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Six-Item Screener (SIS)

Administration: Tell the patient: "I am going to say three words. Please repeat them and try to remember them: Apple, Table, Penny." Once they repeat them, ask the 3 orientation questions, then ask them to recall the 3 words.

Score 1 point for each correct response

1. What year is it?

2. What month is it?

3. What day of the week is it?

4. Recall: "Apple"

5. Recall: "Table"

6. Recall: "Penny"

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Extremely rapid cognitive triage in busy clinical settings (e.g., Emergency Department).
Identifying older adults who require a more comprehensive cognitive assessment.
Telephone-based cognitive screening.

The Pure Verbal Screen

Unlike the Mini-Cog which requires the patient to draw a clock, the SIS is entirely verbal, taking less than 1 minute to complete. This makes it ideal for the ED or for patients with severe arthritis or visual impairment.

Related Scores in Practice

In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the Mini-Cog or the AD8 Dementia Screening to formulate a comprehensive care plan.

Last Comprehensive Review: 2026

Related Geriatrics Tools

Mini-Cog
AD8 Dementia Screening
DRS-R-98
MNA-SF
Mini Nutritional Assessment
Clock Drawing Test
Functional Independence Measure
ACS-NSQIP Surgical Risk Calculator
HELP Score
IQCODE
Geriatrics CalculatorsInternal Medicine CalculatorsEmergency Medicine Calculators
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