Dementia symptoms checklist
Helping you describe symptoms to a GP or health professional.
Complete the checklist
Fill in our checklist with your symptoms, ready to show to your GP, healthcare professional or a trusted individual.
- Complete online - you can download it or have it emailed to you.
- Print a copy
For a copy in British Sign Language (BSL), see the symptoms checklist in BSL.
For a copy in Welsh (Cymraeg), see Rhestr wirio symptomau dementia.
Endorsed by the Royal College of GPs
Dr Jill Rasmussen, Clinical Representative for Dementia at the Royal College of General Practitioners, said:
"The checklist that has been developed with Alzheimer’s Society is a simple, free tool to help patients and their families clearly communicate their symptoms and concerns during an often time-pressured appointment”.
How we support you
Get advice and information, whether you are worried about your memory, waiting for a referral or already diagnosed.
- Call our support line to speak to a trained adviser
- Visit our online forum to hear from people in the same situation
Alzheimer's Society dementia support line
Call 0333 150 3456.
If you are affected by dementia, worried about a diagnosis or a carer, trained staff are ready to give you the support you need. Opening hours (excluding bank holidays): Mon to Weds: 9am – 8pm, Thurs and Fri: 9am – 5pm, Sat and Sun: 10am – 4pm.
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