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If the patient fails to initiate a response after 5 or if the response is incorrect, return the
tokens to their original order and say, LETS TRY THAT AGAIN. You may do this only
once.
If they request more instruct them to do as much as they can remember. If they touch an
item instead of pointing for example, say, LETS TRY THAT AGAIN and give credit if
correct. You may do this only once. [Patients must follow the instructions exactly.]
Arrangement of Tokens
(Subject)
(Examiner)
Form A
Item / write in error responses
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
Point to a circle
Point to a square
Point to a black circle
Point to a yellow square
Point to a small white circle
Point to a large yellow square
Pick up the large green square and the large red square
Pick up the small red circle and the small white circle
Pick up the large white square and the small green circle
Pick up the small yellow circle and the large black square
REMOVE ALL SMALL TOKENS
Pick up the white square and the green circle
Touch the green square with the black circle
Touch the white circle with the green square
Touch all squares except the green one
Touch the green square or the yellow circle
Touch all circles except the yellow one
Pick up the white circle and the red circle
Pick up the green square or the white square
Put the yellow square on the white circle
Touch the black circle with the red square
Pick up the black circle or the red square
Put the white circle on the red square
Total Raw Score (0-44)
Alternate Form - Form B
Item / write in error responses
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
Score
2, 1 or 0
Score
2, 1 or 0
Point to a square
Point to a circle
Point to a yellow circle
Point to a black square
Point to a large yellow circle
Point to the small white square
Pick up the small green square and the small red square
Pick up the large red circle and the large white circle
Pick up the large green square and the small white circle
Pick up the small black circle and the large black square
REMOVE ALL SMALL TOKENS
Pick up the green square and the white circle
Touch the black square with the green circle
Touch the green circle with the white square
Touch all squares except the red one
Touch the yellow square or the green circle
Touch all circles except the black one
Pick up the green circle and the black circle
Pick up the red square or the black square
Put the white square on the yellow circle
Touch the red circle with the black square
Pick up the green circle or the yellow square
Put the red circle on the white square
Total Raw Score (0-44)
Adapted from the Multilingual Aphasia Examination manual, 3rd Edition, 1994, A.L.Benton, et. al.
MyDocuments\labforms\Token Test, 7/15/04