| Category | Normal Aging | Warning Sign (Action Needed) | Observed? |
|---|---|---|---|
| 1. Memory | Forgetting names/appointments but remembering later. | Forgetting recently learned info; asking the same question repeatedly. | [ ] |
| 2. Planning | Making occasional errors when balancing a checkbook. | Significant struggle with monthly bills or following a familiar recipe. | [ ] |
| 3. Daily Tasks | Occasionally needing help with new technology settings. | Trouble driving to a familiar location or managing a lifelong hobby. | [ ] |
| 4. Orientation | Forgetting the day of the week but figuring it out later. | Losing track of dates, seasons, or the passage of time. | [ ] |
| 5. Visual | Vision changes related to cataracts or aging. | Difficulty judging distance or determining color/contrast (tripping). | [ ] |
| 6. Words | Sometimes struggling to find the “right” word. | Stopping mid‑sentence with no idea how to continue; repetitive talk. | [ ] |
| 7. Placement | Losing things from time to time (glasses, keys). | Putting items in unusual places and unable to retrace steps. | [ ] |
| 8. Judgment | Making a bad decision once in a while. | Giving large sums of money to telemarketers; neglecting hygiene. | [ ] |
| 9. Social | Feeling weary of social/work obligations sometimes. | Withdrawing from hobbies or social activities due to apathy. | [ ] |
| 10. Mood | Developing very specific ways of doing things. | Becoming easily upset, suspicious, or fearful when out of routine. | [ ] |
🧠Dementia Warning Signs Checklist
A 10-point clinical observation tool for patients and caregivers.