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Alternating Trail Making Test

Alternating Trail Making Test

By Columbia Software Works

Alternating Trail Making Test is a medical cognitive screening tool for neurology and geriatrics, providing a randomized letter-number connection task on iOS.

The App DNA

What makes this app unique?

It serves as a digital substitute for traditional paper-based trail making tests, aiming to streamline cognitive screening for clinicians.

For Medical professionals in neurology, medicine, and geriatrics requiring cognitive screening tools.

What does it look like?

Key features

Cognitive Trail Making Teststandard

Connects letters A-F and numbers 1-6 in alternating sequence on the screen.

Randomized Test Generationedge

Generates a new test layout when the device is shaken.

How much does it cost?

paidSingle purchase at $0.99

Paid model at $0.99 provides one-time access to clinical screening tools.

Velocity

Dormant developmentShow more...

Development has ceased entirely, with no updates or feature releases in 5,697 days. The app remains in a state of total stagnation, having not received any maintenance or content updates since its initial launch. There is no evidence of active support or ongoing development for this title.

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Who built it?

Columbia Software Works

4 apps tracked · Medical

Pupil SizerPupil SizerNa CalculatorNa CalculatorClockface TestClockface Test
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User Sentiment

What do users think recently?

Fresh user feedback skews upset.

How are ratings & reviews evolving?

App Store
1.00 · 2

What users say, by theme

What Frustrates Users
  • Technical instability prevents the app from launching or performing basic functions on older mobile hardware
+ 2 more themes

2 of 2 recent reviews analyzed · limited sample

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Unlock 2 more frustration themes, each backed by review evidence.

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Competition

Competitive landscape for Alternating Trail Making Test

How's the Medical market?

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.

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The rivals identified

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The Analyst's Read

Key takeaways for Alternating Trail Making Test

Where is it heading?

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.

The SWOT

Core Strengths
  • Randomized test generation via device shake supports repeatable clinical assessment
Critical Frictions 3 weaknesses inside
Growth Levers
  • Rebuild as a modern, cross-platform cognitive screening suite to capture the geriatrics market
Market Threats 1 threat identified

Next best moves

1 Sunset

Sunset the app because it has not received an update in 14 years → eliminate negative brand impact

The counter-intuitive read

The app's primary value is not its utility…

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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.

Unlock 3 critical frictions, 1 market threat and the analyst’s take.

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Sources

  1. [1] App Store

Report last updated

Disclosure: Independent intel to help mobile builders succeed.

AI-powered analysis with automated quality gates, built from publicly available sources. Marlvel.ai is not affiliated with, endorsed by, or sponsored by Alternating Trail Making Test, its developer, the app publisher, Apple, or Google Play. All trademarks, logos, and screenshots referenced remain the property of their respective owners.

Cite this report

Marlvel.ai. “Alternating Trail Making Test Intelligence Report.” Updated Oct 7, 2026. https://marlvel.ai/apps/alternating-trail-making-test

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