See If You Qualify Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Are you answering this screening on behalf of yourself or a loved one? *MyselfA loved oneAre you between 50 and 85 years old? *YesNoIs your loved one between 50 and 85 years old? *YesNoAre you experiencing signs of memory loss, with or without having been diagnosed with mild cognitive impairment or mild Alzheimer's Disease? *Suspected memory impairmentDiagnosedNoIs your loved one experiencing memory problems, with or without having been diagnosed with mild cognitive impairment or mild dementia? *Suspected memory impairmentDiagnosedNoDo you have a caregiver or partner who would be willing to act as your study partner and attend all study visits for the duration of the study?YesNoDoes your loved one have a caregiver or partner who would be willing to act as a study partner and attend all study visits for the duration of the study?YesNoWhat is your full name? *FirstLastWhat’s your email? *What’s your phone number? *Which location is most convenient for you? *Macquarie Park, NSWIvanhoe, VICParkville, VICSouth Carlton, VICWoodville South, Adelaide, SANedlands, Perth, WABy clicking "I agree", you understand and agree to the terms of the Privacy Policy. You understand and agree that by selecting the submit button, you give permission to share your responses with the study doctors and staff at the clinical research site that you selected, and that they may contact you to discuss the study. *I agreeI do not agreeSubmit