Pre-Consultation Comprehensive Assessment

Questionnaires for Memory Assessment

Please complete these before your appointment

To make your consultation as focused and useful as possible, we ask that the patient and, where possible, a relative or carer complete the relevant questionnaires in advance and submit it online.

You also have an option to print, fill up, scan and email it to me. 

These provide essential information about memory changes, mood, anxiety, and day‑to‑day function, allowing us to use your appointment time for assessment, explanation, and planning.

What you need to do

  • The patient should complete the patient questionnaires as below
  • A relative, family member, or carer should complete the informant questionnaires
  • Please complete them at least 24 hours before your appointment, where possible

You will have an option to ‘Stop and Resume’ if you need a break to complete. You will get the link by email.

Tailored support

Patient forms

These forms should usually be completed by the patient.

Memory Assessment Form

Questionnaire about your disease condition.  You can take help in filling it up. (10 min)
Click Here

GDS-15

Short questionnaire about mood and low mood (2-3 min)
Click Here

GAI-20

Short questionnaire about anxiety and worry (3-4 min)
Click Here

Relative / Carer forms

These forms are best completed by a relative, family member, or carer who knows the patient well.

AD-8

Brief questionnaire about memory change (2-3 min)
Click Here

IQCODE

Questionnaire about change over time
(3-4 min)
Click Here

BADLS

Questions about day‑to‑day function and practical abilities (3-4 min)
Click Here

NPI-Q

Questionnaire about behavioural concerns and carer distress (if relevant) (3-4 min)
Click Here

Before you begin

  • There are no right or wrong answers
  • Please answer honestly and based on current experience
  • If help is needed with the online form, a relative may assist
  • Patient forms should reflect the patient’s own feelings
  • Carer forms should reflect the carer’s observations

If you cannot complete the forms

Please still attend your appointment. We can go through the assessment forms during the consultation if needed.

 

Please complete these forms at least 24 hours before your appointment if possible.
They allow us to understand your situation in advance and make the consultation more effective.