SAGE Test

Questions: 28 · 10 minutes
1. I can solve simple everyday problems (e.g., making correct change for a purchase).
Cannot do
Can do with major difficulty
Can do with minor difficulty
Can do easily
2. I can quickly find the right word when speaking (without frequent “tip-of-the-tongue” problems).
Almost never
Sometimes
Often
Almost always
3. I can name at least 10 animals in one minute.
0–4 animals
5–7 animals
8–10 animals
11+ animals
4. I can correctly define simple words (e.g., what “bridge” or “season” means) when asked.
Rarely correct
Sometimes correct
Usually correct
Almost always correct
5. I can remember what I did earlier today (before this test) in correct order.
Not at all
A little, but jumbled
Mostly, with minor gaps
Clearly and in order
6. I can switch between tasks or ideas without becoming very confused.
Almost never
Sometimes
Often
Almost always
7. I can recall three common words after a short delay (about 5 minutes).
0 words
1 word
2 words
3 words
8. I can repeat a short sentence accurately after hearing/reading it once.
Cannot repeat it
Partially correct
Mostly correct
Completely correct
9. I can spell a common 5-letter word backward (e.g., WORLD → DLROW).
Cannot do it
Mostly incorrect
Mostly correct
Correct
10. I can correctly draw a clock face with all numbers in the right places.
Unable to draw
Major errors in number placement
Minor errors
Correct
11. I can plan and complete a multi-step task (e.g., preparing a simple meal) without getting lost or skipping steps.
Cannot do
Can do with major difficulty
Can do with minor difficulty
Can do easily
12. I can correctly name common objects from pictures (e.g., a key, a watch, a bicycle).
Rarely correct
Sometimes correct
Usually correct
Almost always correct
13. I can recognize patterns and complete them (e.g., what comes next in a simple sequence).
Cannot do
Can do with major difficulty
Can do with minor difficulty
Can do easily
14. Today’s date is correct (month, day, and year).
No, it is incorrect
Mostly incorrect
Mostly correct
Yes, it is correct
15. I can correctly state what day of the week it is today.
Definitely cannot
Probably cannot
Probably can
Definitely can
16. I can identify left versus right correctly when asked.
Almost never
Sometimes
Often
Almost always
17. I can correctly state the current month.
Definitely cannot
Probably cannot
Probably can
Definitely can
18. I can remember appointments or events without being reminded multiple times.
Almost never
Sometimes
Often
Almost always
19. I can correctly write my full name without help.
Definitely cannot
Can only partially
Can, with minor uncertainty
Can easily and correctly
20. I can follow a 3-step instruction (e.g., “take the paper, fold it, and place it on the table”).
Cannot follow
Follow only 1 step
Follow 2 steps
Follow all 3 steps
21. I can correctly state the current year.
Definitely cannot
Probably cannot
Probably can
Definitely can
22. I can correctly write my current address (street and number) without looking it up.
Definitely cannot
Can only partially
Can, with minor uncertainty
Can easily and correctly
23. I can understand and answer questions about a short paragraph I just read.
Not at all
A little
Mostly
Completely
24. I can copy a simple geometric design (e.g., overlapping shapes) accurately.
Unable to copy
Major distortions
Minor distortions
Accurate copy
25. I can notice and correct obvious mistakes in what I write (spelling, missing words, wrong numbers).
Almost never
Sometimes
Often
Almost always
26. I can name the city or town where I am right now.
Definitely cannot
Probably cannot
Probably can
Definitely can
27. I can correctly count backward by 7s starting from 100 for at least three steps (100, 93, 86, 79...).
0 correct steps
1 correct step
2 correct steps
3+ correct steps
28. I can set the clock hands to a requested time (e.g., “10 past 11”) accurately.
Unable to do
Mostly incorrect
Mostly correct
Correct
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