Cognitive Function and Memory Screening
Cognitive Health

Cognitive Function and Memory Screening

This assessment evaluates various aspects of cognitive health, memory, and executive function. It is designed to identify potential signs of cognitive decline and is not a clinical diagnosis. Please consult a healthcare professional for a formal evaluation.

Q01

Do you find it difficult to remember recent events or conversations?

Q02

Do you often misplace common items and find them in unusual places?

Q03

Do you struggle to find the right words or lose your train of thought mid-sentence?

Q04

Have you experienced confusion regarding the current date, day of the week, or season?

Q05

Do you find it difficult to follow multi-step instructions or recipes?

Q06

Have friends or family noticed you repeating the same questions or stories?

Q07

Do you experience trouble navigating or getting lost in familiar surroundings?

Q08

Have you noticed a decline in your ability to manage personal finances or pay bills?

Q09

Do you find it harder to make logical decisions or solve problems than you used to?

Q10

Have you lost interest in social activities, hobbies, or work you previously enjoyed?

Q11

Do you experience sudden mood swings, irritability, or uncharacteristic anxiety?

Q12

Is it difficult for you to recognize or identify the names of familiar objects?

Q13

Do you struggle with tasks requiring spatial awareness, such as judging distances?

Q14

Have you noticed a significant decline in your grooming or personal hygiene?

Q15

Do you find it hard to concentrate or stay focused on a single task?

Q16

Do you have difficulty planning or organizing daily activities or appointments?

Q17

Has anyone expressed concern to you regarding your memory or behavior?

Q18

Do you feel more confused, tired, or disoriented as the day progresses into evening?

Q19

Do you struggle to follow the plot of a book, movie, or television show?

Q20

Have you experienced lapses in judgment that led to unsafe or uncharacteristic actions?

Confidential · Not stored · Not a medical diagnosis