The "AD-8 Early Dementia Screening Questionnaire" is a quick and simple quiz designed to help you spot the very early signs of dementia.
How does it help you? By simply checking the boxes that apply, it helps you or your family members keep track of any changes that have happened over the past few years. Catching these changes early means you can get a doctor's evaluation much sooner.
AD-8 Early Dementia Screening Questionnaire
Instructions: Please think back over the last few years and see if you've noticed any of the following situations. Focus on changes: We are looking for things that didn't happen in the past, but have recently started occurring or have become much more noticeable.
|
Problems with judgment, such as falling for traps or scams, poor financial decisions, and buying inappropriate gifts for recipients
|
□Y □N □No idea
|
|
Decreased interest in activities and hobbies
|
□Y □N □No idea
|
|
Repeats the same questions, stories and statements over and over
|
□Y □N □No idea
|
|
Trouble learning how to use tools, appliances and gadgets, such as televisions, stereos, air conditioners, washing machines, water heaters, microwave ovens, and remote controls
|
□Y □N □No idea
|
|
Forgets correct month or year
|
□Y □N □No idea
|
|
Trouble handling complicated financial affairs, such as personal or family balances, income taxes, bills
|
□Y □N □No idea
|
|
Trouble remembering appointments
|
□Y □N □No idea
|
|
Persistent problems with thinking and/or memory
|
□Y □N □No idea |
A Gentle Reminder :
