bewell - Alzheimers Questionnaire
Looking for the General Health Questionnaire?
Find it here: https://goo.gl/forms/MV3FFM9Tuz03Ruqv1

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To allow us to serve you in the most comprehensive way, please fill out this questionnaire carefully. It will help us to get a better idea of your current situation.

Ideally, this questionnaire should be filled out by yourself and separately by someone who knows you well. Please send the link to this questionnaire to such a person for them to answer.
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Are you filling in this questionnaire for yourself or have you been asked to do this questionnaire about someone else? *
If you chose "About someone else", what is the name of the person?
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