Refined Cognitive Disorder Screener

Cognitive Health Screener

Please answer each question by selecting the option that best represents your recent experiences.
Use a scale where 0 = Never, 1 = Rarely, 2 = Often, and 3 = Almost Always.

Memory

1. How often do you forget important appointments or events? 2. How often do you have trouble recalling recently learned information?

Executive Function

3. How often do you struggle with planning or organizing your day? 4. How frequently do you experience difficulty making everyday decisions?

Attention & Language

5. How often do you lose track of conversations or instructions? 6. How frequently do you struggle to find the right word during conversations?

Visuospatial Skills

7. How often do you find it challenging to recognize patterns or shapes (e.g., reading a map, assembling puzzles)?

Mood & Social Engagement

8. How often do you feel persistently sad or withdrawn from social activities?

Disclaimer: This screening tool is for preliminary educational purposes only and does not replace a professional evaluation.

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