The cognitive interview (CT) was modified for use in an epidemiological stu
dy in which respondents were asked to recall their daily physical activitie
s from the distant past (35 years ago). In comparison to a traditional epid
emiological interview, the CI elicited many more responses and also more pr
ecise responses. Several practical costs, however, were incurred by the CI:
additional time to train interviewers and to conduct interviews and diffic
ulties in coding the responses. The costs and benefits of conducting the CI
are addressed, along with conceptual and methodological challenges. The ar
ticle ends with an existential question: Is the CI a singular technique if
it can be modified so radically for different settings?.