Blame for app.py

"""
Interactive Montreal Cognitive Assessment (MoCA) v8.1
Streamlit App for Hugging Face Spaces Deployment

To deploy:
1. Create a Hugging Face Space (https://huggingface.co/spaces)
2. Choose "Streamlit" as SDK
3. Upload this file as app.py
4. Create a requirements.txt with: streamlit, pandas, matplotlib, numpy
"""

import streamlit as st
import pandas as pd
import matplotlib.pyplot as plt
import numpy as np
from datetime import datetime
import json

# Page config
st.set_page_config(
    page_title="MoCA Assessment",
    layout="wide",
    initial_sidebar_state="expanded"
)

# Custom CSS
st.markdown("""
<style>
    .main {
        padding: 1rem;
    }
    .stAlert {
        margin: 1rem 0;
    }
</style>
""", unsafe_allow_html=True)

st.title("🧠 Interactive Montreal Cognitive Assessment (MoCA) v8.1")

st.markdown("""
---
**📋 About this tool:**
- Digital implementation of the Montreal Cognitive Assessment
- Assessment takes approximately 10-15 minutes
- For research and educational purposes

**⚠️ DISCLAIMER:** 
Clinical interpretation must be done by a qualified healthcare professional. 
Do NOT use this for diagnosis without professional oversight.

**Normal Score:** ≥26/30 (add 1 point if education ≤12 years)

---
""")

# Initialize session state
if 'test_data' not in st.session_state:
    st.session_state.test_data = {
        'demographics': {},
        'responses': {},
        'scores': {},
        'timestamp': datetime.now().isoformat()
    }

test_data = st.session_state.test_data

# Sidebar navigation
with st.sidebar:
    st.header("📍 Assessment Steps")
    step = st.radio(
        "Select Step:",
        [
            "1️⃣ Demographics",
            "2️⃣ Visuospatial",
            "3️⃣ Naming",
            "4️⃣ Memory (Learning)",
            "5️⃣ Attention",
            "6️⃣ Language",
            "7️⃣ Delayed Recall",
            "8️⃣ Orientation",
            "📊 Results"
        ]
    )
    
    st.divider()
    
    # Progress indicator
    completed_sections = len([s for s in test_data['scores'].keys() if s != 'education_bonus' and s != 'mis'])
    st.metric("Progress", f"{completed_sections}/8 sections")

# ===== STEP 1: DEMOGRAPHICS =====
if "1️⃣" in step:
    st.header("👤 Participant Information")
    
    col1, col2 = st.columns(2)
    
    with col1:
        name = st.text_input(
            "Name (optional):",
            value=test_data['demographics'].get('name', ''),
            help="For record keeping only"
        )
        age = st.slider(
            "Age:",
            min_value=18,
            max_value=100,
            value=test_data['demographics'].get('age', 65),
            step=1
        )
    
    with col2:
        education = st.slider(
            "Years of Education:",
            min_value=0,
            max_value=20,
            value=test_data['demographics'].get('education', 12),
            step=1,
            help="Total formal education completed"
        )
        sex = st.selectbox(
            "Sex:",
            ["Not Specified", "Male", "Female", "Other"],
            index=["Not Specified", "Male", "Female", "Other"].index(
                test_data['demographics'].get('sex', "Not Specified")
            )
        )
    
    language = st.selectbox(
        "Native Language:",
        ["English", "Other"],
        index=0 if test_data['demographics'].get('language') == "English" else 1
    )
    
    if st.button("✅ Save Demographics & Continue", key="demo_btn", use_container_width=True):
        test_data['demographics'] = {
            'name': name,
            'age': age,
            'education': education,
            'sex': sex,
            'language': language
        }
        st.session_state.test_data = test_data
        st.success("✓ Demographics saved! Proceed to next step.")

# ===== STEP 2: VISUOSPATIAL =====
elif "2️⃣" in step:
    st.header("🎨 Visuospatial & Executive Function")
    
    col1, col2 = st.columns(2)
    
    with col1:
        st.subheader("1️⃣ Trail Making Test")
        st.info("""
        **Instructions:** Draw a line from number to letter in ascending order:
        1 → A → 2 → B → 3 → C → 4 → D → 5 → E
        
        **Important:** Lines should not cross. Do not connect E back to 1.
        """)
        trail = st.radio(
            "Result:",
            ["✓ Completed correctly (no crossing lines)", "✗ Errors or lines crossed"],
            key="trail_radio"
        )
    
    with col2:
        st.subheader("2️⃣ Cube Drawing")
        st.info("""
        **Instructions:** Copy this cube drawing as accurately as you can.
        
