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Since UDSv4 will no longer include the Z1X form as a data collection instrument, there have been some minor changes the data collected on the Z1X for the FTLD/LBD modules. See the table below for details. The content in the FTLD/LBD modules is not changing otherwise.

Please reference the previous documentation for available resources.

The following table lists FTLD changes related to Z1X.

Be sure to also read Note on Form A3a (Record of Consent for Biological Specimen Use).

Change SummaryUDSv3 FormUDSv3 QuestionUDSv3 Variable NameUDSv3 Response LabelsUDSv4 FormUDSv4 QuestionUDSv4 Var NameUDSv4 Response Labels
No changeheaderPTIDPTIDAny textheaderPTIDPTIDAny text
No changeheaderADRC nameADCIDList of current ADCIDsheaderADRC nameADCIDList of current ADCIDs
No changeheaderADRC Visit NumberVISITNUMAny textheaderADRC Visit NumberVISITNUMAny text
No changeheaderPacket CodePACKETIF, FFheaderPacket CodePACKETIF, FF
No changeheaderForm version numberFORMVER3headerForm version numberFORMVER3
UDSv3 variables consolidated into one date variableheaderVisit MonthVISITMO1 - 12headerForm DateVISITDATEmm/dd/yyyy or yyyy/mm/dd
UDSv3 variables consolidated into one date variableheaderVisit DayVISITDAY1 - 31--------
UDSv3 variables consolidated into one date variableheaderVisit YearVISITYR2005 to the present year--------
Changed to form-specific in UDSv4headerExaminer-s initialsINITIALSAny text--------
No longer in UDSv4headerForm IDFORMIDA3A|B3F|B9F|C1F|C2F|C3F|C4F|C5F|C6F|E2F|E3F--------
New variable--------a3aA3a Record of Consent for Biologic Specimen Use - Form dateFRMDATEA3Amm/dd/yyyy or yyyy/mm/dd
New variable--------a3aA3a Record of Consent for Biologic Specimen Use - Examiner's initialsINITIALSA3AAny text
No changez1xA3A Record of consent for biologic specimen use - languageLANGA3A1, English|2, Spanisha3aA3a Record of Consent for Biologic Specimen Use - LanguageLANGA3A1, English|2, Spanish
Change in variable name and response labelsz1xA3A Record of consent for biologic specimen use - submittedFTDA3AFS0, No | 1, Yesa3aA3a Record of Consent for Biologic Specimen Use - Submitted?MODEA3A0, Not completed | 1, In-person
Change in variable namez1xIf A3A not submitted, specify reasonFTDA3AFR95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate informationa3aIf 'A3a Record of Consent for Biologic Specimen Use' not submitted, specify reasonA3ANOT95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate information
New variable--------b3fB3F Supplemental UPDRS - Form dateFRMDATEB3Fmm/dd/yyyy or yyyy/mm/dd
New variable--------b3fB3F Supplemental UPDRS - Examiner's initialsINITIALSB3FAny text
No changez1xB3F Supplemental UPDRS - languageLANGB3F1, English|2, Spanishb3fB3F Supplemental UPDRS - LanguageLANGB3F1, English|2, Spanish
New variable--------b9fB9F Clinical PPA and bvFTD Features - Form dateFRMDATEB9Fmm/dd/yyyy or yyyy/mm/dd
New variable--------b9fB9F Clinical PPA and bvFTD Features - Examiner's initialsINITIALSB9FAny text
No changez1xB9F Clinical PPA and bvFTD Features - languageLANGB9F1, English|2, Spanishb9fB9F Clinical PPA and bvFTD Features - LanguageLANGB9F1, English|2, Spanish
New variable--------c1fC1F Neuropsychological Battery Summary Scores - Form dateFRMDATEC1Fmm/dd/yyyy or yyyy/mm/dd
New variable--------c1fC1F Neuropsychological Battery Summary Scores - Examiner's initialsINITIALSC1FAny text
No changez1xC1F Neuropsychological Battery Summary Scores - languageLANGC1F1, English|2, Spanishc1fC1F Neuropsychological Battery Summary Scores - LanguageLANGC1F1, English|2, Spanish
New variable--------c2fC2F Social Norms Questionnaire - Form dateFRMDATEC2Fmm/dd/yyyy or yyyy/mm/dd
New variable--------c2fC2F Social Norms Questionnaire - Examiner's initialsINITIALSC2FAny text
No changez1xC2F Social Norms Questionnaire - languageLANGC2F1, English|2, Spanishc2fC2F Social Norms Questionnaire - LanguageLANGC2F1, English|2, Spanish
New variable--------c3fC3F Social Behavior Observer Checklist - Form dateFRMDATEC3Fmm/dd/yyyy or yyyy/mm/dd
New variable--------c3fC3F Social Behavior Observer Checklist - Examiner's initialsINITIALSC3FAny text
No changez1xC3F Social Behavior Observer Checklist - languageLANGC3F1, English|2, Spanishc3fC3F Social Behavior Observer Checklist - LanguageLANGC3F1, English|2, Spanish
New variable--------c4fC4F Behavioral Inhibition Scale - Form dateFRMDATEC4Fmm/dd/yyyy or yyyy/mm/dd
New variable--------c4fC4F Behavioral Inhibition Scale - Examiner's initialsINITIALSC4FAny text
No changez1xC4F Behavioral Inhibition Scale - languageLANGC4F1, English|2, Spanishc4fC4F Behavioral Inhibition Scale - LanguageLANGC4F1, English|2, Spanish
Change in variable name and response labelsz1xC4F Behavioral Inhibition Scale - submittedFTDC4FS0, No | 1, Yesc4fC4F Behavioral Inhibition Scale - Submitted?MODEC4F0, Not completed | 1, In-person
Change in variable namez1xIf C4F not submitted, specify reasonFTDC4FR95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate informationc4fIf 'C4F Behavioral Inhibition Scale' not submitted, specify reasonC4FNOT95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate information
New variable--------c5fC5F Interpersonal Reactivity Index - Form dateFRMDATEC5Fmm/dd/yyyy or yyyy/mm/dd
New variable--------c5fC5F Interpersonal Reactivity Index - Examiner's initialsINITIALSC5FAny text
No changez1xC5F Interpersonal Reactivity Index - languageLANGC5F1, English|2, Spanishc5fC5F Interpersonal Reactivity Index - LanguageLANGC5F1, English|2, Spanish
Change in variable name and response labelsz1xC5F Interpersonal Reactivity Index - submittedFTDC5FS0, No | 1, Yesc5fC5F Interpersonal Reactivity Index - Submitted?MODEC5F0, Not completed | 1, In-person
Change in variable namez1xIf C5F not submitted, specify reasonFTDC5FR95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate informationc5fIf 'C5F Interpersonal Reactivity Index' not submitted, specify reasonC5FNOT95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate information
New variable--------c6fC6F Revised Self-monitoring Scale - Form dateFRMDATEC6Fmm/dd/yyyy or yyyy/mm/dd
New variable--------c6fC6F Revised Self-monitoring Scale - Examiner's initialsINITIALSC6FAny text
No changez1xC6F Revised self-monitoring scale - languageLANGC6F1, English|2, Spanishc6fC6F Revised Self-monitoring Scale - LanguageLANGC6F1, English|2, Spanish
Change in variable name and response labelsz1xC6F Revised self-monitoring scale - submittedFTDC6FS0, No | 1, Yesc6fC6F Revised Self-monitoring Scale - Submitted?MODEC6F0, Not completed | 1, In-person
Change in variable namez1xIf C6F not submitted, specify reasonFTDC6FR95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate informationc6fIf 'C6F Revised Self-monitoring Scale' not submitted, specify reasonC6FNOT95, Physical problem|96, Cognitive/behavioral problem|97, Other|98, Verbal refusal|99, Unknown or inadequate information
New variable--------e2fE2F Imaging Available - Form dateFRMDATEE2Fmm/dd/yyyy or yyyy/mm/dd
New variable--------e2fE2F Imaging Available - Examiner's initialsINITIALSE2FAny text
No changez1xE2F Imaging Available - languageLANGE2F1, English|2, Spanishe2fE2F Imaging Available - LanguageLANGE2F1, English|2, Spanish
New variable--------e3fE3F Imaging in Diagnosis - Form dateFRMDATEE3Fmm/dd/yyyy or yyyy/mm/dd
New variable--------e3fE3F Imaging in Diagnosis - Examiner's initialsINITIALSE3FAny text
No changez1xE3F Imaging in Diagnosis - languageLANGE3F1, English|2, Spanishe3fE3F Imaging in Diagnosis - LanguageLANGE3F1, English|2, Spanish

