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Only one in four people with dementia is ever diagnosed.

A cognitive assessment built for the person in front of you.

Alzheimer's Disease International, World Alzheimer Report 2021

Zero Dementia

← Previous taskDoctor07 / 16

1Draw a clock

Draw a clock. Put in all the numbers. Set the hands to twenty-five past nine.

123456789101112
Clear drawing
Finish clock

9 areas · 16 core tasks

Below 80% in an area, it adds a task there.

0%
Orientation
0%
Attention
0%
Episodic memory
0%
Language
0%
Visuospatial
0%
Executive
0%
Abstraction
0%
Semantic access
0%
Social cognition

Voice + eye AI engine

In development

Pauses, pitch, jitter, shimmer. Saccades and reaction time.

The problem

57 million

people live with dementia worldwide

WHO 2023

75 in 100

are never diagnosed

Alzheimer's Disease International 2021

3.5 years

from the first signs to an answer

Kusoro et al. 2025

Each dot is one in a hundred

Up to 9 in 10 go undiagnosed in countries like India.

Trials cannot find the right patients.

New treatments work only when the disease is caught early.

138

drugs in Alzheimer's trials

182

active trials

99 in 100

people who could join a trial never do

Cummings et al., Alzheimer's & Dementia: TRCI 2025 · USC Schaeffer Center · FDA approvals 2023, 2024

Only 2 drugs that slow the disease have full approval, and they work only in the early stage.

Lecanemab · 2023Donanemab · 2024

One test for everyone, or one built around each person.

Paper tests today

  • Same test for everyone
  • Fixed order
  • Scored by hand
  • Safety checked later
  • Paper files

Zero Dementia

  • Adapts to schooling, reading and language
  • Adds tasks where a closer look is needed
  • Clear rules that show their working
  • Stroke, delirium and crisis checked first
  • One report, encrypted on the tablet

How it works

One visit, start to report.

Built around who they are
1

Built around who they are

Schooling, reading level and the language spoken at home choose the right form of each task.

Safety checks before task one
2

Safety checks before task one

Stroke (FAST), delirium (4AT) and crisis (C-SSRS) are checked before the assessment starts.

Scored by clear rules
3

Scored by clear rules

Every answer shows its working. A missing answer is never counted as wrong. The clinician reviews every score.

One report, PDF and referral letter
4

One report, PDF and referral letter

Results by area of thinking, a printable PDF, and a referral letter for the receiving service.

Records stay on the tablet
5

Records stay on the tablet

Answers and notes are encrypted on the device. Voice or eye recordings only with their own consent.

AI engine

Signals we cannot hear or see.

Alongside the full assessment, we are building a voice and eye AI engine.

In development · clinical validation next

Voice

One minute of speech

Voiced speech: tracking pitch

  • Waiting for the next feature…
  • Waiting for the next feature…
  • Waiting for the next feature…

Example values. A clinician interprets results; the voice engine is in development.

PausesPitchJitterShimmer+ patent-pending markers

Eyes

Front camera: look at it, then look the other way

SaccadeAnti-saccadeAttentionReaction time
Goal

Early signs of mild cognitive impairment, from one minute of voice.

Speech and eye-movement research: Eyigoz et al., EClinicalMedicine 2020 · eye-movement meta-analysis 2023

Products

One engine. Four ways to use it.

ZD Wellness

Overview

Participants

Check-ins

Referrals

Settings

EXAMPLE PROGRAMME

Brain-health programme overview

This month ▾

Enrolled

240

Check-ins

186

Participation

78%

Clinic visits offered

7

Weekly check-ins

Week 1Week 12

Recent check-ins

14Participant 014Check-in done
27Participant 027Due today
31Participant 031Check-in done
08Participant 008Clinic visit offered
45Participant 045Check-in done
52Participant 052Due today
19Participant 019Check-in done
63Participant 063Check-in done
14Participant 014Check-in done
27Participant 027Due today
31Participant 031Check-in done
08Participant 008Clinic visit offered
45Participant 045Check-in done
52Participant 052Due today
19Participant 019Check-in done
63Participant 063Check-in done

ZD Wellness

3

Brain-health programmes for organisations and communities.

