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Clock Drawing Test

The Clock Drawing Test is a cognitive assessment tool where patients are instructed to draw a clock face with numbers and hands indicating '10 after 11'. Scoring is based on a six-point system, with higher scores indicating more errors and cognitive impairment, where a score of 3 signifies a cognitive deficit. The document outlines specific scoring criteria for various levels of errors in the drawing.

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7 views2 pages

Clock Drawing Test

The Clock Drawing Test is a cognitive assessment tool where patients are instructed to draw a clock face with numbers and hands indicating '10 after 11'. Scoring is based on a six-point system, with higher scores indicating more errors and cognitive impairment, where a score of 3 signifies a cognitive deficit. The document outlines specific scoring criteria for various levels of errors in the drawing.

Uploaded by

mukesh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

250 M.R.

Baity

Clock Drawing Test

Patient’s Name: Date:


11 Rating Scales for Assessment of Cognitive and Neuropsychological Status 251

Instructions for the Clock Drawing Test:


Step 1: Give patient a sheet of paper with a large (relative to the size of handwritten
numbers) predrawn circle on it. Indicate the top of the page.
Step 2: Instruct patient to draw numbers in the circle to make the circle look like the face
of a clock and then draw the hands of the clock to read "10 after 11."

Scoring:
Score the clock based on the following six-point scoring system:

Sco re Err or (s ) Examples


1 "Pe rfe ct" No err ors in the task
2 Minor visuospatial errors (a) Mildly impaired spacing of times
(b) Draws times outside circle
(c) Turns page while writing so that some
numbers appear upside down
(d) Draws in lines (spokes) to orient spacing
3 Inaccurate representation of 10 after 11 (a) Minute hand points to 10
when visuospatial organization is perfect (b) Writes "10 after 11"
or shows only minor deviations (c) Unable to make any denotation of time
4 Moderate visuospatial disorganization of (a) Moderately poor spacing
times such that accurate denotation of 10 (b) Omits numbers
after 11 is impossible (c) Perseveration: repeats circle or continues
on past 12–15, etc.
(d) Right-left reversal: numbers drawn
counterclockwise
(e) Dysgraphia: unable to write numbers
accurately
5 Severe level of disorganization as See examples for scoring of 4
described in scoring of 4
6 No reasonable representation of a clock (a) No attempt at all
(b) No semblance of a clock at all
(c) Writes a word or name

Higher scores reflect a greater number of errors and more impairment. A score of 3 represents
a cognitive deficit.

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