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1 / 21
50%

Enter a room and forget what you intended to do?

1 / 21
50%

You can't remember a phone number and must write it down?

1 / 21
50%

You forget where you put something (misplaced glasses, keys)

1 / 21
50%

Find it difficult to follow a movie plot?

1 / 21
50%

Recite the same story to the same person more than once.

1 / 21
50%

Forget what you've read. Need to re-read for clarity.

1 / 21
50%

Have gotten lost, confused, in a place where you've been before.

1 / 21
50%

"Word Search".  Have to hunt for a word that you should know.

1 / 21
50%

Are forgetful of recent events, e.g. what you did yesterday.

1 / 21
50%

Often forget to take the things you need when leaving the house.

1 / 21
50%

Have to be reminded of things - appointments, promises, etc.

1 / 21
50%

Have to look in several places to find common household items.

1 / 21
50%

Forget where you put some object.  Have to search to find it.

1 / 21
50%

Ask the same person the same question twice.

1 / 21
50%

Forget details of routine procedures.

1 / 21
50%

Lose track of time.

1 / 21
50%

Forget or miss appointments.

1 / 21
50%

Have to ask a listener to remind you what you are talking about.

1 / 21
50%

Find it hard to remember a new acquaintance's name.

1 / 21
50%

Check and recheck things like the oven, iron, if a light is on, etc.

1 / 21
50%

Find it difficult to learn a new skill or game.

Thank You For Completing the Quiz.

00-14 = None to low concern (good news!)
15-39 = Medium concern (be proactive!)
40-63 = High concern, (comprehensive nutrition support required!)

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