Assessment Tool: Montreal Cognitive Assessment (MoCA)

Administer the full MoCA using the official paper form (available at mocatest.org). Enter domain scores below to calculate the total. Add 1 point if the patient has 12 or fewer years of formal education (total maximum remains 30).

Montreal Cognitive Assessment (MoCA)

A 30-point rapid cognitive screen covering seven domains. Developed by Nasreddine et al. (2005). Add 1 point if the patient has ≤ 12 years of formal education (maximum total remains 30). This tool is for educational use; clinical administration requires the official MoCA form available at mocatest.org.

Score interpretation

26–30

Normal

18–25

Mild impairment

10–17

Moderate impairment

0–9

Severe impairment

Visuospatial / Executive (0–5)

Trail Making B (1), Cube copy (1), Clock drawing – contour (1), numbers (1), hands (1)

Score: / 5

Naming (0–3)

Name three pictured animals: lion (1), rhinoceros (1), camel (1)

Score: / 3

Attention (0–6)

Digit span forward (1), backward (1), vigilance / tap test (1), serial 7s – 3 correct (3), 1–2 correct (2), or WORLD backward

Score: / 6

Language (0–3)

Repeat two sentences (2), generate ≥ 11 words beginning with F in 1 min (1)

Score: / 3

Abstraction (0–2)

Verbal similarity pairs: train/bicycle (1), watch/ruler (1)

Score: / 2

Delayed Recall (0–5)

Free recall of 5 words after ~5-minute delay (1 pt each)

Score: / 5

Orientation (0–6)

Date (1), month (1), year (1), day (1), place (1), city (1)

Score: / 6

Education Adjustment

Add 1 point if patient has 12 or fewer years of formal education.

≤ 12 years of education (+1 point)