The goal here is straightforward. If any concerns arises after completing this, you should print out the sheet, and take it to your physician, requesting an evaluation.
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_____ 10. Changes in mood and personality.
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9. Withdrawal from work or social activities.
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_____ 8. Decreased or poor judgment.
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7. Misplacing things and losing the ability to retrace steps.
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_____ 6. New problems with words in speaking or writing.
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DEMENTIA EARLY DETECTION Checklist- cont. _____ 5. Trouble understanding visual images and spatial relationships.
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DEMENTIA EARLY DETECTION Checklist- cont. _____ 4. Confusion with time or place.
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3. Difficulty completing familiar tasks at home, at work or at leisure.
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2. Challenges in planning or solving problems.
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