Thinking Changes Checklist

Cognitive ability can only be measured with standardised tests given by a professional. This page does not estimate a "cognitive age". It asks whether you've noticed changes and counts habits linked with brain health. For risk factors, see the Brain Health Habit Score.

Before you start

Method : Thinking Changes Checklist — a custom points score written by this site. Each answer adds or subtracts the points shown in the Methodology table below.

Validation : Unvalidated. The points have never been tested against any laboratory measurement or health outcome, and the result is not an age.

Review : not reviewed by a qualified clinician. Educational only — not a diagnosis or a medical test.

If memory or thinking problems are getting worse or affecting daily life, see a GP. Sudden confusion is an emergency.

Your answers stay in this browser tab; nothing is sent or stored.

Answer the questions, then press Calculate score.

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How to Use This Calculator

  1. Answer each question.
  2. Press Calculate score.
  3. Read the breakdown and suggestions.

Methodology & assumptions

Your score is the sum of the points below. The weights are our own judgement. The old version added made-up years for self-rated mental maths, reaction time, multitasking, puzzles and decision-making and gave a "cognitive age". Self-ratings aren't measurements, so they were removed with the age output.

Points for each answer
FactorAnswerPoints
Forgetting recent conversations or appointmentsRarely0
Sometimes+1
More than before+2
Losing focus on tasks you used to manageRarely0
Sometimes+1
More than before+2
Sleep per nightUnder 6 hours+1
6 hours or more0
Physical activity3+ days a week0
1–2 days a week0
Little or none+1
Contact with friends or familyMost weeks0
Rarely+1
Learning something new or mentally demanding hobbiesOften0
Sometimes0
Rarely+1

Worked examples

Forgetting more than before, losing focus more than before, under 6 h sleep, little activity, rarely sees people, rarely learns new things: 2 + 2 + 1 + 1 + 1 + 1 = +8 points.

No changes noticed, 7 h sleep, active, regular contact, learns new things: 0 points.

Understanding your result

This counts changes and habits you reported. It is not a cognitive test, not a dementia screen and not an age. Health-agency guidance linked below is general and based on populations, not on this score.

Sources & further reading

  1. NHS. Dementia symptoms and diagnosis.
  2. Livingston G, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. Lancet 2024;404(10452):572-628.

The points table is our own convention and is not taken from these sources.

Frequently Asked Questions

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