Are the memory problems of the person you care for, symptoms of Alzheimer’s disease.
THE MEMORY CHECKLIST
Answer the questions below to help find out if the memory problems of the person you care for could be symptoms of Alzheimer's disease.
Your answers do not mean the person you have answered for has a disease such as Alzheimer's. But 5 or more "Yes" answers suggest memory problems that may interfere with daily life. You should see the doctor.
Does the person you care for:
1. Often repeat himself/herself or ask □ Yes □ No □ Don't know
the same questions over and over?
2. Seem more forgetful, that is, have □ Yes □ No □ Don't know
trouble with short-term memory?
3. Need reminders to do things like □ Yes □ No □ Don't know
chores, shopping, or taking medicine?
4. Forget appointments, family occasions, □ Yes □ No □ Don't know
5. Seem sad, down in the dumps, or cry □ Yes □ No □ Don't know
more than in the past?
6. Have trouble doing calculations, □ Yes □ No □ Don't know
managing finances, or balancing the
7. Seem to have lost interest in his/her □ Yes □ No □ Don't know
activities such as hobbies, reading,
attending a religious service?
8. Need help eating, dressing, bathing, □ Yes □ No □ Don't know
or using the bathroom?
9. Seem irritable, agitated, suspicious, or □ Yes □ No □ Don't know
started seeing, hearing, or believing
things that are not real?
10. Get lost driving or drive unsafely, or □ Yes □ No □ Don't know
has the person had to stop driving?
11. Have trouble finding the words he/she □ Yes □ No □ Don't know
wants to say, finishing sentences,
or naming people or things?Tags: Alzheimer's disease, checkbook issues, depressed, forgetful, Memory checklist, memory problems, reminders, short term memory