Checklist for possible dementia symptoms

If you're worried that your symptoms could be signs of dementia, use our checklist to help describe your symptoms to a GP or health professional. 

Complete the symptoms checklist

You can fill in the checklist online or print it out and complete it offline. When you're finished, email or show it to your GP, healthcare professional or a trusted individual to help describe your symptoms.

Complete online Print a copy

Endorsement from Royal College of General Practitioners

This checklist has been formally endorsed by the Royal College of General Practitioners (RCGP), the professional membership body for GPs in the UK.

Dr Jill Rasmussen, Clinical Representative for Dementia at the Royal College of General Practitioners, said:

'It’s vital for patients, their families and GPs that conversations with the potential for a diagnosis of dementia are timely and effective.

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.

'This resource could make a real difference in identifying those people who require referral for a more detailed evaluation and diagnosis of their problems.

'We’re asking anyone who is worried about possible dementia symptoms to use the checklist and share it with their primary care team.'