Questionários | IDOR – Instituto D'Or de Pesquisa e Ensino array(74) { ["SERVER_SOFTWARE"]=> string(6) "Apache" ["REQUEST_URI"]=> string(49) "/instituto/idorcna-e-memory-clinic/questionarios/" ["PHP_PATH"]=> string(24) "/opt/bitnami/php/bin/php" ["FREETDSLOCALES"]=> string(0) "" ["FREETDSCONF"]=> string(0) "" ["OPENSSL_ENGINES"]=> string(31) "/opt/bitnami/common/lib/engines" ["OPENSSL_CONF"]=> string(39) "/opt/bitnami/common/openssl/openssl.cnf" ["SSL_CERT_FILE"]=> string(52) "/opt/bitnami/common/openssl/certs/curl-ca-bundle.crt" ["CURL_CA_BUNDLE"]=> string(52) "/opt/bitnami/common/openssl/certs/curl-ca-bundle.crt" ["LDAPCONF"]=> string(42) "/opt/bitnami/common/etc/openldap/ldap.conf" ["GS_LIB"]=> string(43) "/opt/bitnami/common/share/ghostscript/fonts" ["MAGICK_CODER_MODULE_PATH"]=> string(60) "/opt/bitnami/common/lib/ImageMagick-6.9.8/modules-Q16/coders" ["MAGICK_CONFIGURE_PATH"]=> string(73) "/opt/bitnami/common/lib/ImageMagick-6.9.8/config-Q16:/opt/bitnami/common/" ["MAGICK_HOME"]=> string(19) "/opt/bitnami/common" ["PATH"]=> string(260) "/opt/bitnami/apps/wordpress/bin:/opt/bitnami/varnish/bin:/opt/bitnami/sqlite/bin:/opt/bitnami/php/bin:/opt/bitnami/mysql/bin:/opt/bitnami/letsencrypt/:/opt/bitnami/apache2/bin:/opt/bitnami/common/bin:/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin" ["USER"]=> string(6) "daemon" ["HOME"]=> string(9) "/usr/sbin" ["SCRIPT_NAME"]=> string(10) "/index.php" ["QUERY_STRING"]=> string(0) "" ["REQUEST_METHOD"]=> string(3) "GET" ["SERVER_PROTOCOL"]=> string(8) "HTTP/1.0" ["GATEWAY_INTERFACE"]=> string(7) "CGI/1.1" ["REDIRECT_URL"]=> string(49) "/instituto/idorcna-e-memory-clinic/questionarios/" ["REMOTE_PORT"]=> string(4) "8796" ["SCRIPT_FILENAME"]=> string(44) "/opt/bitnami/apps/wordpress/htdocs/index.php" ["SERVER_ADMIN"]=> string(15) "[email protected]" ["CONTEXT_DOCUMENT_ROOT"]=> string(34) "/opt/bitnami/apps/wordpress/htdocs" ["CONTEXT_PREFIX"]=> string(0) "" ["REQUEST_SCHEME"]=> string(4) "http" ["DOCUMENT_ROOT"]=> string(34) "/opt/bitnami/apps/wordpress/htdocs" ["REMOTE_ADDR"]=> string(11) "15.228.79.4" ["SERVER_PORT"]=> string(2) "80" ["SERVER_ADDR"]=> string(11) "172.26.1.14" ["SERVER_NAME"]=> string(13) "54.225.48.228" ["SERVER_SIGNATURE"]=> string(0) "" ["LD_LIBRARY_PATH"]=> string(410) "/opt/bitnami/sqlite/lib:/opt/bitnami/mysql/lib:/opt/bitnami/apache2/lib:/opt/bitnami/common/lib:/opt/bitnami/sqlite/lib:/opt/bitnami/mysql/lib:/opt/bitnami/apache2/lib:/opt/bitnami/common/lib:/opt/bitnami/varnish/lib:/opt/bitnami/varnish/lib/varnish:/opt/bitnami/varnish/lib/varnish/vmods:/opt/bitnami/sqlite/lib:/opt/bitnami/mysql/lib:/opt/bitnami/apache2/lib:/opt/bitnami/common/lib:/opt/bitnami/common/lib64" ["HTTP_COOKIE"]=> string(1335) "__cf_bm=UAOHhcEdVBc6E3topslCBUExJSsKx1ivANkqoG2t5ok-1737510509-1.0.1.1-h9Ny9nsF71Lcr2iauUyKoOdkv18uzicM_SExWERTkJ9rt4qJAW9na.2QaXt7rNAeQwtZM31XtSQ0RmtzcT1WAQ; _fbp=fb.2.1737510510225.73353699577224111; _clck=1dqb2td%7C2%7Cfss%7C0%7C1848; _gcl_au=1.1.426524836.1737510511; cf_clearance=prfAP8OIFgXKvNLXtwinl06MCpAwE_4CT7v62KBcrks-1737510512-1.2.1.1-NwHq8hBCzi5y99fRl1Zm_uIFib4.BZJFneH7.3ymCM39aiIjOkzvc59m4VTAt6lXuYOFABGwSp6m4IZ0hg6oSWe.WgcpNeU6qkP6NGotWww8dlgipq4vT1HzbZmJOCKH2tRsV5HYiIQUdWzS9OVlmzvVqHo54nFNtA.J4FIfk7l093_uvhUHhr1DMhbsKVxS5vRTIf5JaMdSM513_kP5NP5XUITEyEOJ.fM8EXh.TWpqHVIncr4_e8AY5hnrW7v6HFyzlWJhcihQdDwGQoGj869Tak6WGu0JCjeC1HNK7J0; _ga=GA1.1.1007155621.1737510511; voxusmediamanager_acs=true; vx_session_id=1007155621.1737510511; vx_session_start=1737510511; measurement_id=G-8LPGKYFJQJ; voxusmediamanager_registered_first_page=true; _clsk=j9rg4y%7C1737510530056%7C2%7C1%7Ck.clarity.ms%2Fcollect; voxusmediamanager_id=17375105320050.6880368590489614znqidccyqyc; vx_session_pages_qt=2; vx_user_sessions={%221007155621.1737510511%22:{%22sessionTime%22:22%2C%22timestamp%22:1737510533}}; vx_identifier=3; fb_cookieconsent_status=dismiss; cookieconsent_status=dismiss; voxus_last_entry_before_impression=1737510539; _ga_8LPGKYFJQJ=GS1.1.1737510511.1.1.1737510566.5.0.0; _ga_5PZXNRGXLY=GS1.1.1737510511.1.1.1737510566.5.0.0" ["HTTP_CDN_LOOP"]=> string(19) "cloudflare; loops=1" ["HTTP_CF_CONNECTING_IP"]=> string(38) "2804:14d:5ce3:4c15:61b9:c2d2:1707:5532" ["HTTP_PRIORITY"]=> string(6) "u=0, i" ["HTTP_ACCEPT_LANGUAGE"]=> string(35) "en-US,en;q=0.9,pt-BR;q=0.8,pt;q=0.7" ["HTTP_REFERER"]=> string(82) "https://www.rededorsaoluiz.com.br/instituto/idor/cna-e-memory-clinic/agendamentos/" ["HTTP_SEC_FETCH_DEST"]=> string(8) "document" ["HTTP_SEC_FETCH_USER"]=> string(2) "?1" ["HTTP_SEC_FETCH_MODE"]=> string(8) "navigate" ["HTTP_SEC_FETCH_SITE"]=> string(11) "same-origin" ["HTTP_ACCEPT"]=> string(135) "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7" ["HTTP_USER_AGENT"]=> string(111) "Mozilla/5.0 (Linux; Android 10; K) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/132.0.0.0 Mobile Safari/537.36" ["HTTP_UPGRADE_INSECURE_REQUESTS"]=> string(1) "1" ["HTTP_SEC_CH_UA_PLATFORM"]=> string(11) "\"Android\"" ["HTTP_SEC_CH_UA_MOBILE"]=> string(2) "?1" ["HTTP_SEC_CH_UA"]=> string(76) "\"Not A(Brand\";v=\"8\", \"Chromium\";v=\"132\", \"Google Chrome\";v=\"132\"" ["HTTP_CF_VISITOR"]=> string(22) "{\"scheme\":\"https\"}" ["HTTP_CF_RAY"]=> string(20) "905be34d99d1cb0e-GRU" ["HTTP_ACCEPT_ENCODING"]=> string(8) "gzip, br" ["HTTP_CF_IPCOUNTRY"]=> string(2) "BR" ["HTTP_TRUE_CLIENT_IP"]=> string(38) "2804:14d:5ce3:4c15:61b9:c2d2:1707:5532" ["HTTP_X_AMZN_TRACE_ID"]=> string(40) "Root=1-67904eab-40597b767d543bfb3b434eae" ["HTTP_X_FORWARDED_PORT"]=> string(3) "443" ["HTTP_CONNECTION"]=> string(5) "close" ["HTTP_X_FORWARDED_PROTO"]=> string(4) "http" ["HTTP_X_FORWARDED_FOR"]=> string(68) "2804:14d:5ce3:4c15:61b9:c2d2:1707:5532, 172.69.114.99, 10.247.45.143" ["HTTP_X_REAL_IP"]=> string(13) "10.247.45.143" ["HTTP_X_FORWARDED_HOST"]=> string(25) "www.rededorsaoluiz.com.br" ["HTTP_HOST"]=> string(13) "54.225.48.228" ["SCRIPT_URI"]=> string(69) "http://54.225.48.228/instituto/idorcna-e-memory-clinic/questionarios/" ["SCRIPT_URL"]=> string(49) "/instituto/idorcna-e-memory-clinic/questionarios/" ["REDIRECT_STATUS"]=> string(3) "200" ["REDIRECT_SCRIPT_URI"]=> string(69) "http://54.225.48.228/instituto/idorcna-e-memory-clinic/questionarios/" ["REDIRECT_SCRIPT_URL"]=> string(49) "/instituto/idorcna-e-memory-clinic/questionarios/" ["FCGI_ROLE"]=> string(9) "RESPONDER" ["PHP_SELF"]=> string(10) "/index.php" ["REQUEST_TIME_FLOAT"]=> float(1737510571.3725) ["REQUEST_TIME"]=> int(1737510571) }

