Pre-Clinical Alzheimer's Disease Questionnaire

These questions are in regards to a clinical research study that is testing an investigational drug for people at risk of Alzheimer's disease.

We will ask you a series of personal health and medical questions, which we will keep confidential. The information provided will only be used for the purpose of this study and will not be shared with anyone except study staff. Your responses will be entered into our computer system following HIPPA compliance.  You do not have to answer any question you may feel uncomfortable answering. Your responses will determine if you are eligible to move forward in the study.