Mini-Mental State Exam

1 Orientation What is the date of today Questions The year The season The month The date of the day The day TOTAL The place The town The district The area The floor TOTAL TOTAL 2 Memory I give you 3 words, you have to remember this 3 words and I ask you later about it Calculation YOU HAVE TO COUNT backwards always with number 7 1 2 3 TOTAL 100-7 93-7 86-7 79-2 72-7 TOTAL 93 86 79 72 65 /5 Score

/5

Where are you

/5 /10

/3

4 5

Exercise SPELL me the name World and then backwards Memory GIVE THE 3 WORDS

1 2 3 TOTAL A pencil A watch No but, no if, no and TOTAL 1 2 3

/3

Language Ask me the name of (and you show) Repeat after me Take this paper with your right hand, fold it into half and trow it on the floor Write a sentence Read this sentence and do it exactly

/3

Visiospatial

TOTAL Draw (Copy) this drawing TOTAL

/8 /30