        **Scoring:** 3-dimensional, all lines drawn, lines meet with little space,
        no extra lines, lines relatively parallel.
        """)
        cube = st.radio(
            "Result:",
            ["✓ Correctly executed", "✗ Errors in drawing"],
            key="cube_radio"
        )
    
    st.subheader("3️⃣ Clock Drawing")
    st.info("**Instructions:** Draw a clock. Put in all numbers and set time to 10 past 11.")
    
    col1, col2, col3 = st.columns(3)
    with col1:
        clock_contour = st.checkbox("✓ Contour correct (circle/square)")
    with col2:
        clock_numbers = st.checkbox("✓ All numbers present & correct order")
    with col3:
        clock_hands = st.checkbox("✓ Hands correct (short hour, long minute, centered)")
    
    if st.button("✅ Save Visuospatial & Continue", key="vis_btn", use_container_width=True):
        trail_pts = 1 if "✓" in trail else 0
        cube_pts = 1 if "✓" in cube else 0
        clock_pts = sum([clock_contour, clock_numbers, clock_hands])
        
        test_data['responses']['visuospatial'] = {
            'trail': trail, 'cube': cube,
            'clock_contour': clock_contour,
            'clock_numbers': clock_numbers,
            'clock_hands': clock_hands
        }
        test_data['scores']['visuospatial'] = trail_pts + cube_pts + clock_pts
        st.session_state.test_data = test_data
        st.success(f"✓ Visuospatial saved! Points: {trail_pts + cube_pts + clock_pts}/5")

# ===== STEP 3: NAMING =====
elif "3️⃣" in step:
    st.header("🦁 Naming Test")
    
    st.info("""
    **Instructions:** The examiner points to three animals. 
    What name did the participant give for each?
    """)
    
    st.markdown("### Animals:")
    col1, col2, col3 = st.columns(3)
    
    with col1:
        st.markdown("**Animal 1: Lion**")
        animal1 = st.text_input("Participant's answer:", key="animal1", placeholder="e.g., lion")
    
    with col2:
        st.markdown("**Animal 2: Rhinoceros**")
        animal2 = st.text_input("Participant's answer:", key="animal2", placeholder="e.g., rhino")
    
    with col3:
        st.markdown("**Animal 3: Camel**")
        animal3 = st.text_input("Participant's answer:", key="animal3", placeholder="e.g., camel")
    
    if st.button("✅ Save Naming & Continue", key="naming_btn", use_container_width=True):
        score = 0
        if 'lion' in animal1.lower():
            score += 1
        if any(x in animal2.lower() for x in ['rhino', 'rhinoceros']):
            score += 1
        if any(x in animal3.lower() for x in ['camel', 'dromedary']):
            score += 1
        
        test_data['responses']['naming'] = {
            'animal1': animal1, 'animal2': animal2, 'animal3': animal3
        }
        test_data['scores']['naming'] = score
        st.session_state.test_data = test_data
        st.success(f"✓ Naming saved! Points: {score}/3")

# ===== STEP 4: MEMORY LEARNING =====
elif "4️⃣" in step:
    st.header("🧠 Memory Test - Learning Phase")
    
    st.warning("""
    ⚠️ **IMPORTANT:** The participant must REMEMBER these words. 
    They will be tested on them later in the assessment.
    """)
    
    st.markdown("""
    ### 📝 WORDS TO READ (at rate of 1 word per second):
    
    # **FACE   •   VELVET   •   CHURCH   •   DAISY   •   RED**
    """)
    
    st.info("""
    **Examiner Instructions:**
    "This is a memory test. I am going to read a list of words that you will 
    have to remember now and later on. Listen carefully. When I am through, 
    tell me as many words as you can remember."
    """)
    
    if st.button("✅ Participant Heard Words - Continue to Attention", 
                 key="memory_btn", use_container_width=True):
        test_data['responses']['memory_words'] = ['FACE', 'VELVET', 'CHURCH', 'DAISY', 'RED']
        st.session_state.test_data = test_data
        st.success("✓ Memory encoding recorded. Proceed to Attention section.")

