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Cognitive Screening Score Calculator

Mini-Cog screening with clock drawing, word recall, and estimated MMSE equivalent for cognitive impairment detection.

About this calculator

The Mini-Cog is a brief, validated dementia screening tool that combines two tasks: recalling three unrelated words after a short delay (0-3 points) and drawing a clock face from memory (scored 0 for an abnormal clock, 2 for a normal one). The two scores sum to a 0-5 total, and published Mini-Cog research treats a total of 2 or lower as a positive screen warranting further evaluation, while 3 or higher screens negative -- Borson's original validation reports roughly 76% sensitivity and 89% specificity for dementia at that cutoff. This calculator reproduces that Mini-Cog total and screen, then adds an expanded set of MMSE-style domain scores -- orientation, attention/calculation, language, and registration -- that feed a rough, internally built estimate of a full 30-point MMSE score, not a validated MMSE-to-Mini-Cog conversion table.

The MMSE estimate is bucketed into the commonly used severity bands (24-30 normal, 19-23 mild, 10-18 moderate, 0-9 severe) and can trigger a "recommend full assessment" flag even when the Mini-Cog itself screens negative, since a low estimated MMSE from the added domain scores overrides a passing Mini-Cog result. The dementia-probability and functional-cognitive-age outputs are this calculator's own illustrative estimates -- built from the Mini-Cog result adjusted for age and years of education -- rather than outputs of a validated diagnostic algorithm, and none of these numbers substitute for a full neuropsychological evaluation, which is what a positive screen or a recommended-assessment flag should prompt.

Inputs

years
years

Results

Mini-Cog score (0-5)

5

Positive screen (0/1)0
Estimated MMSE (0-30)30
Severity (0-3)0
Dementia probability6%
Recommend full assessment0
Functional cognitive age75

Figures current as of 2000. Source: Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A. The Mini-Cog: a cognitive "vital signs" measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry. 2000;15(11):1021-1027.

How to Use This Calculator
  1. Enter the 3-word recall score and select the clock drawing result (abnormal or normal) to compute the Mini-Cog total and screen.
  2. Enter the expanded orientation, attention/calculation, language, and registration scores, along with age and years of education.
  3. Review the Mini-Cog total against its validated cutoff — 2 or lower is a positive screen.
  4. Check the estimated MMSE and severity band, which can flag a full assessment even when the Mini-Cog itself screens negative.
  5. Use the result to guide referral for full neuropsychological evaluation, not as a standalone diagnosis.

What each input means

Word recall (0-3)
Number of words correctly recalled from a 3-word list after a delay.
Clock Drawing
All numbers present and hands pointing to correct time.
Orientation score (0-10)
Time orientation (5) + place orientation (5). Knowing date, day, month, season, year, floor, city, state, country, hospital.
Attention/calculation (0-5)
Serial 7s (count back from 100 by 7) or spell WORLD backwards. Score 0-5.
Language (0-3)
Naming (2 items) + repetition (1 item). Score 0-3.
Registration (0-3)
Immediate word registration — number of words repeated correctly on first trial.
Age
Patient age. Dementia prevalence increases with age.
Years of education
Total years of formal education. Lower education may affect test performance.

What each result means

Mini-Cog score (0-5)
Total Mini-Cog: <= 2 = positive screen for cognitive impairment, >= 3 = negative screen.
Positive screen (0/1)
1 = screen positive (impairment likely), 0 = screen negative.
Estimated MMSE (0-30)
Approximate MMSE equivalent: 24-30 normal, 19-23 mild, 10-18 moderate, 0-9 severe.
Severity (0-3)
0 = Normal, 1 = Mild impairment, 2 = Moderate, 3 = Severe.
Dementia probability
Estimated probability of dementia given Mini-Cog results, age, and education.
Recommend full assessment
1 = Full neuropsychological assessment recommended, 0 = routine monitoring sufficient.
Functional cognitive age
Estimated functional cognitive age based on screening results.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Word recall (0-3) = 3, Clock Drawing = 2, Orientation score (0-10) = 10, Attention/calculation (0-5) = 5 = 8 input(s) provided
  2. Calculate Mini-Cog score
    Mini-Cog score
    5 = 5
  3. Calculate Positive screen
    Positive screen
    0 = 0
  4. Calculate Estimated MMSE
    Estimated MMSE
    30 = 30

Figures and sources

Engine last updated . Checked against 3 independently-derived tests — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.

Frequently Asked Questions

Why is the Mini-Cog total unaffected by the orientation, language, and registration scores?

The Mini-Cog is deliberately a two-task, 5-point tool -- three-word recall plus clock drawing -- and its total and positive/negative screen come only from those two components. This calculator's added orientation, attention/calculation, language, and registration scores feed the separate estimated-MMSE figure below the Mini-Cog result; they never change the Mini-Cog score itself.

Can the full-assessment recommendation trigger even with a negative Mini-Cog screen?

Yes -- it fires whenever the Mini-Cog is positive (total of 2 or lower) OR the estimated MMSE falls below 24, and those two conditions are not always aligned. A patient can score 3 or higher on the Mini-Cog itself (a negative screen) while still landing under 24 on the estimated MMSE once the added domain scores are folded in, which is enough on its own to recommend full assessment.

How do age and education level affect the dementia-probability estimate?

Age multiplies the base probability derived from the Mini-Cog result by 1.1 starting at age 75 and by 1.3 starting at age 85, reflecting that dementia prevalence rises with age in the population even at a given screening result. Education works differently: fewer than 8 years discounts the estimate by a factor of 0.9, and more than 16 years nudges it up by a factor of 1.1, because brief screens like the Mini-Cog have a higher false-positive rate in patients with less formal education -- unfamiliar word-recall and clock-drawing tasks are harder to pass regardless of true cognitive status, so a positive screen there is less trustworthy on its own, while a positive screen in a highly educated patient is a comparatively stronger signal. Both are coarse illustrative adjustments, not a validated risk model, so treat the resulting percentage as directional rather than diagnostic.

Is the estimated MMSE the same as administering the actual Mini-Mental State Examination?

No. The estimate starts from a rough lookup table keyed to the 0-5 Mini-Cog total, then adjusts up to plus-or-minus 3 points based on the added domain scores -- it is this calculator's own approximation, not a validated Mini-Cog-to-MMSE conversion, since no such official crosswalk exists. Only administering the actual 30-point MMSE produces a real MMSE score.

What does the functional cognitive age output represent?

It adds 1.5 years to the patient's actual age for every point the estimated MMSE falls below a perfect 30, so a lower cognitive-test performance produces a higher functional cognitive age than the patient's chronological age. It is an illustrative communication tool for framing results, not a validated cognitive-aging metric used in clinical practice.

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