Understand how deficits cognitive functions may be impacting the client by testing cognitive domains in different attention concentration, executive functions, planning, abstract thinking, short term and long term memory, verbal fluency, language, visuoconstructional skills, conceptual thinking, calculations, and orientation.

This assessment can be used as a screening tool for Mild Cognitive Impairment.

One point is given for every section that is answered correctly from the prompts and criteria. No points if the criteria is not met. The instructions and testing sheet show the amount of points allotted for each section.

A repetition of instructions are alowed once.

1. Alternating Trail Making 1 points for correct sequencing

2. Visuocontructional skills (cube) 1 point for copying a cube must be as accurate as possible with correct orientation.

3. Visuocontructional skills (clock) 1 point for contour (circle or square), 1 point numbers (with good spacing, all correct numbers, 1 point for hands with the correct size of minute and hour hand and showing 11:10.

4. Naming - 1 point for each animal identified correctly. Version 8.1 English has a lion, rhino, and camel. Some versions have different animals for cultural differences (i.e. MoCA-Philippines has an owl instead of a rhino).

5. Memory - Memorize and repeat a list of 5 words. No points because it will be recalled later

6. Attention - 

   1. Forward digit span - 1 point for repeating 5 numbers in forward order, 

   2. Backward Digit Span - 1 point for repeating 3 numbers in backwards order, 

   3. Vigilance - 1 point for less than 2 errors when tapping hand when hearing the letter "A" in a sequence of letters, 

   4. Serial 7s - subtract 7 from 100 continuously up to 65 - 1 point for 1 correct, 2 points for 2-3 correct, 3 points for 4-5 correct

7. Sentence repitition - repeat 2 sentences exactly as the test administrator says - 1 point for each sentence exactly repeated with no substitutions, omissions, and grammar errors

8. Verbal fluency - name as many words as you can that start with "F" in 1 minute - 1 point for 11 words or more that are not different verb forms of a word, proper nouns, or numbers

9. Abstraction - name how 2 words have in common - 1 point for each pair of words categorized correctly

10. Delayed recall - recall the 5 words previously said during the Memory section. 1 point for each recalled without a cue. This section has the MIS that uses the no cue section x 3, category section x 2, and the multiple choice cue as 1 point for a total of 15 points as a subtest.

11. Orientation - Say the correct date, year, month, place and city they are in. 1 point each said correctly.

Add up the scores up to 30 points total.

Normal Cognition 26-30

Mild Cognitive impairment 18-25

Moderate Cognitive impairment 10-17

Severe Cognitive impairment 0-9