Table of Contents
🔢 MMSE Calculator
Mini-Mental State Examination (MMSE)
1. Orientation (10 points)
What year is it?
What season are we in right now?
What is today’s date?
What day of the week is it?
What month is it?
What state or province are we in?
What country are we in?
What city or town are we in?
What is the name of this place (hospital/clinic/home)?
On which floor of the building are we?
2. Registration (3 points)
Name three unrelated objects clearly and slowly. Ask the patient to repeat them.
Repeats first object correctly
Repeats second object correctly
Repeats third object correctly
Repeat them until all 3 are learned. Count trials and record below:
Trials: ________
3. Attention and Calculation (5 points)
Ask the patient to subtract 7 from 100, and continue subtracting by 7 for five steps.
First subtraction correct (100 – 7)
Second subtraction correct
Third subtraction correct
Fourth subtraction correct
Fifth subtraction correct
Alternative: Ask the patient to spell “WORLD” backwards.
4. Recall (3 points)
Ask the patient to recall the 3 objects mentioned in the Registration section.
Recalls first object
Recalls second object
Recalls third object
5. Language (9 points)
Names pencil
Names watch
Repeats phrase: “No ifs, ands, or buts”
Takes paper in right hand
Folds paper in half
Puts paper on the floor
Obeys written command: “Close your eyes”
Writes a sentence (must contain a subject and verb)
Copies a design (e.g., intersecting pentagons)
Total Score: 0/30
- Example of intersecting pentagons
- You can draw any shape and in any order
- The focus is on the accurate reproduction and not the precise size or overlap
🧠 MMSE Score Interpretation
| MMSE Score | Cognitive Status | Interpretation |
|---|---|---|
| 25–30 | Normal cognition | May be normal but still monitor if functional decline is reported |
| 21–24 | Mild cognitive impairment | May suggest early dementia; further evaluation needed |
| 10–20 | Moderate cognitive impairment | Likely dementia; significant assistance often required |
| <10 | Severe cognitive impairment | Advanced dementia; dependent on others for daily care |
✅ Additional Notes
- Maximum score = 30
- Commonly used for screening and tracking progression of conditions like:
- Alzheimer’s disease
- Other forms of dementia
- Delirium (when repeated frequently)
⚠️ Limitations
- Influenced by age, education, language, and cultural background
- Not diagnostic on its own; must be combined with history, imaging, and other assessments