Dr. Yu-Shiou Lin中文
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IQCODE · 26Q · Standard screening questionnaire

Dementia Risk in Older Adults

A relative or friend who has known the person for at least ten years reviews changes in memory and everyday functioning, to support assessment of cognitive decline.

For a relative or friend who has known the older adult for at least ten years. Chinese questions are rendered in Traditional characters, preserving source wording, order and scoring. This script-converted presentation has not been separately validated in Taiwan.

Compare this person’s current abilities with ten years ago. For each situation, choose how much things have improved, stayed the same or worsened. A difficulty already present ten years ago and unchanged today counts as “Not much change”. Use the separate unable-to-judge option when needed; do not guess. If any item cannot be judged, this page will not calculate a numeric score; you can bring your responses to a clinician.

Completed by a relative or friend · 26 items

Screening results can support a clinical conversation but cannot confirm or rule out a diagnosis on their own.

This is the average change in cognition and everyday functioning reported by you: 3 means no change on average, and scores above 3 indicate reported decline. Higher scores reflect greater reported decline. This does not establish dementia. Arrange a clinical assessment if memory, judgement or daily functioning is worsening.

  1. Recognizing the faces of family and friends

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  2. Remembering the names of family and friends

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  3. Remembering things about family and friends e.g. occupations, birthdays, addresses

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  4. Remembering things that have happened recently

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  5. Recalling conversations a few days later

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  6. Forgetting what he/she wanted to say in the middle of a conversation

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  7. Remembering his/her address and telephone number

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  8. Remembering what day and month it is

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  9. Remembering where things are usually kept

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  10. Remembering where to find things which have been put in a different place from usual

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  11. Adjusting to any change in his/her day-to-day routine

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  12. Knowing how to work familiar machines around the house

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  13. Learning to use a new gadget or machine around the house

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  14. Learning new things in general

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  15. Remembering things that happened to him/her when he/she was young

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  16. Remembering things he/she learned when he/she was young

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  17. Understanding the meaning of unusual words

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  18. Understanding magazine or newspaper articles

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  19. Following a story in a book or on TV

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  20. Composing a letter to friends or for business purposes

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  21. Knowing about important historical events of the past

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  22. Making decisions on everyday matters

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  23. Handling money for shopping

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  24. Handling financial matters, e.g. the pension, dealing with the bank

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  25. Handling other everyday arithmetic problems, e.g. knowing how much food to buy, knowing how long between visits from family or friends

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score

  26. Using his/her intelligence to understand what's going on and to reason things through

    Much improved / A bit improved / Not much change / A bit worse / Much worse / Unable to judge / prefer not to answer · No numeric score