Mini Mental State Exam (MMSE)

Question 1

Categories (6)

Answer 1

Orientation
Registration 
Attention + calculation
Recall
Language 
Copying

Question 2

Orientation part 1 - out of 5

Answer 2

Year
Season 
Month
Date 
Time

Question 3

Orientation part 2 - out of 5

Answer 3

Country 
Town
District 
Hospital 
Ward/floor

Question 4

Registration - score out of 3

Answer 4

Examiner names 3 objects
Ask patient to repeat
1 point for each correct

Question 5

Attention and calculation - score 5

Answer 5

Subtract 7 from 100, then repeat from result

Continue 5 times

Question 6

Recall - score 3

Answer 6

Ask names of objects asked earlier

Question 7

Language pt 1 - score 2

Answer 7

Name 2 objects

Question 8

Language pt 2 - score 1

Answer 8

Repeat “no ifs, ands or buts”

Question 9

Language pt 3 - score 3

Answer 9

Give 3 stage command

1 pt for each stage

Question 10

Language pt 4 - score 1

Answer 10

Ask patient to read + obey written command on piece of paper e.g. lose your eyes

Question 11

Language pt 5 - score 1

Answer 11

Ask patient to write a sentence

1 pt if sensible and has subject and verb

Question 12

Copying - score 1

Answer 12

Ask to copy 2 intersecting pentagons

Question 13

MMSE score 24-30

Answer 13

No cognitive impairment

Question 14

MMSE score 18-23

Answer 14

Mild cognitive impairment

Question 15

MMSE score 0-17

Answer 15

Severe cognitive impairment