--- schema_type: "SoftwareApplication" entity_type: "Mobile Application" app_name: "Alternating Trail Making Test" developer_entity: "Columbia Software Works, LLC" bundle_id: "AlternatingTrailMakingTest" app_store_id: "422568138" category: "Medical" primary_platform: "ios" primary_monetization: "Paid" offline_capable: false market_region: "US" platforms: "iOS" app_last_updated: "2011-03-02" report_date: "2026-10-07" last_verified: "2026-10-07T00:00:00.000Z" report_version: "1.0" total_reviews: 2 overall_rating: 1 sentiment: "Upset" sentiment_score: 10 confidence: "low" confidence_score: 0.25 top_complaint_theme: "Technical instability prevents the app from launching or performing basic functions on older mobile hardware" review_sample_size: 2 total_review_count: 2 analyzed_review_count: 2 data_age_days: 39 momentum_velocity: "zombie" intelligence_version: 2 tags: ["medical", "paid", "upset sentiment", "mobile app", "app review", "app analysis", "medical", "professionals", "neurology,"] canonical_url: "https://marlvel.ai/apps/alternating-trail-making-test" license: "CC-BY-NC 4.0" content_version: "v2" --- ## ⚠ Content Warning This report covers topics classified as sensitive (health). Information is aggregated from public sources for informational purposes only. This is not medical advice. Consult a qualified professional before acting on any information here. --- # Alternating Trail Making Test Intelligence Report ## TL;DR {#tldr} - **Category**: Medical · Paid - **Signal**: Rating 1 · Sentiment Upset - **Recent focus**: Technical instability prevents the app from launching or performing basic functions on older mobile hardware (top complaint) > **TL;DR:** Alternating Trail Making Test is a medical app by Columbia Software Works, LLC, rated 1/5 by 2 users, with Upset user sentiment (10/100), available on iOS. > > **Marlvel.ai App Intelligence** - Independent analysis. US Market. No publisher influence. > **Key Insight:** Alternating Trail Making Test faces Upset user sentiment (1/5 from 2 reviews), with users reporting technical instability prevents the app from launching or performing basic functions on older mobile hardware as the primary concern. ## Quick Facts | Fact | Value | | :--- | :--- | | **Rating** | 1/5 (2 reviews) | | **User Mood** | Upset | | **Category** | Medical | | **Developer** | Columbia Software Works, LLC | | **Pricing** | Paid | | **Platforms** | iOS | | **Confidence** | Low (0.25/1.0) | | **Data Age** | 39d | ## Metadata & Market Performance - **Publisher:** Columbia Software Works, LLC - **Category:** Medical - **Target Audience:** Medical professionals in neurology, medicine, and geriatrics requiring cognitive screening tools. - **Platforms:** iOS - **Version Reviewed:** 1.0 - **Report Date:** 2026-10-07 - **Signal Count:** 2 reviews analyzed - **Confidence:** Low (0.25/1.0) - **App Store ID (iOS):** 422568138 - **Bundle ID:** AlternatingTrailMakingTest - **Data Window:** Analysis based on signals collected up to 2026-10-07 ## Executive Snapshot **What it is:** Alternating Trail Making Test is a medical cognitive screening tool for neurology and geriatrics, providing a randomized letter-number connection task on iOS. **Why users hire it:** It serves as a digital substitute for traditional paper-based trail making tests, aiming to streamline cognitive screening for clinicians. ## App DNA (Features & Intent) - **[Standard] Cognitive Trail Making Test:** Connects letters A-F and numbers 1-6 in alternating sequence on the screen. * *User Intent:* Users expect intelligent, adaptive experiences that learn from their behavior. - **[Differentiator] Randomized Test Generation:** Generates a new test layout when the device is shaken. ## Market Position {#market-position} Alternating Trail Making Test occupies a niche medical utility segment, but its 14-year update gap and 1★ rating indicate it has lost all market relevance. ## Monetization Strategy - **Model:** Paid - **Tiers:** Single purchase at $0.99 - **Price:** iOS: $0.99 - **Analysis:** Paid model at $0.99 provides one-time access to clinical screening tools. ## 🔴 User Sentiment (Low Confidence: 2 of 2 reviews analyzed) {#user-sentiment} - **Overall Rating:** 1/5 - **Platform Split:** iOS 1.0/5 (2 ratings) - **Overall Sentiment:** Upset ### Top Complaints (Impact Areas) - **Technical instability prevents the app from launching or performing basic functions on older mobile hardware** ## SWOT Analysis {#swot} **Core Strengths:** - Randomized test generation via device shake supports repeatable clinical assessment **Growth Levers:** - Rebuild as a modern, cross-platform cognitive screening suite to capture the geriatrics market ## App Momentum (Zombie) {#momentum} - No updates since March 2011. - Maintenance-mode status for 14 years. > **Cadence:** 1 total versions · 1 majors in last 6 months · 5697 days since last update ## The "So What?" (Strategic