Clock Drawing Test — Instructions & Scoring Guide

Important: This test is for informational and personal tracking purposes only. It is not a medical diagnosis. Please share your results with your physician for professional evaluation.

Instructions for the Person Taking the Test

On the circle below (or on a blank piece of paper), draw a clock face.
Write all 12 numbers in their correct positions around the clock face.
Draw two hands on the clock showing the time 11:05 (five minutes after eleven o'clock).
The minute hand should point toward the 1, and the hour hand toward the 11.
Work without looking at a real clock.

Draw your clock in the circle above, then score it using the guide below.

How to Score the Clock Drawing

Ask a family member, caregiver, or trusted person to score your drawing using the table below. Or score it yourself as honestly as you can.

Points	What to Look For
4 points	All numbers present and in correct positions (1–12), both hands drawn, time shown correctly (hour hand near 11, minute hand near 1), clock face is a complete circle.
3 points	Minor error only — e.g., one number slightly out of place, or one hand slightly off, but overall clearly correct.
2 points	Moderate errors — e.g., several numbers misplaced, hands confused (both pointing same direction), or time noticeably incorrect.
1 point	Significant errors — e.g., numbers missing or very disorganized, only one hand drawn, clock shape abnormal.
0 points	No recognizable clock drawn, or nothing drawn.

Reference: What a 4-Point Clock Looks Like

Numbers 1–12 arranged in a circle, evenly spaced
The number 12 at the top, 6 at the bottom, 3 to the right, 9 to the left
Hour hand pointing roughly at 11
Minute hand pointing roughly at 1 (the "5-minute" mark)

Scoring Scale Reference (SAGE Test)

Total SAGE Score	Interpretation
17–22	Normal range
15–16	Possible mild cognitive changes — discuss with your doctor
14 or below	Further evaluation recommended — share with your physician

Source: SAGE test developed by Dr. Douglas Scharre, Ohio State University Wexner Medical Center. sagetest.osu.edu