QNST-3R - Quick Neurological Screening - 3rd Edition Revised

by Author:  Margaret Mutti, MA / Nancy A. Martin, PhD / Harold Sterling, MD / Norma Spalding, EdD

Purpose: Identifies possible neurological interference in learning
Age: 4 through to 80+yrs
Admin: Individual
Time: 20 minutes

Qualification Level: 


The QNST is an individually administered, empirically based assessment of the development of motor coordination and sensory integration (both of which have been shown to relate to learning as well as to general daily functioning), seen as neurological soft signs (NSS). NSS are minor irregularities that include poor motor coordination, sensory perceptual changes, and difficulty sequencing complex motor tasks. The presence of NSS can indicate neural trauma and are often harbingers of learning difficulties (without history of trauma).

The QNST-3R provides an easy and reliable way to quantify, over time, the presence and extent of behaviors that may be of clinical importance.

  •     motor maturity and development
  •     sensory processing
  •     gross and fine muscle control
  •     motor planning and sequencing
  •     sense of rate and rhythm
  •     spatial organization
  •     visual and auditory perception
  •     balance and vestibular function
  •     disorders of attention

    The Manual's updated literature review includes information about NSS seen in sports–related concussion (child and adult), and neurodegenerative diseases (such as Alzheimer's and Parkinson's diseases). The expanded norms now cover ages 4 years through geriatrics (80+).

    QNST-3R tasks are commonly used in traditional neurologic exams and require no special equipment, just a pencil.

    Task 1: Hand Skill
    Task 2: Figure Recognition and Production
    Task 3: Palm Form Recognition
    Task 4: Eye Tracking
    Task 5: Sound Patterns
    Task 6: Finger to Nose
    Task 7: Thumb and Finger Circle
    Task 8: Double Simultaneous Stimulation
    Task 9: Rapidly Reversing Repetitive Hand Movements
    Task 10: Arm and Leg Extension
    Task 11: Tandem Walk
    Task 12: Stand on One Leg
    Task 13: Skipping
    Task 14: Left-Right Discrimination
    Task 15: Behavioral Irregularities

QNST-3R - Quick Neurological Screening Test - 3R

QNST-3R - Quick Neurological Screening Test - 3R

Test Kit (Manual, 25 Record Forms, 25 Remedial Guidelines Forms {developmental activities}, vinyl folder) Qualification Level:  B 


QNST-3R - Manual

QNST-3R - Manual

QNST 3R - Manual Qualification Level:  B 
QNST-3R Record Forms

QNST-3R Record Forms

QNST 3R Record Forms Qualification Level:  B 
QNST-3R - Remedial Guideline Forms

QNST-3R - Remedial Guideline Forms

QNST-3R Remedial Guideline Forms Qualification Level:  B