# ===== STEP 5: ATTENTION =====
elif "5️⃣" in step:
    st.header("👁️ Attention Tests")
    
    with st.container(border=True):
        st.subheader("1️⃣ Forward Digit Span")
        st.markdown("**Read at 1 digit/second:** 2 1 8 5 4")
        digit_forward = st.text_input(
            "Participant repeated:",
            placeholder="e.g., 2 1 8 5 4 or 2-1-8-5-4",
            key="digit_forward"
        )
    
    with st.container(border=True):
        st.subheader("2️⃣ Backward Digit Span")
        st.markdown("**Read at 1 digit/second:** 7 4 2")
        st.markdown("*Correct backward answer: 2 4 7*")
        digit_backward = st.text_input(
            "Participant repeated:",
            placeholder="e.g., 2 4 7",
            key="digit_backward"
        )
    
    with st.container(border=True):
        st.subheader("3️⃣ Vigilance (Tap on Letter A)")
        st.markdown("**Read letters at 1/second. Participant taps on every 'A':**")
        st.markdown("F B A C M N A A J K L B A F A K D E A A A J A M O F A A B")
        vig_errors = st.slider("Errors (tapped wrong or missed A):", 0, 10, value=0, key="vig_errors")
    
    with st.container(border=True):
        st.subheader("4️⃣ Serial 7 Subtraction")
        st.markdown("""
        **Instruction:** "Count backward by 7s starting from 100."
        
        Expected sequence: 93 → 86 → 79 → 72 → 65
        """)
        serial7_correct = st.slider(
            "Number of correct subtractions:",
            0, 5, value=0, key="serial7_correct"
        )
    
    if st.button("✅ Save Attention & Continue", key="attention_btn", use_container_width=True):
        score = 0
        score += 1 if '2 1 8 5 4' in digit_forward.replace('-', ' ').replace(',', ' ') else 0
        score += 1 if '2 4 7' in digit_backward.replace('-', ' ').replace(',', ' ') else 0
        score += 1 if vig_errors <= 1 else 0
        
        if serial7_correct >= 4:
            score += 3
        elif serial7_correct >= 2:
            score += 2
        elif serial7_correct >= 1:
            score += 1
        
        test_data['responses']['attention'] = {
            'digit_forward': digit_forward,
            'digit_backward': digit_backward,
            'vigilance_errors': vig_errors,
            'serial7_correct': serial7_correct
        }
        test_data['scores']['attention'] = score
        st.session_state.test_data = test_data
        st.success(f"✓ Attention saved! Points: {score}/8")

# ===== STEP 6: LANGUAGE =====
elif "6️⃣" in step:
    st.header("💬 Language Tests")
    
    with st.container(border=True):
        st.subheader("1️⃣ Sentence Repetition")
        st.markdown("""
        **Instruction:** "I am going to read you a sentence. 
        Repeat it exactly as I say it."
        """)
        
        st.markdown("**Sentence 1:**")
        st.markdown('> "I only know that John is the one to help today."')
        sent1 = st.checkbox(
            "✓ Repeated exactly (watch for omissions, substitutions, grammar errors)",
            key="sent1"
        )
        
        st.markdown("**Sentence 2:**")
        st.markdown('> "The cat always hid under the couch when dogs were in the room."')
        sent2 = st.checkbox(
            "✓ Repeated exactly",
            key="sent2"
        )
    
    with st.container(border=True):
        st.subheader("2️⃣ Verbal Fluency (Letter F)")
        st.markdown("""
        **Instruction:** "Tell me as many words as you can think of 
        that begin with the letter F. I will tell you to stop after 60 seconds."
        
        *Rules: No proper nouns, numbers, or different verb forms*
        """)
        fluency = st.slider(
            "Number of valid words starting with F:",
            0, 30, value=0, key="fluency"
        )
    
    with st.container(border=True):
        st.subheader("3️⃣ Abstraction")
        
        st.markdown("**Pair 1: Train and Bicycle**")
        st.markdown("*Acceptable answers: means of transportation, means of travel, you take trips*")
        st.markdown("*NOT acceptable: they have wheels*")
        abstract1 = st.radio(
            "Response:",
            ["✓ Correct (transportation/travel)", "✗ Incorrect or concrete"],
            key="abstract1"
        )
        
