President Biden’s cognitive decline is readily apparent and a concern for dozens who have interacted with the 81-year-old commander-in-chief in recent months, according to a shocking report Tuesday.

Some of the more the 45 Republican and Democratic lawmakers and staffers interviewed by the Wall Street Journal described a president who spoke so softly during meetings that participants struggled to understand him.

Others noted that Biden’s demeanor and grasp of policy details varied by the day and he frequently relied on notes and deferred to aides during conferences.