Phase eight of eight 88% Medical Questionnaire 8 – Mental Fitness Mental efforts In general, do you keep yourself busy? * Yes No Are you easily bored? * Yes No Are you interested in politics/society? * Yes No Do you interact/talk with others on a daily basis? * Yes No Do you regularly do crosswords or other puzzles? * Yes No Are you interested in learning a new language? * Yes No Forgetfulness Do you often forget what you planned to do? * Yes No Can you remember what someone said to you the previous day? * Yes No If someone asks you to do something, do you often forget? * Yes No Do you recognize family and friends without difficulty? * Yes No Do you know the date of your anniversary and place of birth? * Yes No Do you find that you often do things repeatedly? * Yes No Can you recall events from previous days or weeks? * Yes No Do you recognize places you have been before? * Yes No Mental Fitness Can you adapt well to changes in your daily routine? * Yes No Do you have trouble comprehending basic information? * Yes No Do you learn things quickly (e.g. a new game or activity)? * Yes No Do you recall names and numbers well? * Yes No Are you able to easily follow a story line in books and films? * Yes No