        st.markdown("**Pair 2: Ruler and Watch**")
        st.markdown("*Acceptable answers: measuring instruments, used to measure*")
        st.markdown("*NOT acceptable: they have numbers*")
        abstract2 = st.radio(
            "Response:",
            ["✓ Correct (measuring instruments)", "✗ Incorrect or concrete"],
            key="abstract2"
        )
    
    if st.button("✅ Save Language & Continue", key="language_btn", use_container_width=True):
        score = 0
        score += int(sent1)
        score += int(sent2)
        score += 1 if fluency >= 11 else 0
        score += 1 if "✓" in abstract1 else 0
        score += 1 if "✓" in abstract2 else 0
        
        test_data['responses']['language'] = {
            'sent1': sent1, 'sent2': sent2, 'fluency': fluency,
            'abstract1': abstract1, 'abstract2': abstract2
        }
        test_data['scores']['language'] = score
        st.session_state.test_data = test_data
        st.success(f"✓ Language saved! Points: {score}/5")

# ===== STEP 7: DELAYED RECALL =====
elif "7️⃣" in step:
    st.header("🧠 Delayed Recall & Memory Index Score")
    
    st.warning("⚠️ **Recall the 5 words from earlier:**")
    st.markdown("# **FACE   •   VELVET   •   CHURCH   •   DAISY   •   RED**")
    
    with st.container(border=True):
        st.subheader("Spontaneous Recall (WITHOUT CUES)")
        st.markdown("Which words did participant recall without any help?")
        
        col1, col2, col3 = st.columns(3)
        with col1:
            recall_face = st.checkbox("FACE", key="recall_face")
            recall_velvet = st.checkbox("VELVET", key="recall_velvet")
        with col2:
            recall_church = st.checkbox("CHURCH", key="recall_church")
            recall_daisy = st.checkbox("DAISY", key="recall_daisy")
        with col3:
            recall_red = st.checkbox("RED", key="recall_red")
    
    with st.container(border=True):
        st.subheader("With Category Cues (if needed)")
        st.markdown("For words not recalled, give category hints:")
        
        col1, col2, col3 = st.columns(3)
        with col1:
            cue_face = st.checkbox("FACE (body part)", key="cue_face")
            cue_velvet = st.checkbox("VELVET (fabric)", key="cue_velvet")
        with col2:
            cue_church = st.checkbox("CHURCH (building)", key="cue_church")
            cue_daisy = st.checkbox("DAISY (flower)", key="cue_daisy")
        with col3:
            cue_red = st.checkbox("RED (color)", key="cue_red")
    
    with st.container(border=True):
        st.subheader("With Multiple-Choice Only")
        st.markdown("Words only recalled when given multiple choice options:")
        
        col1, col2, col3 = st.columns(3)
        with col1:
            mult_face = st.checkbox("FACE (MC only)", key="mult_face")
            mult_velvet = st.checkbox("VELVET (MC only)", key="mult_velvet")
        with col2:
            mult_church = st.checkbox("CHURCH (MC only)", key="mult_church")
            mult_daisy = st.checkbox("DAISY (MC only)", key="mult_daisy")
        with col3:
            mult_red = st.checkbox("RED (MC only)", key="mult_red")
    
    if st.button("✅ Save Delayed Recall & Continue", key="memory_recall_btn", use_container_width=True):
        spontaneous = sum([
            recall_face, recall_velvet, recall_church, recall_daisy, recall_red
        ])
        
        category = sum([
            cue_face and not recall_face,
            cue_velvet and not recall_velvet,
            cue_church and not recall_church,
            cue_daisy and not recall_daisy,
            cue_red and not recall_red
        ])
        
        multiple = sum([
            mult_face and not recall_face and not cue_face,
            mult_velvet and not recall_velvet and not cue_velvet,
            mult_church and not recall_church and not cue_church,
            mult_daisy and not recall_daisy and not cue_daisy,
            mult_red and not recall_red and not cue_red
        ])
        
        mis = (spontaneous * 3) + (category * 2) + (multiple * 1)
        
        test_data['responses']['delayed_recall'] = {
            'spontaneous': spontaneous,
            'category': category,
            'multiple': multiple
        }
        test_data['scores']['delayed_recall'] = spontaneous
        test_data['scores']['mis'] = mis
        st.session_state.test_data = test_data
        
        st.success(f"""
        ✓ Delayed Recall Saved!
        - Spontaneous: {spontaneous}/5 points
        - Memory Index Score (MIS): {mis}/15 points
        """)

