ADDENBROOKE’S COGNITIVE EXAMINATION – ACE-III

Remote Administration - Australian Version C (2020)

Name: Date of testing: ____/____/____
Date of Birth: Tester’s name: ___________________________
Hospital No. or Address: Age at leaving full-time education: ____________
Occupation: ______________________________
Handedness: _____________________________

IMPORTANT: Please ensure that the clinician and carer have read the instructions for remote administration.

Ask the carer to position the video conference camera so that it is facing the participant.

ATTENTION *(Sum together only the items in

BOLD for the M-ACE score)

Ask: What is the Day Date Month Year Season Attention

[Score 0–5]
_________ _________ ___________ ___________ ___________ *
Ask: Which No./Floor Street Suburb State Country
Attention
_________ _________ ___________ ___________ ___________ [Score 0–5]

ATTENTION
Say: “I’m going to give you three words and I’d like you to repeat them after me: shoe, flag and tree.” Attention
After the participant repeats, say “Try to remember them because I’m going to ask you later.” [Score 0–3]
Score only the first trial (repeat 3 times if necessary).
Register number of trials: _____

ATTENTION

Ask the participant: “Could you take 7 away from 100? I’d like you to keep taking 7 away from each new Attention
number until I tell you to stop.” [Score 0–5]
If the participant makes a mistake, do not stop them. Let the participant carry on and check subsequent
answers (e.g., 93, 84, 77, 70, 63 – score 4).
Stop after five subtractions (93, 86, 79, 72, 65): ____ ____ ____ ____ ____

MEMORY

Ask: “Which 3 words did I ask you to repeat and remember?” _______ ________ ________ Memory
[Score 0–3]

FLUENCY
Letters Fluency
[Score 0–7]
Say: “I’m going to give you a letter of the alphabet and I’d like you to generate as many words as you can
beginning with that letter, but not names of people or places. For example, if I give you the letter “C”, you could
give me words like “cat, cry, clock” and so on. But you cannot give me words like Catherine or Canada. Do you
understand? Are you ready? You have one minute. The letter I want you to use is the letter ‘P’.”
≥ 18 7
14-17 6
11-13 5
8-10 4
6-7 3
4-5 2
2-3 1
0-1 0
total correct

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 Fluency
Animals
[Score 0–7]
Say: “Now can you name as many animals as possible. It can begin with any letter.”
≥ 22 7
17-21 6
14-16 5
11-13 4
9-10 3
7-8 2
5-6 1
5 0
total correct

MEMORY
Memory
Say: “I’m going to give you a name and address and I’d like you to repeat the name and address after me. [Score 0–7]
So you have a chance to learn, we’ll be doing that 3 times. I’ll ask you the name and address later.”

Score only the third trial.

1st Trial 2nd Trial 3rd Trial

John Marshall ________ _______ ________ _______ ________ _______

24 Market Street ____ ______ ______ ____ ______ ______ ____ _____ ______
Ballarat ______________ ______________ ______________
Victoria ______________ ______________ ______________

MEMORY

Memory
Name of the current Prime Minister ..…………………………………………………………………………….. [Score 0–4]
Name of the current Premier of New South Wales ............…..…………………………………………………
Name of the USA President ......…………………………...……………………………………………………...
Name of the USA President who was assassinated in the 1960s .…………….………………………………

L A N G U A G E — Adapted for remote administration

Language
Ask the carer to place a pencil and a blank piece of paper in front of the participant. [Score 0–3]
Ask the carer to position the camera to show the pencil and paper.

As a practice trial, ask the participant to “Pick up the pencil and then the paper.” If incorrect, score 0 and
do not continue further.

Ask the carer to place the pencil and paper in front of the participant before each command.

If the participant is correct on the practice trial, continue with the following three commands below.
• Ask the participant to “Place the paper on top of the pencil”
• Ask the participant to “Pick up the pencil but not the paper”
• Ask the participant to “Pick up the pencil after touching the paper”

Keep the pencil and paper in front of the participant.

