Cognitive Decline Self-Assessment Quiz

This self-assessment quiz is designed to help identify potential changes in cognitive function that might warrant further evaluation. Please note that this quiz is not a diagnostic tool, but rather a screening instrument that may indicate when consultation with a healthcare professional would be beneficial.

Instructions

Please rate how often you've experienced each of the following in the past 6 months. Select the option that best describes your experience.

Rating Scale

0 = Rarely or never
1 = Occasionally (once or twice a month)
2 = Frequently (weekly)
3 = Almost always (daily)

Memory Function

1. Short-term recall: Do you frequently misplace everyday items like keys, glasses, or wallet?

2. Appointment memory: Do you have trouble remembering appointments without written reminders?

3. Name recall: Do you have difficulty remembering the names of people you know well?

Executive Function

4. Following instructions: Do you find it harder to follow a recipe or set of instructions than you used to?

5. Planning ability: Do you have difficulty planning multi-step activities or events?

6. Financial management: Is it challenging to manage your finances or medications independently?

Language and Communication

7. Word finding: Do you struggle to find the right words during conversations?

8. Conversation tracking: Do you find yourself losing track of what you were saying mid-conversation?

9. Vocabulary usage: Has your vocabulary seemed more limited or repetitive recently?

Attention and Concentration

10. Sustained focus: Is it difficult to focus on reading material for extended periods?

11. Task completion: Do you get distracted easily when trying to complete a task?

12. Media comprehension: Do you have trouble following the plot of a TV show or movie?

Visuospatial Awareness

13. Navigation: Have you had difficulty navigating familiar places or following directions?

14. Distance judgment: Do you find it challenging to judge distances when driving or walking?

15. Spatial organization: Has your ability to organize items in space (like arranging furniture) declined?

What Your Score Means

Important Information

This Quiz Is Not a Diagnosis

This self-assessment is not a diagnostic tool. Many factors can temporarily affect cognitive function, including stress, certain medications, sleep problems, depression, anxiety, vitamin deficiencies, and hormonal changes.

When to Seek Medical Evaluation

Consider consulting a healthcare provider if:

Supporting Brain Health

Research suggests these lifestyle factors support cognitive health:

For more information about cognitive health, speak with your healthcare provider.