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Self Administered Gerocognitive Examination - SAGE Form 2 How Well Are You Thinking Please complete this form in ink without the assistance of others. Name Date of Birth // How far did you get in school I am a Man Woman I am NZ European M ori P acific Islander Asian Other Have you had any problems with memory or thinking Yes Only Occasionally No Do you have balance problems Yes No If yes do you know the cause Yes specify reason No Have you ever had a major stroke Yes NoA minor or mini-stroke...
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People Also Ask about answers to sage test form 3

The Montreal Cognitive Assessment (MoCA) is a tool that helps healthcare professionals detect mild cognitive impairment and Alzheimer's disease in people. A 2021 study found that it is a better measure of cognitive function than the MMSE. It consists of 30 questions that take 10–12 minutes to accomplish.
SAGE is self-administered and can be taken at a person's home, in a physician's office, or virtually anywhere. It requires no special equipment—only pen and paper. The examinee fills out the test in ink without the assistance of others.
Introduction: The five-word test (5WT) is a serial verbal memory test with semantic cuing. It is proposed to rapidly evaluate memory of aging people and has previously shown its sensitivity and its specificity in identifying patients with AD.
Sample questions from the test: How many nickels are in 60 cents? You are buying $13.45 of groceries. How much change would you receive back from a $20 bill? Write down the names of 12 different animals. Draw a large face of a clock and place in the numbers.Position the hands for 10 minutes after 11 o'clock.
SAGE is a brief self-administered cognitive screening instrument to identify Mild Cognitive Impairment (MCI) and early dementia. Average time to complete the test is 15 minutes. The maximum score is 22. A score of 17 and above is considered normal.
There is no answer sheet provided here for you to score yourself because there are multiple correct answers to many of the questions on the test. SAGE should be scored by your physician. If you don't have a primary care physician, view our list of primary care providers accepting new patients.
The Self-Administered Gerocognitive Exam, known as SAGE, is a brief, pen-and-paper cognitive assessment tool designed to detect the early signs of cognitive, memory, or thinking impairments. The test evaluates your thinking abilities. This can help your doctors understand how well your brain is functioning.

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The Sage Test PDF refers to a standardized assessment tool used to evaluate various skills, often related to educational or occupational assessments.
Students or individuals seeking evaluation in specific areas, such as education or job skills, may be required to file the Sage Test PDF as part of their application or assessment process.
To fill out the Sage Test PDF, one typically needs to provide personal information, select relevant options based on the test instructions, and submit the document as directed by the testing entity.
The purpose of the Sage Test PDF is to assess and document an individual's skills or competencies in a structured format, aiding in educational or professional evaluations.
The Sage Test PDF must report personal identification information, scores or results of the assessment, and any additional relevant data as specified by the administering organization.
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