Alzheimer's and Your Loved One
Concerned a Loved One Has Alzheimer's?
If you think a loved one may have Alzheimer's disease, it's important to take your loved one to see a doctor as soon as you can. An early diagnosis offers a chance to treat symptoms of the disease early. And, like any health issue, the sooner it’s addressed, the better.
The Alzheimer's Screener can be a useful tool. Answer the questions below to help find out if the problems of the person you care for could be symptoms of Alzheimer's disease. You must answer all 11 questions. Your answers do not mean the person you have answered for has a disease such as Alzheimer's. But, they may mean a visit to the doctor is needed. When you're done, print the results. If you are planning to take your loved one to the doctor, you can bring them with you to discuss.
Alzheimer's Screener
| Does he/she often repeat him/herself or ask the same questions over and over? |
Yes |
No |
Don't Know |
| Is he/she more forgetful, that is, having trouble with short-term memory? |
Yes |
No |
Don't Know |
| Does he/she need reminders to do things like chores, shopping, or taking medicine? |
Yes |
No |
Don't Know |
| Does he/she forget appointments, family occasions, or holidays? |
Yes |
No |
Don't Know |
| Does he/she seem sad, down in the dumps, or cry more often than in the past? |
Yes |
No |
Don't Know |
| Has he/she started having trouble doing calculations, managing finances, or balancing the checkbook? |
Yes |
No |
Don't Know |
| Has he/she lost interest in his/her activities such as hobbies, reading, attending church, or other social activities? |
Yes |
No |
Don't Know |
| Has he/she started needing help eating, dressing, bathing, or using the bathroom? |
Yes |
No |
Don't Know |
| Has he/she become irritable, agitated, suspicious, or started seeing, hearing, or believing things that are not real? |
Yes |
No |
Don't Know |
| Are there concerns about his/her driving, for example getting lost or driving unsafely, or has the person had to stop driving? If he/she has never driven, answer "No." |
Yes |
No |
Don't Know |
| Does he/she have trouble finding the words he/she wants to say, finishing sentences, or naming people or things? |
Yes |
No |
Don't Know |
Adapted from Mundt JC, Freed DM, Griest JH. Lay person-based screening for early detection of Alzheimer’s disease: development and validation of an instrument. J Gerontol Psychol Sci Sco. 2000;55B:163-170.