| | points |
| orientation | |
| What is the (time) (date) (day) (month) (year)? | 5 |
| Where are we? (state)(city)(suburb)(hospital) | 5 |
| registration: | |
| Name 3 objects & ask the pt to repeat them until all 3 are learned. Record the no. of trials | 3 |
| attention & calculation: | |
| Ask the pt to subtract serial 7s for 5 times | 5 |
| recall: | |
| Ask the pt to recall the 3 objects named above | 3 |
| language: | |
| Naming: pencil and watch | 1 |
| Repetition: “No ifs, ands, or buts” | 1 |
| Three-stage command: “Take paper in your right hand, fold it in half & put it on the floor” | 3 |
| Reading: obey instruction given in writing “Close your eyes” | 1 |
| Writing: “Write a sentence” | 1 |
| Copying: construct a pair of intersecting pentagons & ask pt to copy them | 1 |