Mini-Mental State Examination (MMSE)
Activity

Score

ORIENTATION – one point for each answer

Ask: "What is the: (year)(season)(date)(day)(month)?"
Ask: "Where are we: (state)(county)(town)(hospital)(floor)?"

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REGISTRATION – score 1,2,3 points according to how many are repeated

Name three objects: Give the patient one second to say each.
Ask the patient to: repeat all three after you have said them.
Repeat them until the patient learns all three.

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ATTENTION AND CALCULATION – one point for each correct subtraction

Ask the patient to: begin from 100 and count backwards by 7.
Stop after 5 answers. (93, 86, 79, 72, 65)

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RECALL – one point for each correct answer

Ask the patient to: name the three objects from above.

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LANGUAGE

Ask the patient to: identify and name a pencil and a watch. (2 points)
Ask the patient to: repeat the phrase "No ifs, ands, or buts." (1 point)
Ask the patient to: "Take a paper in your right hand, fold it in half, and put it on the floor " (1 point for each task completed properly)
Ask the patient to: read and obey the following: "Close your eyes." (1 point)
Ask the patient to: write a sentence. (1 point)
Ask the patient to: copy a complex diagram of two interlocking pentagons. (1 point)

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TOTAL:

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References

Folstein MF, Folstein SE, McHugh PR. "Mini-mental state." A practical method for grading the cognitive state of patients for the clinician.
J Psychiatr Res. 1975;12:189-198.