Four sets of the large size version of the Allen Cognitive Level Screen (ACLS) test, also referred to as the leather lacing tool test. Used to quickly measures global cognitive processing capacities, learning potential, and performance abilities. Individual items are disposable for use where strict infection control procedures are required. The large size has been designed and is ideal for those individuals with vision or hand function problems. As such, needles are not included with this set nor are they required to administer the test. Enough disposable materials for four screenings is included in each package: 4 disposable chipboard forms, 4 pre-cut shoelace lengths, 4 pieces of 60" lacing to be cut in half for use with each tool, set up instructions unique to the tool, and contact information to participate in a feedback survey. The test is also valuable for detecting unrecognized or suspected problems related to functional cognition. Please note: the leather lacing in this product contains natural rubber Latex.