Skip to main content


Memory Decline Questionnaire

Please complete this confidential questionnaire in relation to your close friend or family member who is interested in taking part in research. You have been nominated as a key person to be able to assist us with determining whether this person could have memory decline that is more significant than usual age-related decline. Please provide as much detail as possible.

If you have any questions or issues, please do email us: [email protected]

If you would like to have a brief overview of the difference between age-related memory decline and Mild Cognitive Impairment (a medical diagnosis from a GP, hospital doctor or a memory clinic), please have a look at the link below:

Mild Cognitive Impairment and Age-related Memory Decline


Please complete the form here: