MMSE Scoring Guide
Mini-Mental State Examination scoring aid and interpretation. Score each cognitive domain, get real-time total with severity classification and clinical interpretation.
Copyright Notice
The MMSE is copyrighted by Psychological Assessment Resources (PAR) Inc. This tool is a scoring aid for clinicians who are already administering the MMSE. It does not reproduce the official test form. For the official form, visit www.parinc.com.
How to Use This Scoring Aid
Administer the MMSE using the official form. For each domain below, select the patient's score using the buttons (0 to max). The total score, severity classification, and domain breakdown update in real time. Maximum score = 30.
Orientation to Time
OrientationAsk the patient: What is the year? Season? Month? Date? Day of the week? Score 1 for each correct answer.
Orientation to Place
OrientationAsk the patient: What country are we in? State/province? City/town? Hospital/building? Floor/ward? Score 1 for each.
Registration
RegistrationName 3 objects (e.g., ball, car, man). Ask the patient to repeat all 3. Score 1 for each correctly repeated on first attempt. Tell them to remember these words.
Attention & Calculation
AttentionSerial 7s: subtract 7 from 100 and keep subtracting (93, 86, 79, 72, 65). Score 1 for each correct subtraction. Alternatively, spell WORLD backwards (D-L-R-O-W).
Recall
RecallAsk for the 3 objects from Registration. Score 1 for each correctly recalled. Do not give clues.
Language — Naming
LanguageShow a pencil and a watch. Ask: What is this? Score 1 for each correctly named.
Language — Repetition
LanguageAsk the patient to repeat: “No ifs, ands, or buts.” Score 1 if exactly correct on first attempt. No partial credit.
Language — 3-Stage Command
LanguageGive the patient a sheet of paper and say: “Take this paper in your right hand, fold it in half, and put it on the floor.” Score 1 for each step performed correctly.
Language — Reading
LanguageShow written instruction: “Close your eyes.” Patient must read it and perform the action. Score 1 if they close their eyes.
Language — Writing
LanguageAsk the patient to write a complete sentence. It must have a subject and a verb, and make sense. Spelling and grammar errors are acceptable.
Visuospatial — Copying
VisuospatialAsk the patient to copy two intersecting pentagons. Each must have 5 sides, and the intersection must form a 4-sided figure. Tremor and rotation are acceptable.
Based on Folstein MF et al. J Psychiatr Res 1975. Scoring aid only — MMSE is copyrighted by PAR Inc. Enhanced by Dr Sumit Mandal.