ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAG
1
Date Submitted
StateGenderAge 40 and OlderDiagnosed With Any Type of DementiaWilling to Undergo Blood TestsAble to Comply With the StudyAble to Physically Attend the Research SiteHave a Confirmed Diagnosis of Vascular DementiaHave Alzheimers DiseaseHave Experienced Memory Impairment Since a StrokeHave Had a Stroke or Mini Stroke in the PastHave a History of Heart DiseaseHave Had a Stent Inserted in the HeartHave a History of High Blood PressureHave a History of High CholesterolHave Undergone MMSEKnow of MMSE ScoreMMSE ScorePregnant or Planning to Become PregnantHave a History of Neuropsychiatric ConditionsHave Uncontrolled DiabetesHave Uncontrolled HypertensionHave Uncontrolled High CholesterolHave Any Other Uncontrolled Chronic or Terminal DiseaseHave a History of Severe Forms of Peptic Ulcers etcTaking Any Herbs or SupplementsWilling to Refrain From Taking Herbs or SupplementsTaking Medications For Dementia or ADWilling to Refrain From Taking Dementia MedicationsWhy did You Sign Up for the TrialReferral SourceUnique ID
2
14/09/2016 15:37 pm
NSWMaleYesUnsureUnsureYesUnsureUnsureUnsure FALSEFALSEFALSEFALSENoNoNoNoNoNoUnsureNoNo
used likert rating, must pass
Trialfacts
1473831457_57d8e221729074.41032274
3
14/09/2016 16:01 pm
NSWMaleYesUnsureUnsureUnsureUnsureUnsureUnsureFALSEFALSEFALSEFALSEFALSENoNoNoNoNoNoNoNoNoNo commentsTrialfacts
1473832913_57d8e7d141dab6.38305071
4
15/09/2016 09:59 am
NSWFemaleYesYesYesYesYesNoYesFALSETRUETRUETRUETRUEYesNoNoNoNoNoNoNoNoNoNoNo commentsTrialfacts
1473897541_57d9e445578f07.10047158
5
15/09/2016 10:03 am
NSWFemaleYesYesYesYesYesYesNoNoNoNoNoNoNoNoNoNoNo commentsTrialfacts
1473897816_57d9e5583d9ec4.97161974
6
15/09/2016 15:51 pm
NSWMaleYesUnsureUnsureUnsureYesUnsureUnsureFALSEFALSEUnsureFALSEFALSENoNoNoNoNoNoNoNoNoCathy's scriptTrialfacts
1473918717_57da36fd94bfb8.36861332
7
15/09/2016 18:06 pm
NSWMaleYesUnsureUnsureUnsureUnsureUnsureUnsureFALSEFALSEFALSEFALSEFALSENoUnsureNoNoNoNoNoNoNoNo commentsTrialfacts
1473926782_57da567ec703c8.14267123
8
16/09/2016 15:26 pm
NSWMaleYesUnsureUnsureUnsureYesUnsureUnsureUnsureFALSEFALSEFALSEFALSENoNoNoUnsureNoNoNoNoNoNo commentsTrialfacts
1474003579_57db827b499346.11377409
9
16/09/2016 16:01 pm
NSWMaleYesUnsureUnsureUnsureUnsureUnsureUnsureFALSEFALSEUnsureFALSEUnsureUnsureNoNoNoNoNoNoNoNoNo commentsTrialfacts
1474005661_57db8a9dd4ce83.48660380
10
16/09/2016 16:26 pm
NSWMaleYesUnsureUnsureUnsureUnsureUnsureUnsureFALSEFALSEFALSEUnsureFALSENoNoNoNoNoNoNoNoNoNo commentsTrialfacts
1474007201_57db90a13560e9.95625408
11
16/09/2016 17:29 pm
NSWMaleYesUnsureUnsureUnsureUnsureUnsureUnsureFALSEFALSEFALSEFALSEFALSENoNoNoNoNoNoUnsureNoNo
Bankstown - slider to likert
Trialfacts
1474010960_57db9f501a1a91.85616942
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