Cognitive impairment, including dementia, often goes undetected. Early detection of cognitive impairment is important because it enables patients and their families to access appropriate care supports and research opportunities. The majority of patients seeking evaluation of cognitive symptoms begin their diagnostic journey in primary care, but it is particularly challenging to detect cognitive impairment in primary care due to a number of factors. This study aims to understand the barriers to detection of cognitive impairment in Penn Medicine primary care practices. This information will be used to design an intervention to improve the quality of evaluations for cognitive impairment at Penn Medicine.