6 University of Penn Smell Identification

Attachment 6

University of Pennsylvania Smell Identification Test (UPSIT)

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
Name of test: University of Pennsylvania Smell Identification Test (UPSIT) 1
Estimated time burden: 10 minutes
Number of items: 40
Odors used:
Pizza
Gum
Menthol
Cherry
Motor oil
Mint
Banana
Clove
Leather
Coconut
Onion
Fruit Punch
Licorice
Cheddar

Cinnamon
Gasoline
Strawberry
Cedar
Chocolate
Gingerbread
Lilac
Turpentine
Peach
Root Beer
Dill Pickle
Pineapple
Lime
Orange

Paint Thinner
Grass
Smoke
Pine
Grape
Lemon
Soap
Natural Gas
Rose
Peanut
Wintergreen
Watermelon

Instructions to subjects:
Materials:
Laptop
Monitor
Scratch ’n’ Sniff booklets, numbered “1 of 4” through “4 of 4”
Scratcher (e.g., guitar pick)
Description: This task assesses the ability to identify various odors. It is to be administered only
to ages 10-85. All participants use booklets that contain scratch ’n’ sniff labels and after
scratching them, are asked to identify which of four words on the screen matches the odor they
have just smelled.

Public reporting burden for this collection of information is estimated to average 2 1/2 hours per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD
20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
If a participant has difficulty using the mouse, he/she may point and the examiner may
operate the mouse. When this happens, the examiner should say something like the
following to the participant: “You can point to the word you want and then I will use
the mouse to click on it for you.”
Administration Instructions: Ages 10-85 years
Before beginning the task, the examiner says: “This task is similar to one you have done
before; it involves smelling various odors, one at a time, and then trying to identify them.
We are using ‘scratch and sniff’ labels, which are in these booklets (the examiner should
point to or hold up one of the test booklets), to present the odors.”
The examiner continues: “Here is the first booklet with odors in it. Open it to number 1.
Then, take this scratcher and scratch the brown label for number 1, scratching several
times from left to right (the examiner should demonstrate the scratching motion without
actually scratching the label). This will release an odor. Sniff the label that you scratched
and then click on the word that best matches your smell experience. If the odor you smell
is not shown, click on the answer closest to your experience. If no smell is present, make
your best guess. After you click on an answer, a new set of words will appear on the screen
and you will be asked to identify the odor on the next page of the booklet.
If you want to change your last answer, click on the GO BACK button (point to the button
on the participant’s screen). Even though you will see answer choices in the booklet, you only
need to answer by clicking your choice on the screen.”
When the participant has completed Booklet 1 of 4, hand him/her Booklet 2 of 4 and say: “Now,
continue with this booklet.” Continue this process until the participant has completed all four
booklets, reminding him/her, if necessary, about how to scratch the labels and click on the
answer as often as needed.
NOTE: The participant is not permitted to go back beyond the previous item he/she attempted.
The examiner should monitor this closely and if the participant attempts to go back beyond the
previous item, say: “You can only go back to the last item you smelled.”
When the participant has completed all 40 items in the four booklets, say: “We have finished
this activity.”