I have a memory clinic in a rural area (Western North Carolina), I generally use the MOCA, however I have many patients who have education levels in the range of 2nd-6th grade. I have had to try and evaluate different cognitive domains based on just personal experience, using different parts of cognitive tests that I think a patient may be able to complete. Recently I gave the MOCA to my 8 year old and my 6 year old to try and see what areas they could perform on. I spoke to the principal of the elementary school that my children attend, she has a PhD and interested in research. I was thinking about looking at each grade level, age level and seeing what they are able to complete. Their school is preK-8th grade, there are 138 students. Before I take on this task, I wanted to put this out there to see if anyone has any thoughts, doing anything to address this issue. ???