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11/30/2014

TheGalvestonOrientationandAmnesiaTest

TheGalvestonOrientationandAmnesiaTest
HarveyS.Levin,Ph.D.,VincentM.O'Donnell,M.A.,&RobertG.Grossman,M.D.

Instructions:CanbeadministeredDaily.Scoreof78ormoreonthreeconsecutiveoccasionsisconsideredtoindicate
thatpatientisoutofposttraumaticamnesia(PTA).

Question

Error
Score

Whatisyourname?

2
Mustgivebothfirstnameandsurname.
_____

Whenwereyouborn?

4
Mustgiveday,month,andyear.
_____

Wheredoyoulive?

4
Townissufficient.
_____

Whereareyounow:

(a)City

5
Mustgiveactualtown.
_____

(b)Building

5
Usuallyinhospitalorrehabcenter.Actualname
_____ necessary.

Whenwereyouadmittedtothis
hospital?

5
Date.
_____

Howdidyougethere?

5
Modeoftransport.
_____

Notes

Whatisthefirsteventyoucanremember 5
Anyplausibleeventissufficient(recordanswer)
aftertheinjury?
_____
5
Mustgiverelevantdetail.
_____

Canyougivesomedetail?

Canyoudescribethelasteventyoucan 5
Anyplausibleeventissufficient(recordanswer)
recallbeforetheaccident?
_____
Whattimeisitnow?

5
1foreachhalfhourerror.
_____

Whatdayoftheweekisit?

3
1foreachdayerror.
_____

Whatdayofthemonthisit?(i.e.the
date)

5
1foreachdayerror.
_____

Whatisthemonth?

15
5foreachmontherror.
_____

Whatistheyear?

30
10foreachyearerror.
_____
TotalError:

TotalActualScore=(100totalerror)=
100_____=

Canbeanegativenumber.

76100=Normal/6675=Borderline/
<66=Impaired

DevelopedbyHarveyLevin,Ph.D.,
VincentM.O'Donnell,M.A.,&Robert
G.Grossman,M.D.

https://www.utmb.edu/psychology/Adultrehab/GOAT.htm

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11/30/2014

TheGalvestonOrientationandAmnesiaTest

TrackingChart

30

20

10

100

90

80

70

60

50

40

Date ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____

https://www.utmb.edu/psychology/Adultrehab/GOAT.htm

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