Scoring is based on the delayed recall trial. Scoring: No points are given for Trials One and Two.

At the end of the second trial, inform the subject that (s)he will be asked to recall these words again by saying, I will ask you to recall those words again at the end of the test. Put a check in the allocated space for each word the subject recalls after the second trial. Try to remember and tell me as many words as you can, including words you said the first time. When the subject indicates that (s)he has finished (has recalled all words), or can recall no more words, read the list a second time with the following instructions: I am going to read the same list for a second time. Mark a check in the allocated space for each word the subject produces on this first trial. It doesn t matter in what order you say them. When I am through, tell me as many words as you can remember.

I am going to read a list of words that you will have to remember now and later on. Memory: Administration: The examiner reads a list of 5 words at a rate of one per second, giving the following instructions: This is a memory test. Scoring: One point each is given for the following responses: (1) giraffe (2) bear (or specific varieties of bears) (3) hippopotamus (or hippo). Naming: Administration: Beginning on the left, point to each figure and say: Tell me the name of this animal. A point is not assigned for a given element if any of the above-criteria are not met. Scoring: One point is allocated for each of the following three criteria: Contour (1 pt.): the clock face must be a circle with only minor distortion acceptable (e.g., slight imperfection on closing the circle) Numbers (1 pt.): all clock numbers must be present with no additional numbers numbers must be in the correct order and placed in the approximate quadrants on the clock face Roman numerals are acceptable numbers can be placed outside the circle contour Hands (1 pt.): there must be two hands jointly indicating the correct time the hour hand must be clearly shorter than the minute hand hands must be centred within the clock face with their junction close to the clock centre. Put in all the numbers and set the time to 5 past 4. Visuoconstructional Skills (Clock): Administration: Indicate the right third of the space and give the following instructions: Draw a clock. A point is not assigned if any of the above-criteria are not met. The object must be clearly rectangular (i.e., the shorter vertical sides cannot be more than ¾ of the length of the longer horizontal lines. Drawing must be three-dimensional All lines are drawn No line is added The horizontal lines are relatively parallel. Scoring: One point is allocated for a correctly executed drawing.

Any error that is not immediately self-corrected earns a score of Visuoconstructional Skills (Rectangle): Administration: The examiner gives the following instructions, pointing to the rectangle: Copy this drawing as accurately as you can, in the space below. ' Scoring: Allocate one point if the subject successfully draws the following pattern: 1 A- 2- B- 3- C- 4- D- 5- E, without drawing any lines that cross. Begin here and draw a line from 1 then to A then to 2 and so on. Alternating Trail Making: Administration: The examiner instructs the subject: 'Please draw a line, going from a number to a letter in ascending order. The total possible score is 30 points a score of 26 or above is considered normal. Time to administer the MoCA is approximately 10 minutes. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. 1 Montreal Cognitive Assessment (MoCA) Version 2 Administration and Scoring Instructions The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction.

Moca instructions