Quick Screen*

Please note that this test is an informal informational tool only.

It is not intended to replace a neurological examination.

If you are using this test we strongly recommend a visit with an MD or Neurologist for further evaluation.

Validated brief test*

Questions (6 point test)

Remember 3 objects: Apple, Table, Penn

What year is this? (1 point)

What month is this? (1 point)

What is the day of the week? (1 point)

What were the 3 objects? (1 point each)

Interpretation No errors:
Cognitive Impairment unlikely

Three or more errors:
High likelihood of Dementia related diseases.

*If you have any question regarding mental impairment we recommend seeing a physician immediately.

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