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Name ate of i Unit Introduce yours by name, state the purpase and key duration ofthe ase try 0 remember my name as Iwill ask you for it later” GC) Attention A-1 Orientation to time and place Test orientation by asking te fatlowing questions (@) “What ime if now? (nitin 2 hours of cueart me (b) “What day of che week ist woday?* (©) “What month ii" (@) “Where are you now?" (name ol host or cline) {@) “Whar suburlor city are we in?” ‘SCORING: 1 poin fr esc correct ave. Maximum score i 8 A-2 Digit span forward and reverse tes ees pepo cmnleas 3 you, ar Ira yo ro ay chem back to me.” Begin with 2 digits. Each digit to be spoken one second apart, and each sequence given ‘nly onte, Subject scores according to the anges tng of digs repeated eorcecty For reverse span, say Now I'm golag wo give you rome sore sumbers, aod want you to me backwards Use the same lst of numbers, starting with 2 digits 6-2 3-9-4 AA-Q-3 6-2-4-0-1 9-1-3-5-8-2 3-9-0-1-1-4-8 say them back, ‘scone: 0 1 2 a 4 pins Forward: Sores 4 5 6 7 digits Reverse; Zorless 4 4 6 or more digas Maximum score i 4 for Forward and fr Reverse A-3 Days of the week in reverse “Name the days of che week in reverse order, starting with the las day” ‘SCORING: 1 point foreach corect answer. Maximum scoreis 7, evn i sche shps one day av gives th reminder caret. Subject can stat ene Suny or Stuy a st day of week. ‘ow sum thé scores fora attention items to produce otal scare ot of 2, ‘Australian Council for Educational Research Sex Date of assessment NOTES: INTERVIEW SCHEDULE score ~=| rows | Forward 2 0-4 41-09 6-24-0-1 91-35-82 E901 1-88

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