英文版MoCA-Instructions-English

Montreal Cognitive Assessment

(MoCA)

Administration and Scoring Instructions

The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive

dysfunction. It assesses different cognitive domains: attention and concentration, executive functions,

memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Time to

administer the MoCA is approximately 10 minutes. The total possible score is 30 points; a score of 26 or

above is considered normal.

1. Alternating Trail Making:

Administration: The examiner instructs the subject: "Please draw a line, going from a

number to a letter in ascending order. Begin here [point to (1)] and draw a line from 1 then to A

then to 2 and so on. End here [point to (E)]."

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. Any error that is not immediately

self-corrected earns a score of 0.

2. Visuoconstructional Skills (Cube):

Administration: The examiner gives the following instructions, pointing to the cube: “Copy

this drawing as accurately as you can, in the space below”.

Scoring: One point is allocated for a correctly executed drawing.

• Drawing must be three-dimensional

• All lines are drawn

• No line is added

• Lines are relatively parallel and their length is similar (rectangular prisms are

accepted)

A point is not assigned if any of the above-criteria are not met.

3. Visuoconstructional Skills (Clock):

Administration:

Indicate the right third of the space and give the following instructions:

“Draw a clock. Put in all the numbers and set the time to 10 after 11”.

Scoring: One point is allocated for each of the following three criteria: