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Symptom Screener

The symptom screener can help you find out if the problems you're noticing could be symptoms of Alzheimer's. Answer the eight questions below about changes in your loved one and share them with the doctor.

Remember, "Yes, a change" indicates that there has been a change in the last several years caused by cognitive (thinking and memory) problems.

Problems with judgment (problems making decisions, bad financial decisions, problems with thinking, etc.)
Yes, a change No, no change Don't know

Less interest in hobbies/activities
Yes, a change No, no change Don't know

Repeats the same things over and over (questions, stories, or statements)
Yes, a change No, no change Don't know

Trouble learning how to use a tool, appliance, or gadget (e.g., VCR,
computer, microwave, remote control)
Yes, a change No, no change Don't know

Forgets correct month or year
Yes, a change No, no change Don't know

Trouble handling complicated financial affairs (balancing checkbook, income taxes, paying bills, etc.)
Yes, a change No, no change Don't know

Trouble remembering appointments
Yes, a change No, no change Don't know

Daily problems with thinking or memory
Yes, a change No, no change Don't know

Click "submit" below and then print the next page. Bring it to your doctor or healthcare provider, especially if you've answered "Yes, a change" to two or more questions.

Important: This screening tool cannot be used to tell if your loved one has a medical problem, only whether he or she should be tested.

Adapted from Galvin JE, et al. The AD8, a brief informant interview to detect dementia. Neurology. 2005;65:559-564.

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The Guide to Alzheimer's includes:

What you should know about the disease
Doctor discussion tips
Information about a prescription treatment option

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