Brain Disorder Screener – MadlySane.com

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Brain Disorder Screener

Answer each question by selecting a response from 0 (Never) to 3 (Almost Always). This screening covers multiple domains of brain function.

1. Memory: How often do you forget important appointments or events?

How frequently do you have trouble recalling recently learned information?

2. Motor Skills: How often do you experience tremors or difficulty with coordinated movements (e.g., buttoning a shirt)?

How frequently do you find it hard to perform fine motor tasks (e.g., writing, using utensils)?

3. Attention: How often do you find it difficult to concentrate on tasks for an extended period?

How frequently do you lose track of conversations or instructions?

4. Mood & Social Engagement: How often do you experience sudden mood swings or changes in personality?

How often do you feel persistently sad or depressed?

5. Executive Function: How frequently do you struggle with planning or organizing your day?

How often do you experience difficulty making decisions or solving everyday problems?

6. Additional Cognitive Areas: How often do you struggle to find the right word during conversations?

How frequently do you withdraw from social activities that you previously enjoyed?