Where Form 5495 Assessment 2017-2024

Hi Jason thank you again for coming in today now I want to ask you a few questions about your thinking and about your memory is that okay that's great okay fantastic we're going to start by if you can tell me the year the month and the day of the week it is 2024 here's July mm-hmm and the day of the week is Wednesday okay in what state and city are we we're in Milford Delaware okay and in what situation or setting our way right now we're sitting at a table answering questions okay now I'm going to read a list of words when I finish repeat them after me and I'm going to ask you to recall those words later as well I'm not concerned with the order in which you say them banana justice Sarah bridge can you repeat those banana justice Sarah bridge okay now can you see these three pictures yes I can okay tell me the name of this object it's a comb and tell me the name of this object telephone and this object keys can I look at the pictures again try to memorize them because I will ask you to recall them later okay okay now I'm going to read some letters to you every time I say the letter C I want you to tap your finger on the table only tap your finger when you hear the letter C okay C F b t Oh L see C Q a Z C B R B q WD c s b l r b c B Z X C B okay I'm going to ask you now to do some counting backward start with the number 20 and count backward 2 1 20 19 18 17 16 15...