Select the statement that best describes your plans for improving your intellectual activity.

Please add any additional comments about your Intellectual wellness:

How confident are you in your ability to enhance your intellectual activity?

I am able to keep my mind focused without becoming easily distracted.

Compared to other people your age, rate your ability to take in and process new information.

How often do you use a computer to connect with others (social networking, e-mail, video communication, etc.)?

How often do you participate in individual intellectual pursuits (books, puzzles, games, writing, computers, etc.)?

How often do you use new technology (such as tablets, computers, mp3 players)?

Compared to other people your age, how would you rate your memory?

How much do memory problems limit your social activities?