PGI-MEMORY SCALE
Dwarka Pershad (Chandigarh)
N. N. Wig (New Delhi)
S. No.... . .Datc... .Diagnosis.
Namc..... * *..CX....
Education .......Occupation .....
SCORING TABLE
Sub-
Men- Rcmo-AleDt1
:Retenti
mmedi.Ketenti.eent
for Visua
on
Recog- Total
Tests Recent tal imem& Con
& Con.
Dclayed
ate
SimilarDISsI-|Rectcn-KccO8-Total
Raok
mory Bala.
cen Recall Recall 1ar milar tion oition Score
Dcc y tration
PairsPairs
.
adional PSYCHOL0GICAL CORPORATION
4/230 KACHENI GHAT. AGRA 262 004 (INDIA)
2 1
I. Remote Memory
1. How old are you 7
2. Where were you born ?
3. (a) When were you married 7
(b) When did you start earning 7
(c) When did you left study/pass high school ?
4. How old is your youngest child/ brother lsister 7
5. When did you come first time in this clinic/ department (Hospital) ?
6. When did you come here last time 7
I. Recent Memoryy
1. What did you eat in your last dinner t
2. What did you eat this morningg?
3. What is the name of this month ?
4. What day is today ?
5. Who came to visit you or to whom you visited yesterday ?
Il Mental Balance
1. Recite A to Z (Alphabet of any language).
2. Count backward from 20 to 1.
3. Count backward by minusing 3s starting from 40.
IV. Attention and Concentration
1. 1 am going to say some numbers, Listen them carefully, when I read
them, you will repeat them in the same order.
5-7-3 4-1-7
5-3-8-7 6-1--5-8
1-6 4-9-5 2-9-7 - 6 -3
3-4-1-7-9-6 6 -1-5-8-3-9
2-5 -9-4 8-3 4-7-1-5-3-8-6
2 9 1 -6 8 5 9-2-8 8-3-1-7-4
2. 1am going to read some numbers but you will be required to repeat
them backward, For example, I say 2, 5 you will say 5, 2.
85 2-8
4-3-7 8-5-1
8-5-6-3 3-7-5-9
4-7 -2-9-1
2-5-9-4 8-3
2-5-8-4
-15-3-9-6
5-8-6 1-9-2
8-5-2-3-6 1-9-4
-3-7 1-4-8-5
28-4-5-9-7-1-3
3 1
V. Delayed Recall
1 2
am going to read name of
Umbrella Fish
some objecfs. listen carefully and when
I ask you to repeat, you will do so (read Flower Lamp
at the rate of one word per second and
ask the subject to repeat it after an Clock Rupee
interval of one minute)
Picture Taj
Pencil Toy
VI. Immediate Recall
am going to read a few small sentences one by one. Listen them care
fully because when I am through I would like you to tell me the whole sentence as
precisely as you can.
1. Ram got up from the chair, opened the door and went to market.
2. Patient was asked to lie down on the table, he was seen, medicine
was prescribed and was told to come next day.
3. Mohan did not have water in his house, he picked-up the bucket,
went to street well, filled it up and returned back.
VII. Verbal Retention for similar pairs
Now, I am going to read to you a list of pairs i.e. two words at a time.
Listen 'carefully, when I name one word of the pair you will tell the second word
of the pair (read the pairs at the rate of 2 second per pair, with a pause of 5
second between pairs; give an interval of 10 seconds aíter reading last pair and
then present a stimulus word of the pair and ask the subject to recall the 2nd
word of the pair).
Tree Flower
Sweet Sour
3. Man Woman
4. Day Night
5. Black White
VII. Verbal retention for dissimilar pairs
Instruction and administration procedure is the same as above for subtest
VIl, with a difference that stimulus words are to be presented in the order as
mentioned for each of the trial. If subject fails to give correct answer, correct it
and proceed 1o next stimulus word. If al} his answers are correct in first
trial even
then other 1wo trials are to be completed but in no case, pairs be
repeated, onlyy
incorrect answers are to be corrected.
4
Tabe -Black 4 2 1
Tree High 2 1 5
***
Lamp-Uneven 1 5
Child-Bitter 3 4 2
DreamDeep 5 3 4
IX. Visual Retention
am going to show you a card, see it carefully. After some time (15
30 seconds) them,
seconds) will take it away and when l ask you to draw (after
draw the things you saw in the card from your memory on this paper (givea
but do not instruct whether he can
paper, a pencil and an erasure to the subject
use the erasure or not).
X. Recognition
of many objects, see the
I showing you a card containing pictures
am
some time (120 seconds
whole card attentively (expose for 30 seconds). After
From this you will be required to
interval) I will place before you another card.
earlier card (Do not tell the subject, the
identify and name the objects you saw in
in first card and how many things he is yet to
exact number of objects seen
identify.)
Scoring criteria for various items of Recognition (sub-test X)
(i) Give a score of one for correct identification and correct naming of
an item.
but wrong naming of an item.
(ii) Give half score for correct identification
names for a particular item.
(ii) Few subjects sometime use different
Correct names for each item of this sub-test are given below. Any name other
be regarded :
than those given here and only the description of the item, should
incorrect. However, if the examiner feels that the response given by the subject
is not markedly wrong, he may give credit for that.
Lock, Pen,
Fan, Chair
Child, Comb,
P. G. I. MEMORY SCALE : REGOGNITION CARD
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National Psychological Corporation; 4/230, KacheriGhat,AGRA-282004 (U. P.)
P. G. I. MEMORY SCALE: RECOGNITION CARD
NLANTT
DTUN
National Psychological Corporation; 4/230, Kacheri Ghat,AGRA-282004 (U.P.)