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Each person’s experience with Alzheimer’s disease or another form of dementia is unique. Symptoms may change frequently, and the progression of symptoms will differ from person to person. Symptoms can also be affected by many factors, including the environment and time of day.

The tool below was designed to help caregivers track the type and frequency of symptoms exhibited by their loved one. The goal is to support communication and planning with healthcare providers and other professionals to develop the best possible treatment and care plan.

Download This Form