Questionários

Questionários

Questionários representam um componente muito importante da avaliação e são recomendados pelos consensos internacionais de diagnóstico.

Clique abaixo no questionário que você quer responder.

Exame Criança/Adolescente

Child/Adolescent Exam (English Version)

Exame Adulto (CNA)

Adult Exam (CNA – English Version)

Exame de Adultos com +50 anos e Idosos (Memory Clinic)

Somente para quem já iniciou o exame

Use o CÓDIGO e a SENHA que foram fornecidos 

PRÉ-ESCOLAR

(4 anos até 6 anos e 11 meses)
CLIQUE no seu questionário abaixo
Questionário da CRECHE/ESCOLA
Questionário de PAIS – Parte 1
Questionário de PAIS – Parte 2
CCC (opcional)

CRIANÇA E ADOLESCENTE

(6 anos a 17 anos)
CLIQUE no seu questionário abaixo
Questionário da ESCOLA
Questionário dos PAIS
SRS (opcional)
CCC (opcional)
Questionário PACIENTE – 8 a 10 anos
Questionário PACIENTE – 11 a 17 anos

OBS: somente crianças a partir dos 8 anos possuem questionários para elas mesmas responderem

Only for those who have already begun the exam

Use the CODE and the PASSWORD you were given

Questionnaires (for those who have already begun the exam)

Use the provided PASSWORD and CODE

Adults (CNA)

ATTENTION: if you are being evaluated at the Memory Clinic, this is NOT the site you should be visiting.
PATIENT´S questionnaire
SRS SELFREPORT (optional)
Collateral informant´s questionnaire
SRS COLLATERAL INFORMANT (optional)
PARENTS’ questionnaire

Questionários  (para quem já iniciou o exame)

Use a SENHA e o CÓDIGO que foram fornecidos 

Conteúdo Relacionado
Fale com a gente.