# ===== STEP 8: ORIENTATION =====
elif "8️⃣" in step:
    st.header("📍 Orientation")
    
    today = datetime.now()
    st.info(f"Today's date should be: **{today.strftime('%A, %B %d, %Y')}**")
    
    st.markdown("### Check which orientation items are correct:")
    
    col1, col2, col3 = st.columns(3)
    with col1:
        orient_date = st.checkbox("✓ Date correct (exact, no ±1 day error)")
        orient_month = st.checkbox("✓ Month correct")
        orient_year = st.checkbox("✓ Year correct")
    
    with col2:
        orient_day = st.checkbox("✓ Day of week correct")
        orient_place = st.checkbox("✓ Place/Location correct")
    
    with col3:
        orient_city = st.checkbox("✓ City correct")
    
    if st.button("✅ Complete Assessment", key="orient_btn", use_container_width=True):
        score = sum([
            orient_date, orient_month, orient_year,
            orient_day, orient_place, orient_city
        ])
        test_data['scores']['orientation'] = score
        st.session_state.test_data = test_data
        st.success(f"✓ Orientation saved! Points: {score}/6")
        st.balloons()

# ===== RESULTS PAGE =====
elif "📊" in step:
    st.header("📊 Assessment Results & Scoring")
    
    def calc_total():
        total = sum([
            test_data['scores'].get('visuospatial', 0),
            test_data['scores'].get('naming', 0),
            test_data['scores'].get('attention', 0),
            test_data['scores'].get('language', 0),
            test_data['scores'].get('delayed_recall', 0),
            test_data['scores'].get('orientation', 0)
        ])
        
        if test_data['demographics'].get('education', 0) <= 12:
            total += 1
        
        return min(total, 30)
    
    total_score = calc_total()
    is_normal = total_score >= 26
    
    # Summary table
    summary_data = {
        'Domain': ['Visuospatial/Executive', 'Naming', 'Attention', 'Language', 'Delayed Recall', 'Orientation'],
        'Points': [
            test_data['scores'].get('visuospatial', 0),
            test_data['scores'].get('naming', 0),
            test_data['scores'].get('attention', 0),
            test_data['scores'].get('language', 0),
            test_data['scores'].get('delayed_recall', 0),
            test_data['scores'].get('orientation', 0)
        ],
        'Max': [5, 3, 8, 5, 5, 6]
    }
    
    df = pd.DataFrame(summary_data)
    
    st.subheader("Score Breakdown by Domain")
    st.dataframe(df, use_container_width=True, hide_index=True)
    
    # Key metrics
    col1, col2, col3, col4 = st.columns(4)
    
    with col1:
        st.metric("📊 Total Score", f"{total_score}/30", 
                 delta="Normal" if is_normal else "Possible Impairment")
    
    with col2:
        st.metric("📈 Status", "✓ Normal" if is_normal else "⚠ Below 26")
    
    with col3:
        st.metric("🧠 MIS Score", f"{test_data['scores'].get('mis', 0)}/15",
                 help="Memory Index Score - shows type of memory deficit")
    
    with col4:
        st.metric("👤 Participant", 
                 test_data['demographics'].get('name', 'Not provided'),
                 test_data['demographics'].get('age', 'N/A'))
    
    # Visualizations
    st.subheader("Score Visualization")
    
    col1, col2 = st.columns(2)
    
    with col1:
        fig1, ax1 = plt.subplots(figsize=(10, 5))
        scores = df['Points'].tolist()
        max_scores = df['Max'].tolist()
        x = np.arange(len(df['Domain']))
        
        ax1.bar(x - 0.2, scores, 0.4, label='Participant Score', color='steelblue', alpha=0.8)
        ax1.bar(x + 0.2, max_scores, 0.4, label='Maximum', color='lightgray', alpha=0.5)
        ax1.set_ylabel('Points', fontsize=11)
        ax1.set_title('MoCA Score by Cognitive Domain', fontsize=12, fontweight='bold')
        ax1.set_xticks(x)
        ax1.set_xticklabels(df['Domain'], rotation=45, ha='right', fontsize=9)
        ax1.legend()
        ax1.grid(axis='y', alpha=0.3, linestyle='--')
        ax1.set_ylim(0, 10)
        
