Modified Morisky Scale (MMS)

Instructions: Ask the patient each question and circle the corresponding yes or no
response. Circle the answer to each question and sum the score for the motivation column and
sum the score for the knowledge column. Report the results on the CMAG-1 Patient Summary
Assessment form.
Question
1. Do you ever forget to
take your medicine?
2. Are you careless at times
about taking your
medicine?
3. When you feel better do
you sometimes stop taking
your medicine?
4. Sometimes if you feel
worse when you take your
medicine, do you stop
taking it?
5. Do you know the longterm benefit of taking your
medicine as told to you by
your doctor or pharmacist?
6. Sometimes do you forget
to refill your prescription
medicine on time?
Total score

Motivation
Yes(0) No(1)

Yes(0) No(1)

Yes(0) No(1)

Yes(0) No(1)

Yes(1) No(0)

Yes(0) No(1)

_____
01 = Low motivation
23 = High motivation

Project ALL

Knowledge

_____
01 = Low knowledge
23 = High knowledge

Updated 2/11