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How often do you experience 'senior moments' — like walking into a room and forgetting why you went there? *

Rarely or never

Once or twice a week

Several times a week

Every single day

Do you ever struggle to recall the names of people you know well — friends, family members, or colleagues? *

Never, my memory for names is sharp

Occasionally, but it doesn't worry me

Yes, and it's starting to embarrassing me

Yes, and it frightens me

How would you describe your sleep quality? *

I sleep deeply and wake refreshed

I sleep fairly well most nights

I wake during the night and struggle to get back to sleep

I rarely get a full night's sleep and wake up exhausted

Do you drink tap water or use standard toothpaste on a daily basis? *

No, I use filtered water and fluoride-free products

I use one but not the other

Yes, I use both daily

Yes, and I never really thought about what's in them

Which of these best describes how you feel about your brain health as you get older? *

Completely unconcerned — my mind feels sharp

Mildly aware but not worried

Concerned — I've noticed changes I don't like

Terrified — I've seen what dementia does to families and I refuse to let that be me

Have any of your close family members experienced memory loss, dementia or Alzheimer's disease? *

No, no family history at all

Possibly, but nothing confirmed

Yes, one family member

Yes, multiple family members

How concerned are you about your long term brain health? *

Not concerned at all

Slightly concerned

Very concerned — I think about it regularly

Extremely concerned — it affects my daily life

Have you ever tried supplements, medications or memory exercises to help with brain fog or memory loss? *

No, I haven't tried anything yet

Yes, but nothing has worked

Yes, some things helped a little

Yes, and I'm currently using something

How would you describe your ability to concentrate and focus during daily tasks? *

No issues — I'm sharp and focused

Occasionally distracted but generally fine

I struggle to stay focused and it's affecting my daily life

My concentration has noticeably declined

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