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Short Portable Mental Status Questionnaire (SPMSQ) Cheat Sheet (DRAFT) by [deleted]

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Basic Inform­ation and Education

SEX: Male Female RACE: White Black Other
EDUCATION: Grade School High School Beyond High School


Ask questions 1 to 10 on this list and record all answers. (Ask question 4a only if the subject does not have a teleph­one.) All responses must be given without reference to calendar, newspaper, birth certif­icate, or other aid to memory. Record the total number of errors based on the answers to the 10 questions.
Source: Pfeiffer E. A short portable mental status questi­onnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr
Soc. 1975;2­3(1­0):­433-41.

Questions and Instru­ctions

1. What is the date today?
Correct only when the month, date, and year are all correct.
2. What day of the week is it?
Correct only when the day is correct.
3. What is the name of this place?
Correct if any of the descri­ption of the location is given. “My home,” the correct city/town, or the correct name of the hospit­al/­ins­tit­ution are all accept­able.
4. What is your telephone number?
Correct when the number can be verified or the subject can repeat the same number at a later time in the interview.
4a. What is your street address?
Ask only if the subject does not have a telephone.
5. How old are you?
Correct when the stated age corres­ponds to the date of birth.
6. When were you born?
Correct only when the month, date, and year are correct.
7. Who is the president of the United States now?
Requires only the correct last name.
8. Who was president just before him?
Requires only the correct last name.
9. What was your mother’s maiden name?
Needs no verifi­cation; it only requires a female first name plus a last name other than the subject’s.
10. Subtract 3 from 20 and keep subtra­cting 3 from each new number, all the way down.
The entire series must be performed correctly to be scored as correct. Any error in the series—or an unwill­ingness to attempt the series—is scored as incorrect.
Total boxes checked (wrong answers)
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 for a subject with only a grade school education. Allow one less error for a subject with education beyond high school. Allow one more error for Africa­n-A­merican subjects, using identical educat­ional criteria.)