If you need to submit multiple A3a forms for multiple relatives at one UDS + FTLD module visit, please note that our new system requires distinct variable names for each relative (i.e., each A3a form). You must use the original variable names appended with a number at the end (see list below for detailed examples). The NACC FTLD module REDCap project will do this for you when you indicate the number of relatives on the form. Please also note that you can submit this form for up to 5 relatives per visit.

A3a Question1st Form2nd Form3rd Form4th Form5th Form
1. What relative's consent is being recorded on this form?FTDRELCOFTDRELCO2FTDRELCO3FTDRELCO4FTDRELCO5
1. Sibling’s birth yearFTDSIBBYFTDSIBBY2FTDSIBBY3FTDSIBBY4FTDSIBBY5
1. Child’s birth yearFTDCHDBYFTDCHDBY2FTDCHDBY3FTDCHDBY4FTDCHDBY5
1a. I permit my sample to be stored and used in future research of neurologic disease at (home institution)FTDSTOREFTDSTORE2FTDSTORE3FTDSTORE4FTDSTORE5
1b. I permit my sample to be stored and used in future research at (home institution) to learn about, prevent, or treat other health problems.FTDSLEARFTDSLEAR2FTDSLEAR3FTDSLEAR4FTDSLEAR5
1c. There is a small chance that some commercial value may result from my sample at the National Cell Repository for Alzheimer’s Disease (NCRAD). If that would happen, I would not be offered a share in any profits. I permit (home institution) to give my sample to researchers at other institutions.FTDCOMMEFTDCOMME2FTDCOMME3FTDCOMME4FTDCOMME5