Language
English (US)
Quick dementia risk assessment
How many risk factors do you have?
Complete the survey below (approx. 2 - 3 minutes) to get an initial estimate of your risk. Afterwards, you have the option to book a follow-up consultation, as well as an optional more comprehensive assessment, blood test and medical consultation.
Has a close relative (parent, sibling) in your family had Alzheimer's or another dementia?
Yes
No
Don't know
What is your highest educational achievement?
No schooling
Primary school
High school
Associate's degree or Bachelor
Master's degree or equivalent
PhD or professional doctorate
Have you experienced hearing loss?
Before age 18
At some point in adulthood
Never
Have you experienced any head trauma?
Yes, severe impact to head with loss of consciousness
Repeated smaller impacts, e.g., as part of football or boxing
No significant trauma to head
Has a doctor ever diagnosed you with high blood pressure?
Yes
No
How much alcohol do you drink in a week?
> 12 standard drinks
< 12 standard drinks
What is your weight and height?
BMI converter
Do you smoke?
Never have or gave up more than a year ago
Gave up less than a year ago
Less than once per day
Once per day or more
Has a doctor or psychologist ever diagnosed you with depression?
Yes
No
Don't know
How often do you do social activities?
Less than once per week
Once per week or more
How often do you do cardiovascular exercise (running, cycling, swimming, etc...)
Less than once per week
1 - 2 times per week
More than twice per week
Do you live in an area with high pollution (e.g. next to a major highway)?
Yes
No
Has a doctor ever diagnosed you with diabetes mellitus?
Yes
No
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Your name
First Name
Last Name
Your email address
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Your phone number
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Which US State are you in?
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