Assessment Tool: Mini-Mental State Examination (MMSE)

Enter scores for each domain after administering the MMSE using the official PAR instrument. This page supports educational understanding of the scoring domains. For clinical use, the MMSE must be purchased from Psychological Assessment Resources (parinc.com).

Mini-Mental State Examination (MMSE)

A 30-point validated cognitive screening instrument covering six domains. Originally developed by Folstein, Folstein, and McHugh (1975). The MMSE is a proprietary instrument owned by Psychological Assessment Resources (PAR). This page is for educational purposes only; clinical use requires purchase of the official form from PAR (parinc.com).

⚠️ Proprietary notice: The MMSE is a copyrighted instrument. This educational tool is provided solely for learning the scoring domains. For clinical administration, use the official PAR instrument.

Score interpretation (general guidance)

24–30

No / minimal impairment

18–23

Mild impairment

10–17

Moderate impairment

0–9

Severe impairment

Orientation to Time (0–5)

Year (1), Season (1), Date (1), Day (1), Month (1)

Score: / 5

Orientation to Place (0–5)

State (1), County/country (1), Town/city (1), Hospital/facility (1), Floor (1)

Score: / 5

Registration (0–3)

Name 3 objects; ask patient to repeat them. Score 1 for each correct on first try.

Score: / 3

Attention and Calculation (0–5)

Serial 7s (subtract 7 from 100 five times): score 1 per correct subtraction. Alternatively, spell "WORLD" backward (D-L-R-O-W).

Score: / 5

Recall (0–3)

Ask patient to recall the 3 objects named in Registration. Score 1 per correct recall.

Score: / 3

Language – Naming (0–2)

Name a pencil (1) and a watch (1).

Score: / 2

Language – Repetition (0–1)

Repeat: "No ifs, ands, or buts." Score 1 for correct repetition.

Score: / 1

Language – 3-Stage Command (0–3)

"Take this paper in your right hand (1), fold it in half (1), and put it on the floor (1)."

Score: / 3

Language – Reading (0–1)

Show "CLOSE YOUR EYES" in large print. Score 1 if patient closes eyes.

Score: / 1

Language – Writing (0–1)

Ask patient to write a spontaneous sentence. Score 1 if it contains a subject, verb, and makes sense.

Score: / 1

Visuospatial – Copying (0–1)

Copy intersecting pentagons. Score 1 if all 10 angles are present and 2 must intersect.

Score: / 1