Memory

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Your sex: ✪

Your age:

Currently you are:

How long does it take for you to learn a topic(to prepare for the test)?

Do you have memory problems?

Do you have problems with concentration?

How would you describe your ability to remember the following? ✪

Very poorPoorAbout averageGoodVery good
The name of a person just introduced to you.
Where you have placed objects (such as keys) at home or at the office.
To turn out lights, turn off appliances, and lock doors when leaving home.
Where you parked your car in a shopping center or other congested area.
Facts that must be recalled very quickly as in a game or television game show.
Faces of people you have met only once or twice.

How often would you say that you do each of the following? ✪

Very oftenOftenOccasionallyRarelyVery rarely
Go into a room to get something and forget what you are after.
Forget that you told someone something and tell that person the same thing again.
Fail to remember a name or word when trying, but recall it later.
Store an important item in a place where it will be safe and then forget where it is.
Forget which waiter took your order in a restaurant.

When you are reading a newspaper,magazine or book, how often do you have trouble remembering what you have read? ✪

Do yo use any techniques to remind yourself about things? ✪

How is your memory compared to the way it was... ✪

Much WorseSameMuch Better
one year ago?
five years ago?
ten years ago?

Do you do anything to improve your memory? ✪