How to Test Your Memory Using the SAGE Test

Co-authored by Natalia S. David, PsyD

Last Updated: August 6, 2022 References

The Self-Administered Gerocognitive Examination (or SAGE test) is a 15-question written exam used to test your memory. This test can be very effective in detecting mild cognitive impairment (MCI), early dementia, and early Alzheimer’s, but only a medical professional can interpret your results and make a diagnosis. Begin by learning about the SAGE test and deciding to take it. You can then take the test in around 15 minutes, and present your results to your doctor. Together, you and your doctor can work to diagnose any cognitive conditions.^{[1]
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Part 1

Part 1 of 3:

Deciding to Take the Test

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Look for symptoms. You might be interested in taking the SAGE test if you are experiencing some memory or thinking problems, or if friends and family are concerned that you may have cognitive issues. Cognitive symptoms can indicate early dementia or Alzheimer’s, as well as many other treatable conditions.^{[2]
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Research source} These symptoms include:^{[3]
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- Memory loss (forgetting things like names, conversations, or where you put things)
- Losing track of time (forgetting the day of the week or the date)
- Sudden changes in mood
- Executive impairment (struggling with decision making and organization, or using poor judgment)
- Impaired sense of direction (getting lost in places that are familiar)
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Don’t expect definitive answers. Before you even begin, it is important to understand that the SAGE test does not diagnose any specific disorder. It cannot tell you if you have Alzheimer’s, dementia, or any other condition. It is only a screening tool that allows your doctor to determine if additional tests are necessary. Do not use this test to try and diagnose yourself.^{[4]
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Anticipate certain types of questions. There are four different versions of the SAGE test, and all of these are interchangeable. They will all ask a variety of questions. The test may be something like the following:^{[5]
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- You will start by filling out some personal information and medical history.
- There will be some image questions. You will be shown an image (such as a pretzel or wreath) and you will be asked to write down the word for that image.
- There will be some math questions, such as “How many nickels are in $2.00?”
- There will be questions concerning the similarities and differences between certain items, such as “How are a ruler and clock similar?”
- There will some drawing questions. There may be a question where you must look at an image and copy it. There may also be questions where you must look at an image and draw it differently, based on a set of instructions.
- There may be memory-based questions where you must remember to perform an action at the end of the exam.

Part 2

Part 2 of 3:

Taking the Test

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Print out a copy of the test. You can obtain a copy of the SAGE test and take it in the privacy of your home. Visit https://wexnermedical.osu.edu/brain-spine-neuro/memory-disorders/sage to find four interchangeable versions of the exam. Alternatively, your doctor can provide you with a copy of the test, and you can take at home or in the office.^{[6]
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- You can also complete the test online using a tablet or computer and email the results to your doctor. This may be the most convenient option.
- Ideally you would take the test at your doctor's office, but it is okay to take it at home, especially if being at the doctor's causes you anxiety.
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Set aside some time. Most participants can finish the exam in 10 – 15 minutes, but there is no time limit. Set aside a block of time when you can take as much time as you need without being disturbed.^{[7]
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- You should also choose an area free from distractions.
- Find a quiet place where you will not be disturbed.
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Complete the test without outside input. It is important for you to complete this test without help from anyone or anything. Before you begin, move any clocks, rulers, or calendars out of the space. If you don’t understand an aspect of the test, simply do the best you can. Do not ask questions or seek input from others.^{[8]
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Part 3

Part 3 of 3:

Determining the Results

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Avoid scoring the test yourself. There are numerous acceptable answers to SAGE test questions, and only a medical professional can score your test accurately. Online versions of the test that provide answer sheets or offer to electronically grade your test should be avoided.^{[9]
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Ask your doctor to score your test. Speak to your doctor about looking over the results of your test. If you have taken the test at home, you might fax, email, or deliver your test in person. Your doctor may request additional information about your symptoms and medical history.^{[10]
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Research source} Be prepared to discuss:
- When your symptoms began
- Descriptions of your symptoms
- Your medical history, as well any history of memory disorders in your family
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Visit your doctor. You will meet with your doctor to discuss your results. This test alone cannot diagnose any specific condition. As such, your doctor might schedule some additional tests. If your results come back “normal,” your doctor may choose to keep your results on file to see if there are any chances in the future.^{[11]
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- You may ask your doctor, "Do my results seem accurate to you?"
- You might ask, "Am I at risk for mild cognitive disorder?"
- You might ask, "What other tests do you think we should explore?"