Folstein Mini Mental Status Examination

The Mini Mental Status Exam is a quick way to evaluate cognitive function. It is often used to screen for dementia or monitor its progression.

Task Instructions Scoring Maximum
Date Orientation "Tell me the date." Ask for omitted items. One point each for year, season, date, day of week, and month 5
Place Orientation "Where are you?" Ask for omitted items. One point each for state, county, town, building, and floor or room 5
Register 3 Objects Name three objects slowly and clearly. Ask the patient to repeat them. One point for each item correctly repeated 3
Serial Sevens Ask the patient to count backward from 100 by 7. Stop after five answers. (Or ask the patient to spell "world" backward.) One point for each correct answer (or letter) 5
Recall 3 Objects Ask the patient to recall the objects mentioned above. One point for each item correctly remembered 3
Naming Point to your watch and ask the patient, "What is this?" Repeat with a pencil. One point for each correct answer 2
Repeating a Phrase Ask the patient to say "no ifs, ands, or buts." One point if successful on first try 1
Verbal Commands Give the patient a plain piece of paper and say, "Take this paper in your right hand, fold it in half, and put it on the floor." One point for each correct action 3
Written Commands Show the patient a piece of paper with "CLOSE YOUR EYES" printed on it. One point if the patient's eyes close 1
Writing Ask the patient to write a sentence. One point if sentence has a subject and verb and makes sense 1
Drawing Ask the patient to copy a pair of intersecting pentagons onto a piece of paper. One point if the figure has ten corners and two intersecting lines 1

Scoring: A score of 24 or above is considered normal. The maximum score is 30.

Adapted from Folstein, M.F.; Folstein, S.E.; McHugh, P.R. "Mini-mental state." A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 1975, 12(3):189-198.