Skip to content

Search for:

ABOUT
RESOURCES
SURVIVORS
CONTACT US
DONATE
Search for:

C-SARS Evaluation

C-SARS EvaluationAdmin2020-09-30T15:37:31-04:00

Step 1 of 13

7%

Name*
Full Name
Email*

A copy of your responses will be sent to this email.

1. I have difficulty staying focused on something I am reading or a TV program I am watching
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

2. I have difficulty remembering things that happened or what people told me
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

3. I forget what I am supposed to do
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

4. I forget where I put things
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

5. When I am speaking I forget what I was going to say
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

6. I have difficulty planning ahead or making decisions
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

7. I keep doing the same thing even though it does not work
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

8. I do things without thinking
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

9. I have difficulty adjusting to changes
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

10. I tend to be slow in mental or physical tasks
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

11. I have trouble reading someone's facial expression or gestures
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time

12. I have difficulty understanding how another person feels
A. FREQUENCY*
- Rarely
- Sometimes
- Often
- All the time
B. HOW MUCH IT INTERFERES WITH MY LIFE*
- Rarely
- Sometimes
- Often
- All the time
Hidden
Frequency Score
Hidden
Severity Score
Email
This field is for validation purposes and should be left unchanged.

CureSZ-Logo_notag-white-200

675 Deis Drive
Suite N, Box 192
Fairfield, Ohio 45014

About

Who We Are
Mission
Board
Reviews
Documents
Corporate Sponsors
In Memory and Honor

Resources

What is Schizophrenia?
Treatment Checklist
Research Videos
Tardive Dyskinesia
Clozapine Panel
Schizophrenia Journey
Injectable Medications
Newsletter
How Do I Use This Website?

More Info

Survivors
Contact Us
Donate
Friendsz

© 2020 CURESZ | All Rights Reserved | Powered by Geek Genius

English

বাংলা

עִבְרִית

हिन्दी

Bahasa Indonesia

मराठी

Español de México