Contact Mark
Sherer, PhD, ABPP-Cn, The Institute for Rehabilitation Research
at
Citation Sherer, M. (2004). The
Awareness Questionnaire. The Center for Outcome Measurement
in Brain Injury. http://www.tbims.org/
combi/aq ( accessed
).
AQ
Training & Testing
The instructions
below were developed for use of the AQ in research protocols.
1. Patient
Form: The psychologist (or other examiner) should read each
item to the patient and record the response. The patient may be
provided a copy of the questionnaire so that he/she can follow along.
The patient should always be provided with the card showing the
response alternatives. If the patient has questions about the meaning
of any items, the examiner can provide any necessary clarification
by repeating or paraphrasing the items.
2. Family/Significant
Other Form: The respondent should be a family member/significant
other who knew the patient well prior to the injury and has had
frequent contact with the patient since the injury. Parents and
spouses are the most appropriate respondents. The exact relationship
of the respondent to the patient is recorded. The psychologist (or
other examiner) should read each item to the respondent and record
the response. The respondent may be provided a copy of the questionnaire
so that he/she can follow along. The respondent should always be
provided with the card showing the response alternatives. If the
respondent has questions about the meaning of any items, the examiner
can provide any necessary clarification by repeating or paraphrasing
the items.
3. Clinician
Form: This form is completed by a psychologist or other clinician
working with the patient. Ratings are based on the clinician's judgment
of the patient's probable level of premorbid functioning as compared
to the patient's current level of functioning. If the clinician
also obtains the patient and/or family/significant other data, the
Clinician Form should be completed first to avoid bias from previous
exposure to the patient and/or family/significant other responses.
All three forms
should be completed within 2 working days.