Mini-Mental State Examination (MMSE) | Score 1pt per correct response within items unless noted.
Temporal Orientation
5 Points
Ask: “What is the year? season? date? day of the week? month?“
Spatial Orientation
5 Points
Ask: “Where are we now? What is the state? county? town/city? building/hospital? floor?“
Registration
3 Points
Name 3 unrelated objects clearly (e.g., “Apple”, “Table”, “Penny”). Ask patient to repeat them. Score based on first attempt. Repeat if needed for recall test later.
Remind patient: “Try to remember these words, I will ask for them later.” Record trials needed: (for information, not scored).
Attention & Calculation
5 Points
Ask patient to subtract 7 from 100, then 7 from the result, 5 times (93, 86, 79, 72, 65). Score 1 point for each correct subtraction. Alternative: Ask patient to spell WORLD backward (D-L-R-O-W). Score 1 point for each letter in correct position. Use only ONE method.
Recall
3 Points
Ask: “What were the 3 words I asked you to remember earlier?”
Language: Naming
2 Points
Show the patient a wristwatch and ask “What is this?”. Repeat with a pencil.
Language: Repetition
1 Point
Ask the patient to repeat the phrase: “No ifs, ands, or buts.” (Allow only one attempt).
Language: Comprehension
3 Points
Give the patient a blank piece of paper. Say: “Take this paper in your right hand, fold it in half, and put it on the floor.” (Score 1 point for each part correctly executed).
Language: Reading
1 Point
On a blank paper, write clearly: “CLOSE YOUR EYES“. Show it to the patient and ask them to read it and do what it says. Score only if they close their eyes.
Reading aloud correctly but not performing the action scores 0.
Language: Writing
1 Point
Give the patient a blank piece of paper and a pencil. Ask them to: “Write any complete sentence.” (Spontaneous, not dictated).
The sentence must contain a subject and a verb and make sense. Ignore spelling/grammar errors.
Visuospatial: Copying
1 Point
Show the patient a drawing of two intersecting pentagons (draw this clearly on a separate paper for them). Ask: “Please copy this design exactly as it is.“
Score 1 point if the drawing has two five-sided figures AND they intersect to form a four-sided figure. Ignore tremor or rotation.
Assessment Summary
0
Calculating…
(Interpretation based on standard severity cutoffs. Consider individual factors.)