Understanding the early signs of Alzheimer’s and dementia can help you recognize changes sooner and feel more prepared to start supportive conversations with family members or healthcare providers. Inspired by guidance from dementia experts, this checklist is designed to support your awareness and understanding of the symptoms of memory disorders. We encourage you to print this resource out and use it to monitor changes over time, and feel more confident during appointments and daily routines.
Your Checklist for Recognizing Memory and Daily Life Changes
cedarhurstliving.com
Understanding the early signs of Alzheimer’s and dementia can help you recognize changes sooner and feel more prepared to start supportive conversations with family members or healthcare providers. Inspired by guidance from dementia experts, this checklist is designed to support your awareness and understanding of the symptoms of memory disorders. We encourage you to print this resource out and use it to monitor changes over time, and feel more confident during appointments and daily routines.
RATING SCALE:
SUPPORT AREA
WHAT YOU MAY NOTICE
Rarely
Often Sometimes
Occasionally forgetting recently learned information, repeating questions, or needing reminders for appointments and important dates.
Memory and Daily Routines
Needing extra time or support with familiar activities such as preparing meals, organizing bills, or managing medications.
Completing Everyday Tasks
Feeling unsure about dates, seasons, or locations from time to time.
Awareness of Time or Place
Communication and Conversation
Pausing to find the right word or needing a little extra time to follow conversations.
Misplacing items more often or needing help retracing steps to find them.
Keeping Track of Belongings
Changes in confidence with finances, personal care, or day-to-day decisions.
Decision-Making and Judgment
Participating less in hobbies, gatherings, or activities they once enjoyed regularly.
Social Engagement
Experiencing changes in mood, increased worry, frustration, or reactions that feel different than usual.
Emotional Well-Being
Feeling more comfortable with reassurance or familiar routines throughout the day.
Comfort with Daily Structure
Becoming unsure of surroundings or needing guidance in familiar places.
Navigation and Direction
This document is an informational tool and is not a substitute for any evaluation or review by a licensed medical provider or other qualified professional.
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