TABLE A2.
MoCA index score calculation table
| RULES FOR SINGLE ITEM SCORING AND INDEX SCORE CALCULATIONS FOR THE MOCA 1 , 2 | |||||||
|---|---|---|---|---|---|---|---|
| MOCA INDEX DOMAINS | |||||||
| MOCA ITEMS in the order of testing/scoring | Points Toward Total Score | Memory 3 | Executive | Attention/Concentration | Language | Visuospatial | Orientation |
| Trail Making Task | 1 | – | 1 | – | – | – | |
| Cube Copy | 1 | – | – | – | – | 1 | – |
| Clock Circle | 1 | – | 1 | – | – | 1 | – |
| Clock Hands | 1 | – | 1 | – | – | 1 | – |
| Clock Time | 1 | – | 1 | – | – | 1 | – |
| Language: Naming 3 objects | 3 | – | – | – | 3 | 3 | – |
| Memory: Registration (2 learning trials, total possible = 10) 3 | 0 | – | – | Immediate recall 2 trials total/10 | – | – | – |
| Attention Digits | 2 | – | 2 | 2 | – | – | – |
| Attention Letter A | 1 | – | 1 | 1 | – | – | – |
| Att: serial 7′s | 3 | – | 3 | 3 | – | – | – |
| Lang: Repetition | 2 | – | – | 2 | 2 | – | – |
| Lang: Fluency | 1 | – | 1 | – | 1 | – | – |
| Abstraction | 2 | – | 2 | – | – | – | – |
| Delayed Recall with no cue 3 | 5 | =3X number words recalled free (max = 15) | – | – | – | – | – |
| Delayed Recall Category cue 3 | 0 | =2X number of words retrieved with category cue (max = 10) | – | – | – | – | – |
| Delayed Recall Recognition 3 | 0 | =1X number of words recognized (max 5) | – | – | – | – | – |
| Orient: Date | 1 | – | – | – | – | – | 1 |
| Orient: Month | 1 | – | – | – | – | – | 1 |
| Orient: Year | 1 | – | – | – | – | – | 1 |
| Orient: Day | 1 | – | – | – | – | – | 1 |
| Orient: Place (Name) | 1 | – | – | – | – | – | 1 |
| Orient: City | 1 | – | – | – | – | – | 1 |
| TOTALS | 30 | 15 | 13 | 18 | 6 | 7 | 6 |
© Ziad Nasreddine MD 2004. MoCA is a registered trademark property of Neurosearch Développements Inc. and is used under license. Form created as part of the National Alzheimer's Coordinating Center Uniform Data Set, copyright 2013 University of Washington.
Julayanont P, Brousseau M, CHertkow H, Phillips N, Nasreddine, ZS Montreal Cognitive Assessment Memory Index Score (MoCA‐MIS) as a predictor of conversion from mild cognitive impairment to Alzheimer's disease. Journal of the American Geriatrics Society 62: 679‐684, 2014.
The standard administration of the MoCA does not score category and recognition responses, even if administered. To maximize the yield from this test item, the following strategy was adopted: If all five words are freely recalled, cued and category recall are not administered and the total score would be 15 (3 points for each word recalled freely). After free recall, category cues are given only for items not recalled. Each word correct with category cue is awarded 2 points. After category cues, only words not correct are then tested with recognition. Award 1 point for each word correct on recognition (max = 5). The following is an example: individuals gets two items on free recall, two items on the three items cued, and recognizes the 5th item on multiple choice. Memory Index Score: (2 × 3)+ (2 × 2) + (1 × 1) = 11/15.