Get 6cit Printable Form

The 6 Item Cognitive Impairment Test (6CIT) is a valuable tool for dementia screening in primary care settings. This guide provides comprehensive instructions for filling out the 6CIT Printable Form online, ensuring that users can complete the assessment effectively.

Follow the steps to successfully complete the 6CIT Printable Form online.

1. Click the ‘Get Form’ button to access the 6CIT Printable Form and open it in your preferred editing tool.
2. Begin with the first question: 'What year is it?' Enter the correct year. A correct answer scores 0 points, while an incorrect answer scores 4 points.
3. Proceed to question two: 'What month is it?' Again, provide the correct month. Correct answers score 0 points, while incorrect answers score 3 points.
4. For question three, provide an address phrase consisting of five components, for example, 'John, Smith, 42, High St, Bedford.'
5. Next, answer question four: 'About what time is it (within 1 hour)?' A correct answer scores 0 points, and an incorrect answer scores 3 points.
6. For question five, count backwards from 20 to 1. Errors will affect your score: no errors score 0 points, one error scores 2 points, and more than one error scores 4 points.
7. Lastly, for question six, recite the months of the year in reverse. Similar to question five, scoring is based on the number of errors.
8. Finally, repeat the address phrase from question three. Scoring here is based on the number of errors in the repetition.
9. After completing all questions, calculate the total score. Enter your total score out of 28 in the designated field.
10. Once you have filled out the form completely, remember to save your changes. You can also download, print, or share the form as needed.

Start completing your 6CIT Printable Form online today to support dementia screening efforts.