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References |
Galveston Orientation
and Amnesia Test (GOAT)
|
Error
Points
|
| 1. What is your name?
(2) When were you born? (4) Where do you live?
(4) |
______ |
| 2. Where are you now?
City? (5) Hospital? (5) (unnecessary to state name
of hospital) |
______ |
| 3. On what date where you
admitted to this hospital? (5) How did you get here?
(5) |
______ |
| 4. What is the first event
you can remember after the injury? (5) Can you describe in
detail (e.g., date, time, companions) the first event you can recall after
the injury? (5) |
______ |
| 5. Can you describe the
last event you recall before the accident? (5) Can you describe
in detail (e.g., date, time, companions) the first event you can recall
before the injury? (5) |
______ |
| 6. What time is it now?
(1 for each 1/2 hr. removed from correct time to maximum of 5) |
______ |
| 7. What day of the week
is it? (1 for each day removed from correct day) |
______ |
| 8. What day of the month
is it? (1 day for each day removed from correct date to maximum of
5) |
______ |
| 9. What is the month?
(5 for each month removed from correct one to maximum of 15) |
______ |
| 10. What is the year?
(10 for each year removed from correct one to maximum of 30) |
______ |
| Total Error Points |
______ |
| Total GOAT Score (100
- total error points) |
______ |
Levin, H.S., O'Donnell, V.M., & Grossman,
R.G. (1975). The Galveston orientation and amnesia test: A practical scale
to assess cognition after head injury. Journal of Nervous and
Mental Diseases, 167, 675-684. |
