Inclusion Criteria:  60 years or older with voice/swallowing/upper airway complaints Multidisciplinary assessment by fellowship-trained laryngologist and voice/swallow/upper airway specialized speech-language pathologist Voice, Swallowing and/or Upper airway disorder diagnosis Candidate for voice, swallowing or upper airway therapy following interdisciplinary assessment. State willingness to participate in the study protocol  Exclusion Criteria:  Under the age of 60 years old Previously diagnosed dementia Central neurological disorder Active psychotic disorder Recurrent or active major depressive disorder (PHQ-9 of 10 or greater) Patient not able to attempt the MoCA because of a severe hearing or visual impairment Patients who do not speak or understand English Tested with MoCA in the last month