BCAT Test Enlarged Images

1 Name: _____DOB: _____Gender: Female / MaleEducation: _____Examiner: _____ORIENTATION Year Month Day/Week State City SituationToday s Date: _____ Total Score: _____ Cut Score: 37/38 (dementia < 37; non-dementia > 38)IMMEDIATE VERBAL RECALL BANANA JUSTICE SARA BRIDGE(Instructions: Score Only 1st Trial) 1st Trial 2nd Trial VISUAL RECOGNITION/NAMINGATTENTIONL etter List: (Instructions: Read Letters, Instructing Patient to Tap with Hand at Each Letter C.)

2 No Errors=1 Point, Error=0 Points) C F B T O L C C Q A Z C B R B Q W D C S B L R B C B Z X C BMental Control: (Instructions: Count Backward from 20-1) (Instructions: Recite Days of the Week Backward from Sunday)Digits: FORWARD 25974 517896 BACKWARD 627 4189 LANGUAGE Repeat: (Instructions: No Errors=1 Point, Error=0 Points) Michael married Marie s mother. Fluency: (Instructions: Girl Names/60 Seconds; X > 15 = 2 points, X = 8-14 = 1 point, X < 7 = 0 points) ABSTRACTION(Instructions: Find the Similarities) Apple - Orange Train - Boat Book - Newspaper POINTS_____ / 6_____ / 4_____ / 3_____ / 1_____ / 1_____ / 1_____ / 2_____ / 2_____ / 3_____ / 1_____ / 2 All Rights Reserved | William Mansbach, | Test Enlarged ImagesName: _____DOB: _____Gender: Female / MaleEducation: _____Examiner: _____ORIENTATION Year Month Day/Week State City SituationToday s Date: _____ Total Score: _____ Cut Score: 37/38 (dementia < 37.

3 Non-dementia > 38)IMMEDIATE VERBAL RECALL BANANA JUSTICE SARA BRIDGE(Instructions: Score Only 1st Trial) 1st Trial 2nd Trial VISUAL RECOGNITION/NAMINGATTENTIONL etter List: (Instructions: Read Letters, Instructing Patient to Tap with Hand at Each Letter C; No Errors=1 Point, Error=0 Points) C F B T O L C C Q A Z C B R B Q W D C S B L R B C B Z X C BMental Control: (Instructions: Count Backward from 20-1) (Instructions: Recite Days of the Week Backward from Sunday)Digits: FORWARD 25974 517896 BACKWARD 627 4189 LANGUAGE Repeat: (Instructions: No Errors=1 Point, Error=0 Points) Michael married Marie s mother.

4 Fluency: (Instructions: Girl Names/60 Seconds; X > 15 = 2 points, X = 8-14 = 1 point, X < 7 = 0 points) ABSTRACTION(Instructions: Find the Similarities) Apple - Orange Train - Boat Book - Newspaper POINTS_____ / 6_____ / 4_____ / 3_____ / 1_____ / 1_____ / 1_____ / 2_____ / 2_____ / 3_____ / 1_____ / 2 All Rights Reserved | William Mansbach, | Test Enlarged ImagesEdit the File NameYou can change the name of the le to match your patient s name by clicking the arrow on the right side of the screen on the same row where your le is Select Rename File 2. Erase the existing name3. Type your preferred le nameEmail the File1. You will repeat step #7 in the printing step above2.

5 Click the arrow on the right side of the screen on the same row as the le you want to Select Send File 4. Edit the To line by typing your receiver s email address5. Change your email sending address by clicking on the From line and selecting the correct email address6. Edit the subject line as necessary7. Edit the content of the email as necessary8. Click send 9. You will receive a con rmation of the sent mail All Rights Reserved | William Mansbach, |