×RATER-ADMINISTERED VERSION
Rate symptoms over past 4 weeks
Scoring
Typical degree of change from “On” to “Off” period:
0:
1:
2:
3:
4:
No change
Minimal
Small
Medium
Large
Calculations:
Subscore “Change”
MDS-NMS NMF Total Score
= Sum of all “Degree of change” items
= Subscore “Change” multiplied by Subscore “Time”
Scoring
Average frequency / Duration (percentages denote days per week or hours per waking day)
0:
1:
2:
3:
4:
Never
Rarely
Sometimes
Frequently
Majority of time
(≤ 10% of time)
(11-25% of time)
(26-50% of time)
(≥ 51% of time)
Average Severity:
0:
1:
2:
3:
4:
Not present
Minimal
Mild
Moderate
Severe
(only if frequency = 0)
(no distress or disturbance to patient or caregiver)
(minor distress or disturbance to patient or caregiver)
(considerable distress or disturbance to patient or caregiver)
(major distress or disturbance to patient or caregiver)
Calculations:
Item Total
Subscale Total
MDS-NMS Total Score
= Frequency multiplied by severity
= Sum of all Item totals for that Subscale
= Sum of totals for Subscales A-M
For each question use the following introduction:
“How often have you...” or “How often has the patient...”
If the answer to the question is “Never”, rate frequency/duration as “0”, rate severity also as “0” and move on to the next question.
If the answer to the question is not “Never”, then ask:
“When you have had… / When the patient has had… [the symptom], how bad has it been on average?”
When answering questions about an “increase” or “decrease”/“reduction” in symptoms, use as your comparison point your/the patient’s experiences on average as an adult prior to having Parkinson’s disease.