- Say 3 nouns, e.g.
rock, apple, shoe. Ask the person to repeat the words.
- Instruct the
person to draw a clock by first drawing a circle, then adding numbers,
and then setting the time to show 8:20. Instructions can be
repeated and, if necessary, the subject can be told to draw a larger
circle. There are no additional instructions, and no time limit is
imposed. (Borson, 1999)
- Then ask the
person to repeat the 3 words.
Either of the
following 2 conditions warrant referral to a physician for further
- The person can
only recall one word
- The person cannot
draw the clock correctly
(see sample clock drawings in appendix of
The MIni-Cog is a
tool for screening for dementia, and has been recommended for
use in inconjunction with the STEADI
Fall Risk Screening algorithm.
S, Scanlan JM, Chen P, Ganguli M. (2003). The Mini-Cog as a screen for dementia:
validation in a population-based sample. J Am Geriatr Soc.
S, Brush M, Gil E, Scanlan J, Vitaliano P, Chen J, Cashman J, Sta Maria
MM, Barnhart R, Roques J. (1999). The Clock Drawing Test:
utility for dementia detection in multiethnic elders. J Gerontol A
Biol Sci Med Sci. 54(11):M534-40.
J, Borson S. (2001). The Mini-Cog:
receiver operating characteristics with expert and na´ve raters.
Int J Geriatr Psychiatry. 16(2):216-22.
S, Scanlan J, Brush M, et al. (2000). The Mini-Cog: a cognitive "vitals
signs" measure for dementia screening in multi-lingual elderly. Int J
Geriatr Psychiatry. 15:1021–1027