Speak to An Expert. Pre-screening QuestionnaireAnswer eight easy questions, and we’ll let you know whether or not you or your loved one may be eligible to participate in the study.Please enable JavaScript in your browser to complete this form.Are you answering this screening for yourself or a loved one? *YourselfA loved oneAre you between 55-90 years old? *YesNoIs your loved one between 55-90 years old? *YesNoHave you been experiencing mild memory loss and may or may not have been diagnosed with mild cognitive impairment or Alzheimer’s disease? *YesNoHas your loved one been experiencing mild memory loss and may or may not have been diagnosed with mild cognitive impairment or Alzheimer’s disease? *YesNoDo you have a caregiver or partner who can attend all the appointments with you? *YesNoDoes your loved one have a caregiver or partner who can attend all the appointments with them? This can be you. *YesNoWhat is your loved ones full name? *FirstLastWhat is your full name? *FirstLastWhat is your email? *What is your phone number? *Which location is most convenient for you? *Abington PAMiami FLAnaheim CAOrlando FLAtlanta GAPort Orange FLHouston TXUser Agreement By clicking "I accept", you understand and agree to the terms of the Privacy Policy. I understand and agree 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, so that they may contact you to discuss the study further. *I agreeI do not agreeSee if you qualify