.:Health Advice Direct:.

Email *

Age *

Select Your Gender *

Required** Enter email address Enter a valid email
Required** Enter Age
Required** Chose gender

1. Have you ever been diagnosed with dementia?*

No response

Yes

2. Do you have a history of Learning disability since Childhood or any developmental difficulties that affected your cognitive abilities (brain power) since Childhood? *

No response

Yes

3. Have you had memory problems for at least 6 months?

No response

Yes

4. What age group are you? *

Lesser than 65 years

Over 65 years

5. What sort of things do you have difficulties with? (tick all that apply to you) *

Not Applicable

Repetitive conversations as you forget recent conversations and events?

Getting muddled up with timing and sequence of events?

Forgetting where you leave personal items

Forgetting where things are normally kept in your home?

Forgetting events from the distant past?

Difficulties learning new things

Increasing reliance on keeping notes to remind yourself of things?

6. Any difficulties in the following areas? (tick all that apply to you)*

Not Applicable

Finding the right words to complete your sentences?

Remembering the names of people that you ought to know?

Remembering the names of objects that you ought to know?

Losing your linguistic skills in a second language?

Speaking in ways incomprehensible to others?

Forgetting the meaning of words?

Decline in your ability to understand what you read?

Decline in your ability to spell?

7. Any difficulties in the following areas? (tick all that apply to you)? *

Not Applicable

Finding your way around in previously familiar places?

Difficulties recognising the faces of people you ought to know.

8. Any difficulties in the following areas? (tick all that apply to you)? *

Not Applicable

Forgetting how to do things you used to know how to do?

Forgetting how to operate appliances familiar to you?

Forgetting what appliances previously familiar to you are used for?

Taking longer to complete previously familiar tasks as you have to remind yourself of how to do things.

9. Any difficulties in the following areas? (tick all that apply to you)? *

Not Applicable

Slower at grasping and processing information?

Making decisions?

Understanding what people say to you?

Paying attention and concentrating?

10. Any difficulties in the following areas? (tick all that apply to you)? *

Not Applicable

Hand Tremors?

Feeling stiff or slowed up in your movement?

Vivid dreams and nightmares?

Making hand gestures/violent thrashing/punching/kicking whilst in deep sleep?

Visual experiences that are not based in reality e.g. seeing things that other people do not see?

Sudden onset of paranoia i.e. sudden onset of suspiciousness of the motives of people around you or mistrust of people around you?

11. Have you had brain injury or brain surgery?*

No response

Yes

12. Are you on medication for your mental or physical health?

No response

Yes

13. Have you ever had a history of regular use of excessive alcohol i.e. above 14 units of alcohol per week?*

No response

Yes

14. Do you have a history of physical health problems that might account for the problems you have with your memory? *

No response

Yes

16. Have your relatives complained of a change in your behaviour/personality? *

No response

Yes

17. Do you feel low in mood or excessively cheerful or on top of the world for no apparent reason in association with your symptoms as stated above?

No response

Yes

18. Have you suddenly developed fluctuation in your awareness of your environment?

No response

Yes

19. Do you have any signs suggestive of an infection?

No response

Yes

20. Have you had self-harm thoughts or thoughts of committing suicide? *

No response

Yes

health advice direct to you

Memory Symptoms Checker