Test2

Below is a list of statements that other people with your condition have said are important. Please choose one item per question to indicate your response as it applies to the past 7 days.

1. I have had trouble forming thoughts

2. My thinking has been slow

3. I have had trouble concentrating

4. I have had trouble finding my way to a familiar place

5. I have had trouble remembering where I put things, like my keys or wallet

6. I have had trouble remembering new information, like phone numbers or instructions

7. I have had trouble recalling the name of an object while talking

8. I have had trouble finding the right word(s) to express myself

9. I have used the wrong word when referring to an object

10. I have had trouble saying what I mean in conversations

11. I have walked into a room and forgotten what I meant to do

12. I have had to work really hard to pay attention or avoid mistakes

13. I have forgotten names of people soon after being introduced…….

14. My reactions in everyday situations have been slow…….

15. I have had to work harder than usual to keep track of what I was doing…….

16. My thinking has been slower than usual…….

17. I have had to work harder than usual to express myself clearly…….

18. I have had to use written lists more often than usual so I would not forget things…….