Memory Strength Assessment
Complete this short assessment to measure your memory strength and detect an early warning signs of memory loss.

Trouble in the brain usually starts years before you have any symptoms.
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Email *
Answer the below questions based on a scale of 0-5.  O - Never, 1- Rarely, 2- Occasionally, 3- Frequently, 4- Very Frequently.
PROBLEMS WITH MEMORY: SECTION 1
Do you tend to be grateful? *
10 points
Never
Very Frequently
Do you notice that your memory, although never good, has gotten worse? *
10 points
Never
Very Frequently
Do you misplace your keys or wallet? *
10 points
Never
Very Frequently
Do you wonder why you came into a room? *
10 points
Never
Very Frequently
Do you have trouble remembering names? *
10 points
Never
Very Frequently
Do you feel embarrassed about forgetting appointments? *
10 points
Never
Very Frequently
Read a book or an article, but don't remember much of it? *
10 points
Never
Very Frequently
Do you have trouble remembering to take medications or supplements? *
10 points
Never
Very Frequently
Do you rely more and more on memory aids or reminders on your phone? *
10 points
Never
Very Frequently
Do you know something one day but forget it the next? *
10 points
Never
Very Frequently
Do you forget what you're going to say right in the middle of saying it? *
10 points
Never
Very Frequently
Do you have trouble following directions that have more than one or two steps? *
10 points
Never
Very Frequently
Do you worry that your memory is worse than it was 10 years ago? *
10 points
Never
Very Frequently
Do you lose track of the conversation? *
10 points
Never
Very Frequently
Do you find things in unusual places, like your keys in the refrigerator? *
10 points
Never
Very Frequently
Do you get mad at others, thinking they took your things, only to find out later that you misplaced them? *
10 points
Never
Very Frequently
Answer the below questions based on a scale of 0-5.  O - Never, 1- Rarely, 2- Occasionally, 3- Frequently, 4- Very Frequently.
PLANNING & PROBLEM SOLVING ISSUES: SECTION 2
Do you have trouble making plans and sticking to them? *
10 points
Never
Very Frequently
Do you find it harder to follow a recipe or directions on putting something together? *
10 points
Never
Very Frequently
Do you find it hard to focus on more complex tasks, especially those that involve math?  For example: are you struggling with managing your bills or balancing your finances? *
10 points
Never
Very Frequently
Answer the below questions based on a scale of 0-5.  O - Never, 1- Rarely, 2- Occasionally, 3- Frequently, 4- Very Frequently.
MIX UPS WITH TIMES & PLACES ISSUES: SECTION 3
Do you have trouble driving to locations that were once familiar to you? *
10 points
Never
Very Frequently
Do you get easily confused or out of sorts? *
10 points
Never
Very Frequently
Do you get more easily lost or have to rely on GPS more than before? *
10 points
Never
Very Frequently
Do you get more easily lost or have to rely on GPS more than before? *
10 points
Never
Very Frequently
Answer the below questions based on a scale of 0-5.  O - Never, 1- Rarely, 2- Occasionally, 3- Frequently, 4- Very Frequently.
ISSUES WITH WORDS: SECTION 4
Do you struggle to find the right word? *
10 points
Never
Very Frequently
Do you call things by the wrong name? *
10 points
Never
Very Frequently
Do you avoid joining conversations with people? *
10 points
Never
Very Frequently
Do you have trouble following along in conversations? *
10 points
Never
Very Frequently
Do you keep repeating yourself? *
10 points
Never
Very Frequently
Answer the below questions based on a scale of 0-5.  O - Never, 1- Rarely, 2- Occasionally, 3- Frequently, 4- Very Frequently.
JUDGEMENT ISSUES: SECTION 5
Do you struggle with making more bad decisions? *
10 points
Never
Very Frequently
Do you make mistakes with your finances? *
10 points
Never
Very Frequently
Answer the below questions based on a scale of 0-5.  O - Never, 1- Rarely, 2- Occasionally, 3- Frequently, 4- Very Frequently.
WITHDRAWING SOCIALLY: SECTION 6
Do you feel more isolated from friends? *
10 points
Never
Very Frequently
Do you feel like cutting back at work because you just don't care as much? *
10 points
Never
Very Frequently
Do you feel less interested in activities you usually find fun? *
10 points
Never
Very Frequently
Do you take care of your physical appearance? *
10 points
Never
Very Frequently
Scoring: Add up the number of questions you answered 3 or 4 to.  Then, check against this key: 0- low risk of memory issues; 1-2 mild risk of memory issues; 3-5 moderate risk of memory issues; 6 or higher- high risk of memory issues.
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A copy of your responses will be emailed to the address you provided.
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