Routine check-ins, education and a clinician pathway for employees, members, residents and communities, with a dashboard for the programme team.

Coming soonView details
9:41
HL

Health Line

00:42

ZD listening · with consent

“सुबह मैंने चाय पी, फिर बाज़ार गई…”

Speaker
FaceTime
Mute
Add
Keypad
ZD API · example response

POST /v1/sessions 200 OK

{

"session_id": "ses_8f2c41",

"channel": "phone_call",

"language": "hi-IN",

"voice_seconds": 60,

"voice_features": {

"pause_rate": 0.21,

"pitch_variation": 0.34,

"jitter": 0.012,

"shimmer": 0.041

},

"signal": "clinician_review_suggested",

"diagnosis": null

}

ZD API is in development and not validated. It never returns a diagnosis.

ZD API

4

Cognitive screening over a phone or video call.

One minute of voice and a few short tasks, returned to your system for clinician review. For platforms and programmes that already reach people by phone.

Coming soonView details

Built by engineers. Guided by clinicians.

Isarar Siddique

Isarar Siddique

Co-founder & CEO

Research strategy & partnerships

LinkedIn
Arshi Niyaz

Arshi Niyaz

Co-founder & CSO

Scientific methods & studies

LinkedIn
Raiyan Siddique

Raiyan Siddique

Co-founder & CTO

AI, engineering & infrastructure

LinkedIn
Jamyang Ugyen Tshomo

Jamyang Ugyen Tshomo

Co-founder & COO

Operations & implementation

LinkedIn

Clinical team

Meet the team →
  • Dr. Abdul Qavi

    Dr. Abdul Qavi

    RMLIMS · Neurology

  • Dr. Amit Keshri

    Dr. Amit Keshri

    SGPGIMS · Head & Neck

  • Dr. Vimal Kumar Paliwal

    Dr. Vimal Kumar Paliwal

    SGPGIMS · Neurology

  • Dr. Sanyam Mahajan

    Dr. Sanyam Mahajan

    SGPGIMS

  • Dr. Vibhor Upadhyay

    Dr. Vibhor Upadhyay

    Apollomedics · Neurology

  • Dr. Anamika Srivastava

    Dr. Anamika Srivastava

    Apollomedics · Clinical Psychology

  • Dr. Sharmila Ashok

    Dr. Sharmila Ashok

    VIT Vellore · Technical Advisor

Backed byMeitY, Government of IndiaIntegral Startups Foundation · ISF-CIEDNVIDIA · compute partner

Questions

What people ask us first.

Short answers to the most searched questions about memory, MCI and dementia.

Read the full guides →
  • Memory loss that affects daily life, trouble planning or handling money, confusion about time or place, word-finding problems, misplacing things, poor judgement, withdrawing from activities and mood changes. One slip is not dementia; signs that build up over months are worth a doctor's check.

  • MCI is a noticeable drop in memory or thinking that is more than normal ageing, while the person still manages daily life. It is not dementia. Some people stay stable or improve, others progress, so regular cognitive assessment with a doctor matters.

  • Yes. Online memory and cognitive tests can track memory, attention and reaction time over time, but they cannot diagnose dementia. Zero Dementia's ZD Screening is a short check-in in English, Hindi or Hinglish that you can repeat and share with your doctor.

  • Clinicians commonly use the MoCA, MMSE and Mini-Cog. The MoCA is more sensitive to MCI. ZD Assessment covers 9 areas of thinking with 16 tasks, adapts to schooling and language, and the clinician reviews every score.

  • Hospitals, clinics and memory clinics that need a cognitive assessment tool; pharma and research teams finding MCI participants; insurers, employers and telehealth platforms adding brain health; and every adult from 18 up who wants to track their cognitive health.

  • No. Zero Dementia gives a structured, scored record of memory and thinking for a clinician to review. A doctor makes any diagnosis. Safety checks for stroke, delirium and crisis run before any task.

Pilots

Pilots planned in Lucknow.

Next phase, with leading hospitals and care homes.

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow
Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow

10+

old age homes

Brain health, as routine as checking your blood pressure.

Request a pilot