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Rate Your Memory

How good is your memory now compared to when you were young? (One to two is "bad"; three to five is "average"; six to seven is "great.")

How good is your memory compared to other people your age? (One to two is "bad"; three to five is "average"; six to seven is "great.")

In general, how would you rate your memory ability throughout life? (One to two is "bad"; three to five is "average"; six to seven is "great.")

How much do each of the following memory tasks or events challenge you? (One to two is "a lot"; three to five is "not much"; six to seven is "not at all.")

Keeping appointments

Remembering names and faces

Knowing where I have put my glasses or keys

Recalling what someone told me

Keeping track of birthdays

Finding words I rarely use

Finding words I often use

How often does each of the follwing things happen to you? (One to two is "often"; three to five is "occasionally"; six to seven is "very rarely.")

I walk into a room and forget why

I lose track of what I am saying

I misplace papers or objects

Other people comment that I am repeating myself

I lose track of where I am driving

I forget where I parked my car

How good is your memory for events that occurred: (One to two is "bad"; three to five is "average"; six to seven is "great.")

Several hours ago

Yesterday

Several weeks ago

Several months ago

Several years ago

How often do other people comment about your everyday memory challenges? (One to two is "often"; three to five is "occasionally"; six to seven is "very rarely.")