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.
Please rate how often you've experienced each of the following in the past 6 months. Select the option that best describes your experience.
0 = Rarely or never
1 = Occasionally (once or twice a month)
2 = Frequently (weekly)
3 = Almost always (daily)
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?
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?
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?
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?
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?
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.
Consider consulting a healthcare provider if:
Research suggests these lifestyle factors support cognitive health:
For more information about cognitive health, speak with your healthcare provider.