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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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