| Yes, a Change* | No, No Change | N/A, Don't Know | |
|---|---|---|---|
| 1. Problems with judgment (eg, problems making decisions, bad financial decisions, problems with thinking) | □ | □ | □ |
| 2. Less interest in hobbies/activities | □ | □ | □ |
| 3. Repeats the same things over and over (questions, stories, or statements) | □ | □ | □ |
| 4. Trouble learning how to use a tool, appliance, or gadget (eg, VCR, computer, microwave, remote control) | □ | □ | □ |
| 5. Forgets correct month or year | □ | □ | □ |
| 6. Trouble handling complicated financial affairs (eg, balancing checkbook, income taxes, paying bills) | □ | □ | □ |
| 7. Trouble remembering appointments | □ | □ | □ |
| 8. Daily problems with thinking, memory, or both | □ | □ | □ |
| TOTAL AD8 SCORE | □ | □ | □ |
↵* “Yes, a change” indicates that there has been a change in the last several years caused by cognitive (thinking and memory) problems.
Scores of 0 to 1 indicate normal cognition; scores of ≥2 indicate that cognitive impairment is likely to be present.
AD8, 8-item Ascertain Dementia screening.
Adapted with permission from Galvin J et al. Neurology 2006;67:1942–8. © 2006 AAN Enterprises, Inc.63