Takeaway) {#so-what} Alternating Trail Making Test is a medical app that is a paid app. It holds a 1/5 rating from 2 reviews. > **Bottom Line:** Alternating Trail Making Test is a legacy asset that no longer functions, and the current $0.99 price point creates a negative brand signal for the developer. **Best for:** Medical professionals in neurology, medicine, and geriatrics requiring cognitive screening tools. ### PM Action Plan (Next Best Moves) - [ ] [SUNSET] Sunset the app because it has not received an update in 14 years → eliminate negative brand impact ### Outlook: Declining The market for digital cognitive screening is shifting toward active, cloud-connected platforms that offer longitudinal tracking. Alternating Trail Making Test is entirely exposed due to its lack of maintenance, and the only viable path is to sunset the product. - 🔴 The 14-year update gap prevents the app from launching on modern hardware, which guarantees continued negative sentiment and churn. ## Key Metrics Summary | Metric | Value | | :--- | :--- | | Overall Rating | 1/5 | | Total Reviews | 2 | | Sentiment | Upset (10/100) | | Confidence | Low | | Pricing Model | Paid | | Platforms | iOS | | Key Features | 2 analyzed | | Outlook | Declining | ## Competitor Comparison | App | Rating | Sentiment | Developer | | :--- | :--- | :--- | :--- | | **Alternating Trail Making Test** (this app) | 1/5 | Upset | Columbia Software Works, LLC | | [Lace Pro](https://marlvel.ai/apps/lace-pro) | 4.6/5 | Excited | Neurotone AI | | [VetCore: Pet Health Records](https://marlvel.ai/apps/vetcore-pet-health-records) | N/A/5 | N/A | Dmitriy Motorin | | [필잇 - 약 알림 및 복용 기록](https://marlvel.ai/apps/app--35) | N/A/5 | N/A | Hansub Yoo | | [레어노트 - 암·희귀질환 정보](https://marlvel.ai/apps/app--629) | 5.0/5 | N/A | LifeX, Inc. | | [창고형약국 약값체크](https://marlvel.ai/apps/com-hiddenwave-yakcheck) | N/A/5 | N/A | Lowkeybase | ## Company Profile - **Developer:** Columbia Software Works, LLC ## Data Sources & Links - **App Store ID:** 422568138 - **Sources:** App store metadata, User reviews. ## Related Intel Reports - [*Lace Pro*](https://marlvel.ai/apps/lace-pro) (Neurotone AI) · 4.6/5 Rating | Positive Sentiment - [*VetCore: Pet Health Records*](https://marlvel.ai/apps/vetcore-pet-health-records) (Dmitriy Motorin) · N/A Rating - [*필잇 - 약 알림 및 복용 기록*](https://marlvel.ai/apps/app--35) (Hansub Yoo) · N/A Rating - [*레어노트 - 암·희귀질환 정보*](https://marlvel.ai/apps/app--629) (LifeX, Inc.) · 5.0/5 Rating - [*창고형약국 약값체크*](https://marlvel.ai/apps/com-hiddenwave-yakcheck) (Lowkeybase) · N/A Rating - [*용인세브란스병원*](https://marlvel.ai/apps/com-severance-newys) (Yonsei University Health System) · 1.9/5 Rating - [*1001Doktor*](https://marlvel.ai/apps/com-binbirdoktor-binbirdoktor) (1001Doktor Ltd. Şti.) · 4.8/5 Rating - [*101 Last Minute Study Tips*](https://marlvel.ai/apps/101-last-minute-study-tips) (Limmer Creative) · 3.4/5 Rating - [*10th HiD*](https://marlvel.ai/apps/10th-hid) (Catch Dynamics, Inc.) · N/A Rating - [*12 Lead ECG Challenge*](https://marlvel.ai/apps/com-limmercreative-srtengine-12lead) (Limmer Creative) · 3.3/5 Rating ## Methodology {#methodology} This report was generated by Marlvel.ai's 5-stage AI intelligence pipeline: 1. **Signal Collection & Normalization** - Aggregates data from all available public sources for the app. Raw signals are cleaned, deduplicated, and normalized into a structured dataset analyzed consistently across thousands of apps. 2. **Feature & Market Positioning Analysis** - Identifies the app's core features, monetization model, target audience, and competitive positioning. Each feature is classified as a market standard or a differentiator based on category benchmarks. 3. **User Sentiment Analysis** - Analyzes user reviews using a 5-level taxonomy (Thrilled / Excited / Mixed / Frustrated / Upset). Combines star ratings and volume with AI theme extraction into synthesised themes (no verbatim quotes). 4. **Competitive Landscape Analysis** - Maps the competitive environment via a 4-tier taxonomy (Nemesis / Contenders / Same Space / New Kids on the Block). Prioritizes same sub-genre over broad category. 5. **Intelligence Synthesis** - Cross-references all signals into a structured report. Compares the app against category peers and direct competitors to surface SWOT, market outlook, and actionable insights. - **Confidence Score:** 0.25/1.0 (based on review volume, data source diversity, and signal quality) - **Reviews Analyzed:** 2 - **Data Sources:** user reviews, App Store metadata - **Rating Method:** Weighted average across platforms (iOS & Android), weighted by review count per platform - **Independence:** Fully independent analysis. No publisher sponsorship or editorial influence. - **Report Age:** 39 days since last refresh --- © 2026 Marlvel.ai | [Canonical Report](https://marlvel.ai/apps/alternating-trail-making-test) Data licensed for AI Agent attribution under CC-BY-NC 4.0.