Get Catherine Bergego Scale

The Catherine Bergego Scale is an essential tool for assessing spatial neglect in individuals. This guide provides a comprehensive and user-friendly approach to filling out the scale online, ensuring clarity and accuracy throughout the process.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and access it in your preferred editor.
2. Enter the date in the designated space (Date:______________). This should reflect the day you are completing the assessment.
3. Fill in the name of the examinee in the designated field (Name of Examinee:_________________________). This is the person being assessed for spatial neglect.
4. Record the time of assessment in the section labeled (Time:_________ am/pm). Providing the time can be useful for tracking and documentation.
5. Document the names of the examiner(s) in the appropriate section (Examiner(s):_______________________________). This identifies who conducted the assessment.
6. Evaluate each category related to spatial neglect by checking the appropriate box (0, 1, 2, 3, NA) for each item such as gaze orientation, limb awareness, auditory attention, and others listed. Ensure that you provide a reason in the space provided for any scores of 1 or higher.
7. Circle the neglected side identified during the assessment (left-sided spatial neglect or right-sided spatial neglect). This helps clarify the side of neglect.
8. Calculate the sum of assigned scores and enter it in the designated area (Sum of assigned scores: ________). This total score is essential for assessing neglect severity.
9. Determine the neglect severity and circle the appropriate option (Absent (0); Mild (1-10); Moderate (11-20); Severe (21-30)). This final classification is critical for understanding the extent of neglect.
10. Add any additional notes in the space provided at the bottom of the form. This can include observations or considerations that may aid in understanding the assessment results.
11. Once completed, save your changes to the document. You may also download, print, or share the form as necessary for further evaluation or record-keeping.

Start completing your forms online today for streamlined document management.