Dementia Risk Assessment

20 Minute Time Out Policy
While completing the this assessment, if you pause for 20 minutes or longer, the system will abort your input. Because this is an anonymous test and your responses are not saved, you will need to start over at the beginning in order to complete the process and receive your report.

Print or Save Your Report
Due to the anonymous nature of this assessment, your results will not be saved. If you plan to review your report at a later date, please be prepared to print it out or copy and save it to your computer's disc.

About the Subject
The demographic factors below generally impact an individual's risk for Dementia and Alzheimer's Disease. Please enter the information about the person whose risk factors are being assessed. This information is required in order to generate accurate recommendations.

Please Complete the Following to Begin the Prevention Report

your email:
confirm your email:
About the Person Being Tested:
Your responses are compared to those of the individuals in your demographic peer group (those with similar age, race, gender, and level of education). The information requested below is required in order to generate an accurate assessment result.

who is the person that you want to test:  

subject's date of birth:


subject's gender:

how many years of education (school) does the subject have, including college or university if he/she attended one?

what is the subject's race?

American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Not Certain

Hispanic or Latino
White (Caucasian)

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