Bilingual Aphasia Screening Test Template Page 6
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15POINTING
•••
T o administer this section, the following items must be placed on a table in front of the
patient so that he/she is able to touch each individual item. Materials should be arranged in
the following order from left to right: button, glove, ring, glass, matches.
•••
B egin reading aloud here.
30
Please
t ouch
t he
r ing.
+
–
0
31
Please
t ouch
t he
b utton.
+
–
0
32
Please
t ouch
t he
m atches.
+
–
0
33
Please
t ouch
t he
g love.
+
–
0
34
Please
t ouch
t he
g lass.
+
–
0
SIMPLE
A ND
S EMI-‐COMPLEX
C OMMANDS
•••
R ead the following commands to the patient and record his/her response. Scoring criteria
for “+”, “ –“ and “0” are the same as for “POINTING”. Materials on the table: ring, glass,
pencil, fork.
•••
B egin reading aloud here.
I’m
g oing
t o
a sk
y ou
t o
d o
a
f ew
t hings
f or
m e.
A re
y ou
r eady?
35
Open
y our
m outh.
+
–
0
36
Raise
y our
h and.
+
–
0
37
Stick
o ut
y our
t ongue.
+
–
0
38
Put
t he
g lass
n ext
t o
t he
p encil.
+
–
0
39
Put
t he
p encil
i n
f ront
o f
t he
r ing.
+
–
0
40
Put
t he
f ork
i n
t he
g lass.
+
–
0
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