Memory and Coordination Assessment

Memory & Coordination Screening – Instructions

This assessment screens for cognitive changes, balance issues, and coordination difficulties.

It is useful for identifying early signs of neurological or cognitive impairment.

How to Take

  • Answer based on recent daily functioning.
  • Caregiver assistance is allowed if necessary.

Using the Result

  • Results support neurological evaluation.
  • Abnormal scores warrant specialist referral.
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1 Immediate Recall – Name 3 common objects (e.g., pen, cup, phone)
2 Delayed Recall – After 3–5 minutes, recall the same 3 objects
3 Orientation to Time – What is today’s date?
4 Orientation to Place – Where are you right now?
5 Short-Term Memory – Repeat a 5-digit number backward
6 Hand–Eye Coordination – Touch thumb to each finger sequentially
7 Fine Motor Skill – Pick up a small object (coin/paper)
8 Balance and Coordination – Stand on one foot for 10 seconds
9 Movement Imitation – Copy a simple hand movement
10 Attention and Focus – Follow a 2-step instruction
11 Touch your nose with your index finger
12 Touch each finger to your thumb
13 Pick up a small object
14 Stand on left foot for 10 seconds
15 Walk in a straight line
16 Copy a simple hand movement
17 Respond appropriately to a simple question
18 Maintain eye contact during interaction
19 Identify a common object shown
20 Maintain attention for 1 minute

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Address: 21 Road by 3rd Avenue, Festac, Lagos, Nigeria
Phone: +234 708 936 4492
Email: fdc@fulgentdigit.com.ng
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