Cognitive disorders are common early after stroke but can be overseen in patients with mild stroke who seem to be functionally recovered but are at risk to experience difficulties in advanced daily activities affecting social, vocational and family responsibilities. Acute stroke units admit a large number of patients and adequate referral to rehabilitation services is essential in terms of quality of care. A self-evaluation tool to evaluate cognitive function was developed by the occupational therapy department.

Patients with mild strokes and pre-stroke independent for instrumental daily activities fill out this self-evaluation tool, which is a paperwork task. Semi-structured interpretation is performed by physician and may result in referral to the occupational therapist for comprehensive evaluation.

In this study the validity and reliability of the self-evaluation tool will be examined.

Inclusion Criteria:

• diagnose of stroke
• written consent
• age 18 years or older
• less than 1 week after stroke onset

Exclusion Criteria:

• not able to write/read
• not able to understand Dutch
• unilateral motor deficit in upper limb (NIHSS score for upper limb +2)
• referred to stroke unit with Transcient Ischemic Attack

Persons with stroke admitted to the acute stroke unit are consecutive recruited.