A nonprofit organization of medical and nursing care workers has launched a certification exam for people who assist the elderly and physically disabled during their travels.

The exam was devised by the Japan Travel Volunteer Network in Tokyo to help such people better enjoy trips. It is designed to have caretakers acquire necessary skills such as keeping their eye level in line with a wheelchair-bound person while conversing with them.

Applicants for the certification answer 100 true or false questions and are asked to write on three themes in an hourlong exam.