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The Mini-Mental Status Examination is a valuable tool for assessing cognitive function and identifying cognitive loss. This guide will help you complete the examination accurately and efficiently online.

Follow the steps to complete the examination.

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Begin by filling in the participant's name, date of birth (DOB), years of schooling, and the date of the examination in the provided fields.
3. Proceed to the orientation to time section. Ask the individual the questions regarding today's date, month, year, day of the week, and the current season, then record the totals in the respective field.
4. Move to the orientation to place section. Ask the individual the questions about whose home it is, what room it is, the current city, county, and state, and fill in the total responses.
5. For immediate recall, read the words 'ball', 'flag', and 'tree' slowly, allowing the individual to repeat them, then document the score based on their recall.
6. In the attention section, instruct the individual to count backward from 100 by 7 and record the correct subtractions. Also, ask them to spell 'WORLD' backward and tally the correct letters.
7. In the delayed verbal recall section, ask the individual to recall the same three words from before and record their responses.
8. For the naming section, show a wristwatch and a pencil, recording their identification responses.
9. In the repetition section, ask the individual to repeat 'No if, ands, or buts,' and document their response.
10. In the three-stage command section, give clear instructions for the individual to handle a piece of paper and record their actions.
11. Present the reading command by holding up a card that says 'Close your eyes.' Record if the individual follows the instruction.
12. Request the individual to write a sentence on the provided paper, ensuring it includes a subject and verb, and gauge the logical sense of the sentence.
13. Lastly, ask the individual to copy a design of two intersecting shapes, scoring based on accuracy.
14. Once all sections are completed, review the total scores, save your changes, download, print, or share the completed examination as needed.

Complete the Mini-Mental Status Examination online today for a thorough cognitive assessment.