Dementia symptoms checklist
A checklist to help you make a note of symptoms before you talk to your GP.
How to use the dementia symptoms checklist
The checklist will help you discuss your concerns with a GP. It is not a diagnosis tool and having these symptoms does not mean you are developing dementia.
For a copy in British Sign Language (BSL), see the symptoms checklist in BSL.
For a copy in Welsh (Cymraeg), see Rhestr wirio symptomau dementia.
Using the checklist to speak with your GP
Once the online checklist is complete, you will be given the choice of downloading your answers, or getting them emailed to you.
This may help you have a conversation with your GP, healthcare professional or a trusted individual. Talk to them about any concerns you've indicated on the checklist.
Completing the dementia symptoms checklist
The checklist contains 20 questions about possible symptoms or behaviours relating to dementia. You will need to think about:
- the symptoms that each question describes
- how long they have been happening
- how much they are affecting daily life
If you do not wish to answer a question, you can move on to the next one. You can also go back and change the answer to a previous question.
If you are completing this form on behalf of someone else, answer the questions from their perspective.
It is not intended to diagnose dementia or any other health condition. This checklist includes common signs of dementia, but there can be other reasons for any changes you've noticed.
Endorsed by the Royal College of GPs
Dr Jill Rasmussen, Clinical Representative for Dementia at the Royal College of General Practitioners, said:
"The checklist that has been developed with Alzheimer’s Society is a simple, free tool to help patients and their families clearly communicate their symptoms and concerns during an often time-pressured appointment”.
How we support you
Get advice and information, whether you are worried about your memory, waiting for a referral or already diagnosed.
- Call our support line to speak to a trained adviser
- Visit our online forum to hear from people in the same situation
Real life stories
Hear from people who have gone through the experience
Alzheimer's Society dementia support line
Call 0333 150 3456.
If you are affected by dementia, worried about a diagnosis or a carer, trained staff are ready to give you the support you need. Opening hours (excluding bank holidays): Mon to Weds: 9am – 8pm, Thurs and Fri: 9am – 5pm, Sat and Sun: 10am – 4pm.
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