□ Do you know purpose of drugs? | YES/NO |
□ Can you count the number of drugs? | YES/NO |
□ Do you know when to take drugs? | YES/NO |
□ Can you remember when to took drugs? | YES/NO |
□ Can you bring drugs to the mouth? | YES/NO |
□ Can you swallow drugs? | YES/NO |
□ Could you management daily medication by yourself? | YES/NO |
□ Could you continue taking drugs? | YES/NO |