Acetylcholine-Brain Cognition Quiz

1. My friend had told me that I am becoming absent-minded

T/F

2. I have experienced hair loss

T/F

3. My ability to remember faces has decreased

T/F

4. I need to write down even the simplest directions or instructions

T/F

5. My ability to recall numbers has decreased

T/F

6. My memory has decreased

T/F

7. My management skills have decreased

T/F

8. I do not feel like my brain is working well

T/F

9.  Alzheimer’s and/or dementia runs in the family

T/F

10.  I often forget where it put important things, like keys or prescription medicines

T/F

Number of true responses: __________; add 0 to number= Acetylcholine age code: _______