No Cost CONSULTATION Los Alamitos/Long Beach Orange County San Fernando Valley

Memory Loss/Alzheimer’s

Your memory often changes as you grow older. But memory loss that disrupts daily life is not a typical part of aging. Early detection is helpful.

10 Warning Signs Of Alzheimer’s Disease

For additional information visit www.alz.org/10signs

Memory changes that disrupt daily life.
Challenges in planning or solving problems.
Difficulty completing familiar tasks.
Confusion with time or place
Trouble understanding visual images and spatial relationships.
New problems with words in speaking or writing.
Misplacing things and losing the ability to retrace steps.
Decreased or poor judgment.
Withdrawal from work or social activities.
Changes in mood and personality.

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Concerned About Your Loved One's Memory?

Memory Assessment Checklist

Please complete the questions below to determine if someone you care for is a candidate for a Memory Loss/Alzheimer’s disease research study at one of our PRI locations.

In the boxes below, please indicate Yes, No or Not Applicable as appropriate.
	Yes	No	Not Applicable
Are you at least 50 years of age? *
Do you have a history of seizures or any seizure disorder? *
In the below boxes, indicate if you experience these symptoms:
	Never	Occasionally	Frequently
Intermittent, yet increasingly noticeable memory loss?
Increased difficulty performing familiar tasks?
Noticeable new problems with language?
A tendency to reduce social and mental activity?
Misplacing things in unusual places?
Out of the ordinary changes in mood or behavior?
Subtle, yet noticeable, changes in personality?
Decreasing initiative mentally and/or physically?
Poor, decreased or questionable judgment?
More easily disoriented to time or place?
Trouble handling complicated financial affairs (such as income taxes, balancing checkbook)?
Repeating the same things over and over (questions, stories or statements)?
Less interested in hobbies or activities?

Or click the button below to contact us by phone:

Memory Loss/Alzheimer’s

Concerned About Your Loved One's Memory?

Please complete the questions below to determine if someone you care for is a candidate for a Memory Loss/Alzheimer’s disease research study at one of our PRI locations.