MCS - MEMORY COMPLAINT SCALE
VERSION A - PATIENT ANSWERS
Objective: To assess patient's memory complaint directly with him/her
Instructions:	• Apply this directly to patient with no intervention from companion • Read aloud in a clear voice
Q1. Do you have any memory problems? (or "forgetfulness?" or "memory difficulties")
( ) No = 0	( ) Unable to answer/unsure/doubt = 1	( ) Yes = 2
If answers No, mark 0 and likewise for Q2 and Q3 and skip ahead to Q4
Q2. How often does this happen?
( ) Rarely = 0	( ) Occasionally/sometimes =1	( ) A lot/frequently = 2
Q3. Does this memory problem hamper (or impair) your daily activities?
( ) No = 0	( ) Occasionally/sometimes = 1	( ) A lot /frequently = 2
Q4. How is your memory compared to others your age?
( ) The same or better = 0	( ) Somewhat worse = 1	( ) Much worse = 2
Q5. How is your memory compared with when you were younger?
( ) Same or better = 0	( ) Somewhat worse = 1	( ) Much worse = 2
Q6. Do you forget what you've just read or heard (e.g., in a conversation)?
( ) Rarely/never = 0	( ) Occasionally = 1	( ) Often = 2
Q7. Rate your memory on a scale of 1 to 10, with 1 worst and 10 best
( ) 9 or 10 = 0	( ) 5 to 8 = 1	( ) 1 to 4 = 2
Scoring
Interpretation
[ ] No MCs (0-2) [ ] Mild MCs (3-6) [ ] Moderate MCs (7-10) [ ] Severe MCs (11-14)
MCS - MEMORY COMPLAINT SCALE
VERSION B - COMPANION ANSWERS ABOUT PATIENT
Objective: To assess memory complaint of patient by companion report
Instructions:	• Apply with the companion referring to patient • Read aloud in clear voice
Q1. Does he/she have a memory problem ? (or "forgetfulness?")
( ) No = 0	( ) Unable to answer/unsure/doubt = 1	( ) Yes = 2
If answers No, mark 0 and likewise for Q2 and Q3 and skip ahead to Q4
Q2. How often does this happen?
( ) Rarely = 0	( ) Occasionally/sometimes =1	( ) A lot /frequently= 2
Q3. Does this memory problem hamper (or impair) his/her daily activities?
( ) No = 0	( ) Occasionally/sometimes = 1	( ) A lot /frequently = 2
Q4. How is his/her memory compared to others their age?
( ) The same or better = 0	( ) Somewhat worse = 1	( ) Much worse = 2
Q5. How is his/her memory compared with when they were younger?
( ) The same or better = 0	( ) Somewhat worse = 1	( ) Much worse = 2
Q6. Does he/she forget what they've just read or heard (e.g., in a conversation)?
( ) Rarely/never = 0	( ) Occasionally = 1	( ) Often = 2
Q7. Rate his/her memory on a scale of 1 to 10, with 1 worst and 10 best
( ) 9 or 10 = 0	( ) 5 to 8 = 1	( ) 1 to 4 = 2
Scoring
Interpretation
[ ] No MCs (0-2) [ ] Mild MCs (3-6) [ ] Moderate MCs (7-10) [ ] Severe MCs (11-14)
The Portuguese version of the Memory Complaint Scale is available at: www.demneuropsy.com.br