        plt.tight_layout()
        st.pyplot(fig1, use_container_width=True)
    
    with col2:
        fig2, ax2 = plt.subplots(figsize=(8, 6))
        colors = ['#2ecc71' if is_normal else '#e74c3c', '#ecf0f1']
        explode = (0.1, 0)
        
        wedges, texts, autotexts = ax2.pie(
            [total_score, 30 - total_score],
            labels=[f'Scored: {total_score}', f'Remaining: {30 - total_score}'],
            autopct='%1.1f%%',
            colors=colors,
            explode=explode,
            startangle=90,
            textprops={'fontsize': 11}
        )
        
        status_text = "✓ NORMAL COGNITION" if is_normal else "⚠ POSSIBLE IMPAIRMENT"
        ax2.set_title(f'Overall Score\n{status_text}', fontsize=13, fontweight='bold')
        
        st.pyplot(fig2, use_container_width=True)
    
    # Interpretation
    st.divider()
    st.subheader("📋 Clinical Interpretation")
    
    if is_normal:
        st.success(f"""
        **✓ NORMAL COGNITION**
        
        Total Score: **{total_score}/30**
        
        The participant's performance falls within the normal range for cognitive function.
        A score of 26 or above is considered normal on the MoCA.
        """)
    else:
        st.warning(f"""
        **⚠ POSSIBLE COGNITIVE IMPAIRMENT**
        
        Total Score: **{total_score}/30**
        
        The participant's score is below 26, suggesting possible mild cognitive impairment.
        
        **Areas of concern:**
        """)
        
        for idx, row in df.iterrows():
            if row['Points'] < (row['Max'] * 0.75):  # <75% correct
                st.markdown(f"- **{row['Domain']}:** {row['Points']}/{row['Max']} points")
    
    # Memory Index interpretation
    st.info(f"""
    **Memory Index Score (MIS): {test_data['scores'].get('mis', 0)}/15**
    
    The MIS reveals the nature of memory problems:
    - **High spontaneous recall:** Memory retrieval is intact
    - **Improved with cues:** Retrieval problem (generally better prognosis)
    - **No improvement with cues:** Encoding problem (suggests more severe impairment)
    """)
    
    # Export section
    st.divider()
    st.subheader("💾 Export Results")
    
    # Prepare export data
    export_df = df.copy()
    export_df.loc[len(export_df)] = ['TOTAL', total_score, 30]
    export_df.loc[len(export_df)] = ['MIS Score', test_data['scores'].get('mis', 0), 15]
    
    csv = export_df.to_csv(index=False)
    json_str = json.dumps(test_data, indent=2, default=str)
    
    col1, col2 = st.columns(2)
    
    with col1:
        st.download_button(
            label="📥 Download as CSV",
            data=csv,
            file_name=f"moca_results_{datetime.now().strftime('%Y%m%d_%H%M%S')}.csv",
            mime="text/csv"
        )
    
    with col2:
        st.download_button(
            label="📥 Download as JSON",
            data=json_str,
            file_name=f"moca_results_{datetime.now().strftime('%Y%m%d_%H%M%S')}.json",
            mime="application/json"
        )
    
    # Critical disclaimer
    st.divider()
    st.error("""
    ### ⚠️ CRITICAL DISCLAIMER
    
    **This digital assessment is for RESEARCH AND EDUCATIONAL PURPOSES ONLY.**
    
    Clinical interpretation must ONLY be performed by:
    - A qualified healthcare professional (MD, DO, NP, PA)
    - With training in cognitive assessment
    - Who understands the participant's complete medical history
    - Who knows about current medications and their cognitive effects
    - Who can assess the overall clinical context and comorbidities
    
    **DO NOT USE THIS FOR DIAGNOSIS WITHOUT PROFESSIONAL OVERSIGHT.**
    
    Results should be reviewed with a healthcare provider before any clinical decisions are made.
    """)

# Footer
st.divider()
st.markdown("""
<div style='text-align: center; color: gray; font-size: 0.85em;'>
    <p>Interactive MoCA v8.1 Assessment Tool | Based on the Montreal Cognitive Assessment</p>
    <p>Original MoCA © Z. Nasreddine MD | www.mocatest.org</p>
    <p>This implementation is for research and educational purposes only.</p>
</div>
""", unsafe_allow_html=True)