POINTS
TOTAL
M E M O R Y
N A M I N G
VISUOSPATIAL / EXECUTIVE
ATTENTION
LANGUAGE
ABSTRACTION
DELAYED RECALL
ORIENTATION
Read list of words, subject must repeat them. Do 2 trials, even if 1st trial is successful.
Do a recall after 5 minutes.
Subject has to repeat them in the forward order
[ ] 2 1 8 5 4
Subject has to repeat them in the backward order
[ ] 7 4 2
Read list of letters. The subject must tap with his hand at each letter A. No points if ≥ 2 errors
[ ]
F B A C M N A A J K L B A FA K D E A A A J A M O FA A B
Serial 7 subtraction starting at 100
[ ] 93
[ ] 86
[ ] 79
[ ] 72
[ ] 65
Repeat : I only know that John is the one to help today. [ ] The cat always hid under the couch when dogs were in the room. [ ]
Similarity between e.g. banana - orange = fruit [ ] train – bicycle [ ] watch - ruler
Draw CLOCK (Ten past eleven) Copy cube
__/5
__/3
No points 1st trial
2nd trial
FACE
VELVET
CHURCH
DAISY RED
__/5
__/2
__/1
__/3
__/2
Fluency / Name maximum number of words in one minute that begin with the letter F
[ ] _____ (N ≥ 11 words)
__/1
__/2
__/6
__/30
B
Begin
End 5
E
1
A
2
4 3
C
D
Read list of digits (1 digit/ sec.).
NAME : Education : Sex : Date of birth :
DATE :
© Z.Nasreddine MD Version 7.1 www.mocatest.org Normal ≥ 26 / 30
Add 1 point if ≤ 12 yr edu
MONTREAL COGNITIVE ASSESSMENT (MOCA)
[ ] Date [ ] Month [ ] Year [ ] Day [ ] Place [ ] City
[ ] Contour
[ ]
[ ]
[ ] Numbers
[ ] Hands
[ ]
[ ]
[ ]
4 or 5 correct subtractions: 3 pts , 2 or 3 correct: 2 pts , 1 correct: 1 pt , 0 correct: 0 pt
( 3 points )
Category cue
Points for
UNCUED recall only
WITH NO CUE
Optional
Has to recall words
Multiple choice cue
FACE
VELVET
CHURCH
DAISY RED
[ ]
[ ]
[ ]
[ ]
[ ]
Administered by: ___________________________________________________
