follow 0 1 2 3 4 5 6 7 8

Not remembering changes in your daily

routine 0 1 2 3 4 5 6 7 8
Having to go back to check whether you
have done something you meant to do 0 1 2 3 4 5 6 7 8

Forgetting when it was that something

happened; for example, whether it was
0 1 2 3 4 5 6 7 8
yesterday or last week

Completely forgetting to take things

with you, or leaving things behind and
0 1 2 3 4 5 6 7 8
having to go back and fetch them

Forgetting you were told something

yesterday or a few days ago, and maybe
0 1 2 3 4 5 6 7 8
having to be reminded about it.

Starting to read something (a book or an

article in a newspaper or magazine)
without realizing you have already read 0 1 2 3 4 5 6 7 8
it before.

Letting yourself ramble on, to speak

about unimportant or irrelevant things 0 1 2 3 4 5 6 7 8

Failing to recognise, by sight, close

friends or relatives whom you meet
0 1 2 3 4 5 6 7 8
frequently

Having difficulty in picking up a new

skill; for example, finding it hard to
learn a new game, or to work some new
0 1 2 3 4 5 6 7 8
gadget after you have practiced it once
or twice.

Finding that a word is ‘on the tip of

your tongue’. You know what it is but
0 1 2 3 4 5 6 7 8
cannot quite find it

Completely forgetting to do things you

said you would do and you planned to
0 1 2 3 4 5 6 7 8
do.

Forgetting important details of what you

did or what happened to you the day
0 1 2 3 4 5 6 7 8
before

When talking to someone, forgetting

what you have just said. Maybe saying,
0 1 2 3 4 5 6 7 8
“What was I just talking about?”

When reading a newspaper or magazine

being unable to follow the thread of a
0 1 2 3 4 5 6 7 8
story; losing track of what it is about

Forgetting to tell someone something

0 1 2 3 4 5 6 7 8
important. Perhaps forgetting to pass on
 a message or remind someone of
something

Forgetting important details about

yourself; for example, your birthdate, or
0 1 2 3 4 5 6 7 8
where you live

Getting the details of what someone has

told you mixed up and confused 0 1 2 3 4 5 6 7 8

Telling someone a story or joke that you

have told them once already 0 1 2 3 4 5 6 7 8

Forgetting details of things you do

regularly, whether at home or at work.
For example, forgetting details of what 0 1 2 3 4 5 6 7 8
to do, or forgetting at what time to do it

Finding that the faces of famous people

seen on television or in photographs
0 1 2 3 4 5 6 7 8
look unfamiliar

Forgetting where things are normally

kept or looking for them in the wrong
0 1 2 3 4 5 6 7 8
place

Getting lost or turning in the wrong

direction on a journey, on a walk or in a
building where you have often been 0 1 2 3 4 5 6 7 8
before

Getting lost or turning in the wrong

direction on a journey, on a walk or in a
building where you have only been 0 1 2 3 4 5 6 7 8
once or twice before

Doing some routine things twice by

mistake. For example, putting lots of tea
in the teapot or going to brush/comb 0 1 2 3 4 5 6 7 8
your hair when you have just done so

Repeating to someone what you have

just told them or asking the same
0 1 2 3 4 5 6 7 8
question twice.

Total in the memory domain =

Critical Thinking Disposition Assessment
Indicate how much you agree or disagree with each numbered statement by circling the appropriate number.

1 = Strongly disagree & 5 = Strongly agree.

Statement
I listen carefully to the opinions of others even when they
disagree with me. 1 2 3 4 5

I look for opportunities to solve problems.

1 2 3 4 5
I am interested in many issues.
1 2 3 4 5
I enjoy learning about many topics.
1 2 3 4 5
I am able to relate to a wide variety of issues.
1 2 3 4 5
I ask lots of questions in a learning environment.
1 2 3 4 5
I enjoy finding answers to challenging questions.
1 2 3 4 5
I am a good problem solver
1 2 3 4 5
I am confident that I can reach a reasonable conclusion.
1 2 3 4 5
I strive to be well informed.
1 2 3 4 5
I am likely to change my opinion when I am given new
information that conflicts with my current opinion. 1 2 3 4 5

I enjoy solving problems.

1 2 3 4 5
I try to consider the facts without letting my biases affect my
1 2 3 4 5
decisions.
 I am able to apply my knowledge to a wide variety of issues.
1 2 3 4 5
I enjoy learning even when I am not in school.
1 2 3 4 5
I can get along with people who do not share my opinions.
1 2 3 4 5
I am able to explain things clearly.
1 2 3 4 5
I ask good questions when trying to clarify a solution.
1 2 3 4 5
I present issues in a clear and precise manner.
1 2 3 4 5
I consider how my own biases affect my opinions.
1 2 3 4 5
I search for the truth even when it makes me uncomfortable.
1 2 3 4 5
I keep on working on things until I get them right.
1 2 3 4 5
I will go out of my way to find the right answers to a problem.
1 2 3 4 5
I try to find multiple solutions to problems.
1 2 3 4 5
I ask many questions when making a decision.
1 2 3 4 5
I believe that most problems have more than one solution.
1 2 3 4 5

Total for Critical Thinking Skills Domain =