L A N G U A G E — Adapted for remote administration

Language
Ask the carer to position the video conference camera to show the paper. [Score 0–2]

Say: “I want you to write two sentences. It can be about anything that you like. I want you to write in full
sentences and avoid abbreviations.” If the participant does not know what to write about, you could
suggest a few topics. (E.g., say: “For instance, you could write about a recent holiday, your hobbies, your
family or childhood”). If the participant writes only one sentence, then prompt for a second one. (For
scoring, see instructions guide.)

Ask the carer to remove the pencil and paper from the participant.
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LANGUAGE
Language
Ask the participant to repeat: ‘caterpillar’; ‘eccentricity’; ‘unintelligible’; ‘statistician’ [Score 0–2]
Score 2 if all are correct; score 1 if 3 are correct; and score 0 if 2 or less are correct.

LANGUAGE
Language
Ask the participant to repeat: ‘All that glitters is not gold’ [Score 0–1]

Language
Ask the participant to repeat: ‘A stitch in time saves nine’ [Score 0–1]

L A N G U A G E — Adapted for remote administration

Language
Naming: Prepare stimuli on computer and share screen with participant. [Score 0–12]
Ask the participant to name the following pictures from your shared screen:

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L A N G U A G E — Adapted for remote administration

Language
The pictures are numbered on the computer stimuli. Using the numbers on the stimuli, ask the participant [Score 0–4]
to identify:

• Which one is associated with the monarchy ……………………………………………..

• Which one is the marsupial ……………………………………………..
• Which one is found in the Antarctic ……………………………………………..
• Which one has a nautical connection ……………………………………………..

L A N G U A G E — Adapted for remote administration

Language
Reading words: Prepare stimuli on computer and share screen with participant. [Score 0–1]
Ask the participant to read the following words on the share screen (score 1 only if all correct).

sew
pint
soot
dough
height
V I S U O S P A T I A L A B I L I T I E S — Adapted for remote administration
Visuospatial
Ask the carer to place a pencil and a blank piece of paper in front of the participant. [Score 0–1]
Ask the carer to position the camera to show the paper.
Infinity Diagram: Prepare stimuli on computer and share screen with participant.

Ask the participant to copy the image.

Visuospatial
Ask the carer to place a pencil and a blank piece of paper in front of the participant. [Score 0–2]
Ask the carer to position the camera to show the paper.
Wire Cube: Prepare stimuli on computer and share screen with participant.

Ask the participant to copy the image (for scoring, see instructions guide).

Visuospatial
Ask the carer to place a pencil and a blank piece of paper in front of the participant. [Score 0–5]
Ask the carer to position the camera to show the paper.

Clock: Ask the participant to draw a clock face with numbers. Then, ask the participant to put the hands at
ten past five (for scoring, see instruction guide: circle = 1, numbers = 2, hands = 2 if all correct).

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V I S U O S P A T I A L A B I L I T I E S — Adapted for remote administration
Visuospatial
Dot counting: Prepare stimuli on computer and share screen with participant. [Score 0–4]
Ask the participant to count the dots without pointing to them.

V I S U O S P A T I A L A B I L I T I E S — Adapted for remote administration

Visuospatial
Fragmented Letters: Prepare stimuli on computer and share screen with participant. [Score 0–4]
Ask the participant to identify the letters. End share screen after completion.

MEMORY

Ask: “Now tell me what you remember about that name and address we were repeating at the beginning.”
John Marshall …………………. …………………………………… Memory
24 Market Street …… ………………………. ………………………. [Score 0–7]
Ballarat …………………………………………………………
Victoria …………………………………………………………
MEMORY
Memory
This test should be done if the participant failed to recall one or more items above. If all items were recalled, [Score 0–5]
skip the test and score 5. If only part was recalled start by ticking items recalled in the shadowed column on
the right-hand side; and then test not recalled items by telling the participant “Ok, I’ll give you some hints:
was the name X, Y or Z?” and so on. Each recognised item scores one point, which is added to the point/s
gained from the previous memory recall section.

John Simons John Marshall Joseph Marshall recalled

42 28 24 recalled
Market Street High Street Market Square recalled
Ballarat Torquay Seaforth recalled
Queensland Victoria New South Wales recalled
SCORES
Attention /18 Fluency /14 Visuospatial /16
Memory /26 Language /26

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 TOTAL M-ACE SCORE /30 TOTAL ACE-III SCORE /100

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