From time to time, I forget what day of the week it is.

• True

• False

Sometimes when I’m looking for something, I forget what it is that I’m looking for.

• True

• False

My friends and family seem to think I’m more forgetful now than I used to be.

• True

• False

Sometimes I forget the names of my friends

• True

• False

It’s hard for me to add two-digit numbers without writing them down

• True

• False

I frequently miss appointments because I forget them.

• True

• False

Small problems upset me more than they once did.

• True

• False

It’s hard for me to concentrate for even an hour.

• True

• False

I often misplace my keys, and when I find them, I often can’t remember putting them there.

• True

• False

I frequently repeat myself.

• True

• False