If you are 60 years of age or older, please complete the following forms to be notified when the Women’s Alzheimer’s Movement Prevention Center at Cleveland Clinic is able to expand.

Remember, if you have an urgent need or an emergency—medical, psychological, or otherwise—this online assessment is not the place to share it. Please seek urgent care, emergency, or routine care treatment in your home area, or call 911.

This data capture system is secure and HIPAA compliant.

Page 1 of 5

Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.