1. Age?

2. Time? (to nearest hour)

3. Address for recall at end of test: ’42 West Street’

4. Year?

5. Name of this place

6. Identification of two persons (doctor, nurse etc)?

7. Date of birth?

8. Last year of second world war?

9. Name of present monarch?

10. Count backwards 20-1

Abbreviated Mental Test (AMT) (Patient.info)