Standardized Mini Mental State Examination Form Page 2
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3Scoring WORLD backwards (scoring instructions for item #4)
Write the person’s response below the correct response.
Draw lines matching the same letters in the correct response and the response given.
These lines MUST NOT cross each other.
The person’s score is the maximum number of lines that can be drawn without crossing any.
Examples:
D
L
R
O
W
D
L
R
O
W
=
Score 5
=
Score 3
D
L
R
O
W
D
R
W
O
D
D
L
R
O
W
D
L
R
O
W
=
Score 3
=
Score 1
L
O
W
R
O
L
D
L
R
O
W
D
L
R
O
W
=
Score 3
=
L
R
R
W
O
Fold here and show instructions to person
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Page 2 SMMSE
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