| Mini-Mental State Examination |
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| Orientation: |
| What is the (year)(season)(date)(day)(month)? |
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| Where are we (state)(county)(town)(hospital)(floor)? |
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| Registration: |
| Repeat 3 objects. |
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| Number of trials: |
| Attention: |
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| Recall: |
| Ask for the 3 objects repeated above. |
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| Language: |
| Name a pencil and watch. |
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| Repeat "No ifs, ands or buts." |
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| Three stage command: |
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| "Take this paper in your right hand, |
| fold it in half, and put it on the floor." |
| Read and obey the following: "Close your eyes." |
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| Write a sentence. |
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| Copy intersecting pentagons. |
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| Score: |
score |
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| reset |
generate |