MOCA-Test-English.pdf PDF Subject has to repeat them

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MOCA-Test-English.pdf

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

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MOCA-Test-English.pdf

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

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English Placement Test C1/C2. Part I Rewrite each sentence beginning as shown

POINTS

TOTAL

MEMORY

NAMING

VISUOSPATIAL / EXECUTIVE

ATTENTION

LANGUAGE

ABSTRACTION

DELAYED RECALL

ORIENTATION

Read list of words, subject

must repeat them. Do 2 trials.

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

[ ] FBACMNAAJKLBAFAKDEAAAJAMOFAAB 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

FACEVELVETCHURCH 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

BeginEnd

5 E 1 A 2 4 3C D

Read list of digits (1 digit/ sec.).

NAME :

Education :

Sex :Date of birth :

DATE :

www.mocatest.org

Normal ≥ 26 / 30

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 cuePoints for

UNCUED

recall onlyWITH NO CUE

Optional

Has to recall words

Multiple choice cueFACEVELVETCHURCH DAISYRED

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[PDF] MOCA-Test-English.pdf Subject has to repeat them