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Modiin Neurology Clinic

Eight questions your on memory and thinking
  • 1

    Please answer this 8-question survey. “YES” means that there has been a change in the last several years caused by a memory or thinking problem

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  • 2
    For example, problems with making decisions or problems with judgment
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  • 3
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  • 4
    For example, repeating questions or stories
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  • 5
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  • 6
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  • 7
    For example, checking your bank activity or making sure that you are not overcharged
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  • 8
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  • 9
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  • 10
    We will send a copy of your quiz to the email provided below
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  • 11
    If your score is 2 or higher, then you may have a memory problem - You should get checked out by a doctor.
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  • 12
    By typing your name and submitting your data, you acknowledge agreement to the Terms and Condition found on the Modiin Neurology Clinic website (www.modiinneurology.com)
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