MINI-MENTAL STATE EXAM (extended version)<>
Folstein, Folstein, McHugh, 1975
Extension adapted from Ashford et al., 1992, Internatl. Psychoger. 4:55-74.
PATIENT NAME: _______________________________
Today's date: 2/25/2000
Enter education (years):
Question about alertness
right / wrong
Orientation Questions: Ask the following questions:
  x1. What is your last name?
  x2. What is your first name?
  x3. What is your birthday?
  x4. What is your birth year?
  x5.* How old are you?
  x6. In what county/city were you
  x7. In what state (country if not
US) were you born?
  x8. How far did you go in school
(years of education)?
 x9.* Who is the President of the
 x10.* Who was the President before
  1.* What is today's date?
  2. What is the month?
  3. What is the year?
  4.* What day of the week is today?
  5. What season is it? DATE
  6. What is the name of this clinic
  7. What floor are we on?
  8. What city are we in?
  9. What county are we in?
  10. What state are we in? PLACE
IMMEDIATE RECALL: Ask the subject if you may test his/her memory. Then say
"ball", "flag", "tree", "penny" clearly and slowly, about 1 second
for each. After you have said all 4 words, ask him/her to repeat them. The first
repetition determines the score (0-3), but keep saying them until he/she can repeat all 3,
up to 6 tries. If he/she does not eventually learn all 3, recall cannot be meaningfully
  11. BALL
  12. FLAG
  13. TREE
  14. PENNY
Note # trials: IMMEDIATE RECALL:
Ask the subject to spell the word "WORLD" backwards. The score is the
number of letters in correct position. For example, "DLROW" is 5,
"DLORW" is 3, "LROWD" is 0.
  19. "D"
  20. "L"
  21. "R"
  22. "O"
  23. "W" "DLROW"
TOTAL: Greater score of A or B:
DELAYED VERBAL RECALL: Ask the subject to recall the 3 words you previously asked
him/her to remember.
  24.* BALL?
  25.* FLAG?
  26.* TREE?
  26.* PENNY?
DELAYED VERBAL RECALL:
To calculate MMSE score automatically, click here:
TOTAL MMSE (serial7s): MMSE (dlrow): MMSE (max): (MAXIMUM score = 30)
TOTAL MMSE WITH EXTENSION: (maximum score =
41 - 50 normal, depending on age, education, complaints (corresponds with
MMSE > 23)
31 - 40 mild
(corresponds with MMSE = 20 - 23)
21 - 30 moderate (corresponds with MMSE = 11 -
11 - 20 severe
(corresponds with MMSE = 2 - 10)
1 - 10 profound (corresponds
with MMSE = 0,1)
(MMSE = untestable)
TIME-INDEX for MMSE (max) (estimated years into Alzheimer's disease):
(for MMSE > 24, years before expected dx; for MMSE = 0, at least this number)
(derived from Ashford et al., 1995; Mendiondo et al., 2000)
* 10 select items for dementia screening - if more than 3 errors, ask to name animals:
NAME AS MANY ANIMALS AS YOU CAN IN 1 MINUTE: TOTAL______
(expect normal elderly to name at least 15) .
If more than 4 select items missed or names less than 15 animals, further evaluation
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