自传式回忆访谈招募

欢迎您报名参加这项老年人自传式回忆访谈研究,我们将为参与者提供HK$300的津贴以感谢您对本研究的支持与贡献。请您填写并提交本问卷内容,此问卷信息仅用于本次学术研究,所有个人信息都将严格保密,不会用于任何其他商业或研究目的。
Welcome to the Autobiographical Memory Interview Study for Older Adults

To express our sincere appreciation for your time and contribution to this research, participants will receive an honorarium of HK$300.Please complete and submit this screening questionnaire. The information you provide will be used solely for the purpose of this academic study. All personal data will be kept strictly confidential and will not be used for any other commercial or research purposes.

1. 姓名/Name
2. 您的性别/Gender
3. 年龄/Age(注:本实验60岁以上长者才可参加)
4. 受教育程度/Educational Level
5. 普通话是否是您的母语/Is Mandarin your native language?
6. 您的普通话流利程度如何/How fluent are you in Mandarin?
7. 据您所知,是否有医生曾诊断过您存在认知功能障碍(如痴呆、记忆力严重衰退等)/To your knowledge, has a doctor ever diagnosed you with a cognitive impairment (e.g., dementia, severe memory decline)?
8. 据您所知,是否有医生曾诊断过您存在交流障碍(如失语症、严重影响沟通的言语障碍等)/To your knowledge, has a doctor ever diagnosed you with a communication disorder (e.g., aphasia, speech disorder that significantly affects communication)?
9. 您更倾向于使用微信还是Whatsapp/Preferred contact app: WeChat or WhatsApp?
请选择
10. 您的电话号码(用于通知您是否符合参与条件及后续安排)/Contact Information
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