Instruction manual for the cohen-mansfield agitation inventory

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Less Once or Several Once or Several Several
than once twice times twice times times
Never a week a week a week a day a day an hour
1 2 3 4 5 6 7
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16. Trying to get to
a different place 1 2 3 4 5 6 7
(e.g., out of the
room, building)
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17. Intentional 1 2 3 4 5 6 7
falling
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18. Complaining 1 2 3 4 5 6 7
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19. Negativism 1 2 3 4 5 6 7
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20. Eating/drinking
inappropriate 1 2 3 4 5 6 7
substances
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21. Hurt self or
other (cigarette, 1 2 3 4 5 6 7
hot water, etc.)
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22. Handling things 1 2 3 4 5 6 7
inappropriately
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23. Hiding 1 2 3 4 5 6 7
things
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24. Hoarding 1 2 3 4 5 6 7
things
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25. Tearing things
or destroying 1 2 3 4 5 6 7
property
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26. Performing
repetitious 1 2 3 4 5 6 7
mannerisms
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27. Making verbal 1 2 3 4 5 6 7
sexual advances
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28. Making physical 1 2 3 4 5 6 7
sexual advances
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29. General 1 2 3 4 5 6 7
restlessness
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© Cohen-Mansfield, 1986. All rights reserved.
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