Complete Guide to CogScreen-AE for Pilots
Everything you need to know about the FAA neuropsychological evaluation: what it tests, who needs it, how to prepare, and what happens next.
Last Updated: February 2026 | Comprehensive Overview | 8 min read
✓Quick Facts
- Duration
- 60–75 minutes
- Subtests
- 13 cognitive tasks
- Format
- Computer-based, adaptive
- Who Orders It
- FAA via AME referral
- Common Triggers
- ADHD, neurological history, SSRI use, HIMS
- Prep Recommended
- 2–4 weeks before evaluation
- Composite Score
- LRPV (Logistic Regression Probability Value)
1. What Is CogScreen-AE?
The CogScreen-AE (Aeromedical Edition) is a standardized, computer-administered neuropsychological battery developed specifically for aviation populations. Unlike general cognitive assessments, it is normed against a professional pilot population — meaning your performance is compared to other pilots, not the general public.
The test was developed by Gary Kay, Ph.D., and has been validated in multiple peer-reviewed studies demonstrating its ability to detect cognitive impairments that could impact flight safety. It is the FAA's preferred cognitive screening tool for pilots undergoing neuropsychological evaluation.
The evaluation is administered by a licensed clinical psychologist or neuropsychologist, typically in a clinical setting. You sit at a computer with a touchscreen monitor and complete a series of timed tasks. The full battery takes 45–75 minutes depending on individual performance.
2. Who Needs to Take CogScreen-AE?
The CogScreen-AE is not a routine part of every FAA medical exam. It is ordered when an Aviation Medical Examiner (AME) has specific clinical concerns. Common triggers include:
- ADHD DiagnosisPilots with ADHD who are not on stimulant medications may be eligible for the Fast Track pathway; all require CogScreen as part of evaluation
- SSRI Antidepressant UsePilots using approved SSRIs under the FAA SSRI protocol require periodic neuropsychological evaluation
- Head Injury or TBIAny significant traumatic brain injury triggers cognitive evaluation requirements
- Neurological ConditionsHistory of seizures, stroke, brain tumor, or other neurological events
- HIV StatusHIV-positive pilots are typically evaluated through a specialized protocol
- HIMS ProgramPilots in substance use recovery programs (HIMS) undergo periodic evaluation
- Cognitive ConcernsAge-related concerns or unusual symptoms noted during routine exam
3. The 13 Subtests Explained
Each subtest targets a specific cognitive domain critical for flight safety. PilotPrep offers adaptive training for all 13 of these modules.
1. Backward Digit Span (BDS)
Measures: Auditory working memory.
You hear a sequence of digits and must type them in reverse order. Simulates holding ATC instructions while performing other tasks.
2. Symbol Digit Coding (SDC)
Measures: Processing speed & visual scanning.
Match symbols to digits based on a key. Tests how quickly you can process visual information.
3. Math (MATH)
Measures: Mental arithmetic & working memory.
Solve math problems mentally (addition, subtraction, multiplication, division). Accuracy and speed both count.
4. Visual Sequence Comparison (VSC)
Measures: Visual working memory & attention.
Compare two alphanumeric strings presented simultaneously and determine if they are identical.
5. Matching to Sample (MTS)
Measures: Visual pattern recognition.
Identify a target pattern within a grid of similar patterns.
6. Manikin (MAN)
Measures: Spatial orientation & rotation.
Determine which hand a rotated figure is holding a flag in. Critical for attitude awareness.
7. Divided Attention (DAT)
Measures: Multi-tasking capability.
Keep a cursor centered on a moving track while simultaneously monitoring a sequence of numbers for specific targets.
8. Auditory Sequence Comparison (ASC)
Measures: Auditory attention & memory.
Compare two tone sequences or patterns presented auditorily.
See All 13 Subtests
For a complete breakdown of all 13 subtests including Pathfinder, Shifting Attention, and Continuous Performance, see our detailed Subtest Guide.
4. How to Prepare: A 4-Week Plan
Contrary to myths that you "can't study" for a neuropsychological test, research shows that familiarization reduces test anxiety and performance variability. The goal is not to cheat the test, but to ensure your score reflects your true cognitive potential rather than confusion about the test format.
Week 1: Assess & Orient
Take a baseline run of all 13 modules on PilotPrep. Don't worry about scores yet. Just understand the button presses and rules.
Week 2: Targeted Practice
Identify your bottom 3 subtests (lowest percentile scores). Spend 15 minutes a day solely on these.
Week 3: Simulation
Run full "Simulation Mode" sessions that mimic the 60-minute fatigue factor of the real test.
Week 4: Taper
Reduce volume. Focus on sleep (7-8 hours). Stop all training 48 hours before your appointment.
Start Your Preparation Today
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Frequently Asked Questions
What is a good LRPV score?
LRPV scores range from 0 to 1. Generally, scores above 0.5 are considered consistent with the normative pilot population. However, the FAA evaluates the entire profile, not just a single number.
How much does the test cost?
The cost of a CogScreen-AE evaluation typically ranges from $1,500 to $3,500 depending on the provider and whether a full neuropsychological report is included. It is rarely covered by insurance.
Can I retake the test if I fail?
Technically yes, but the FAA typically requires a waiting period (often 6 months) to avoid "practice effects." This is why preparing correctly for your first attempt is so critical.