SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE (SPMSQ)

SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE (SPMSQ)

Purpose: Assessment of organic brain deficit in the elderly clients.

Remember: This is a general mental status questionnaire and has questions that can tend to have an educational, cultural, and age bias.

Ask questions 1-10 in this list and record all answers.

1. What is the date today?
2. What day of the week is it?
3. What is the name of this place?
4. What is your telephone number? (if they have a phone)
5. What is your street address?
6. How old are you?
7. When were you born?
8. Who is the President of the U.S. now?
9. What was your mother’s maiden name?
10. Subtract 3 from 20 and keep subtracting 3 from each new number, all the way down.

Total number of errors = _________

Scoring:

• 0 - 2 Errors   intact Intellectual Functioning
  
• 3 - 4 Errors   Mild Intellectual Impairment
  
• 5 - 7 Errors   Moderate Intellectual Impairment
  
• 8 - 10 Errors   Severe Intellectual Impairment
  

Allow one more error if subject has had only a grade school education.

Allow one less error if subject has had education beyond high school.

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