
If you have experienced a significant change from your previous level of thinking or functioning, you may want to bring a list of these problems to your appointment with your healthcare provider. Why? Particular patterns of symptoms may point toward certain diagnoses or categories of diseases. Initial test results may not validate your observations or concerns. Documenting your symptoms over time is important for an easier, quicker and more accurate diagnosis and treatment.
Click on the video below for instructions on how to use the symptoms checklist.
This comprehensive tool has been created by an interdisciplinary team of retired physicians who are living with neurocognitive disorders. Like many patients experience, being able to share all our symptoms with our provider proved to be challenging. Our hope is, by offering tools and education, the diagnostic process may be less challenging for others.
The symptoms checklist can be filled out online, or you can download a copy to print.
This symptoms checklist, and all the resources on this website, are copyrighted by National Council of Dementia Minds (NCDM), with all rights reserved, unless otherwise noted. It may be downloaded, reproduced, or disseminated, without change and in its entirety, either for personal use or by nonprofit organizations for educational purposes, if correct attribution is made to National Council of Dementia Minds. To request permission to use this resource in any other way, send an email describing the intended use, duration and your contact information to [email protected].

