- Who Is Eligible to Take Casper?
- Technical & Equipment Requirements
- Registration and Fee Requirements
- Test Format Requirements You Must Meet
- The 9 Domains You're Actually Evaluated On
- Attempt Limits & Retake Rules
- Score Reporting Requirements
- Preparing to Meet the Requirements
- Frequently Asked Questions
- Casper has no academic prerequisites - eligibility is set by the programs that require it, not by Acuity Insights.
- You need a desktop or laptop with a working webcam and microphone; phones and tablets are not supported.
- The US Medicine registration fee is $85 USD, covering Casper, Duet, and distribution to 7 programs.
- You get one attempt per test type per admissions cycle, and scores never carry forward to a future cycle.
Who Is Eligible to Take Casper?
One of the most common misconceptions about the Casper (Computer-Based Assessment for Sampling Personal Characteristics) test is that there's some kind of GPA cutoff, prerequisite coursework, or minimum test score required before you're allowed to register. There isn't. Casper, developed at McMaster University's Michael G. DeGroote School of Medicine and now administered by Acuity Insights, has no academic prerequisites of its own. Anyone directed to take it by an admissions program can register for an upcoming sitting.
The real eligibility gate isn't Casper - it's the program you're applying to. Medical, dental, pharmacy, nursing, teacher education, and other professional programs each decide independently whether Casper is part of their admissions requirements, and it's their application cycle deadlines (not a Casper-imposed cutoff) that determine when you need a valid score on file. If you're unsure whether your target program requires it, check with the program directly before you register, since fees are non-refundable and non-transferable between cycles.
If you want a deeper primer on what the assessment actually measures before you commit to a sitting, the overview at What Is Casper? and the plain-language breakdown in Casper Meaning are good starting points.
Technical & Equipment Requirements
Because Casper is delivered online with remote proctoring on scheduled sitting dates - not at a physical test center - your equipment is effectively part of the eligibility bar. You must have:
- A desktop or laptop computer (smartphones and tablets are not supported under any circumstance)
- A working webcam for remote proctoring
- A working microphone, required for the video-response scenarios
- A stable internet connection sufficient for continuous video upload and remote monitoring
Test-takers cannot switch response formats mid-scenario, and speech-to-text tools are prohibited unless you have a formally approved accommodation. Practically, this means you should test your hardware well in advance of your sitting rather than discovering a webcam issue minutes before the exam starts - since technical failures are only eligible for a retake if reported within one week and verified by Acuity Insights.
Key Takeaway
Run a full equipment check - webcam, microphone, browser, and internet - at least 48 hours before your scheduled sitting so any hardware issue can be resolved without risking your one attempt for the cycle.
Registration and Fee Requirements
Meeting the financial and administrative requirements of registration is just as important as meeting the technical ones. For the US Medicine track, the registration fee is $85 USD, which covers the Casper assessment itself, the Duet value-alignment assessment, and distribution of your results to 7 programs. Additional program distributions run roughly $18 each. Other health professions programs pay a lower base fee, and pricing varies further by country and test type, so always confirm the exact figure at registration rather than assuming it matches another applicant's experience.
- All fees are final and non-refundable once paid
- Fees are not transferable between admissions cycles - a fee paid for one cycle cannot be applied to a later one
- Applicants approved for AAMC or CASPA fee assistance can have the Casper fee waived
Because the payment structure is unforgiving, it pays to lock in your sitting date only after you've confirmed which programs you're distributing to and whether you qualify for fee assistance. For a full line-item breakdown of what you're paying for and when additional charges apply, see Casper Certification Cost 2026: Complete Pricing Breakdown.
Test Format Requirements You Must Meet
Beyond eligibility and payment, there are structural requirements baked into how the test itself runs, and understanding them ahead of time is part of being "qualified" to sit for Casper in a practical sense. For the 2026-2027 admission cycle, the exam presents 11 scenarios in a fixed order: 4 video-response scenarios first, followed by 7 typed-response scenarios, with 2 open-ended questions per scenario for 22 questions total.
- Video scenarios: 1 minute per question, recorded one at a time
- Typed scenarios: both questions shown together, 3.5 minutes for the pair
- Each scenario is preceded by an optional 30-second reflection period
- A 10-minute optional break follows the video section; a 5-minute optional break follows the first four typed scenarios
- Total estimated time: 65 to 85 minutes
(Note: the Australian teacher education version of Casper runs a shorter 8-scenario format in 45 to 65 minutes - a different structure entirely from the standard admissions version above.)
You cannot switch between video and typed response formats once a scenario begins, so pacing discipline within each format matters. For a scenario-by-scenario walkthrough of what to expect and how to structure your reflection time, the Casper Study Guide 2026: How to Pass on Your First Attempt covers timing strategy in depth, and How Hard Is the Casper Exam? Complete Difficulty Guide 2026 breaks down where most candidates lose composure under the clock.
The 9 Domains You're Actually Evaluated On
There's no syllabus for Casper the way there is for a knowledge-based exam, but there is a defined set of personal and professional characteristics every scenario is built to surface. Understanding these domains is arguably the single most important "requirement" for performing well, since your typed and video responses are rated against how clearly you demonstrate them.
Domain 1: Collaboration
How you work with others toward a shared outcome, especially when priorities conflict.
- Recognizing when to defer versus assert your own position
Domain 2: Communication
Clarity, tone, and structure in how you express reasoning to different audiences.
- Avoiding vague or one-sided answers in typed responses
Domain 3: Empathy
Genuinely considering another person's perspective and emotional state, not just acknowledging it.
- Naming stakeholders' concerns explicitly rather than glossing over them
Domain 4: Fairness
Applying consistent, justifiable standards when interests compete.
- Explaining why a decision is equitable, not just what the decision is
Domain 5: Ethics
Reasoning through moral tension without defaulting to a single "correct" rule.
- Weighing competing obligations transparently
Domain 6: Self-Awareness
Recognizing your own limitations, biases, or emotional reactions within a scenario.
- Being willing to admit uncertainty rather than overstating confidence
Domain 7: Resilience
How you respond to setbacks, criticism, or unresolved conflict.
- Demonstrating a constructive path forward, not just acknowledgment of difficulty
Domain 8: Problem Solving
Structured, practical reasoning toward a workable resolution.
- Offering concrete next steps rather than abstract principles
Domain 9: Motivation
What drives your professional choices and how genuine that drive appears in your answers.
- Connecting your reasoning back to why the outcome matters
For a full walkthrough of how each domain shows up across different scenario types, see Casper Exam Domains 2026: Complete Guide to All 9 Content Areas.
Attempt Limits & Retake Rules
A requirement that catches many first-time applicants off guard: you get exactly one attempt per test type per admissions cycle. Retakes are only granted for verified technical failures, and only if reported within one week of the incident. Scores are valid for a single cycle and never carry forward - if you reapply in a future cycle, you must sit for Casper again, even if your prior score was strong.
| Requirement | Detail |
|---|---|
| Attempts per cycle | One attempt per test type |
| Retake eligibility | Verified technical failure only, reported within 1 week |
| Score validity | Single admissions cycle only - does not carry forward |
| Fee transferability | Non-refundable and non-transferable between cycles |
This one-shot structure changes how you should think about preparation. There's no "practice sitting" you can retake for a better score if you simply had an off day - which is exactly why understanding the domains, format, and pacing before your scheduled date matters so much. A run-through on our practice test platform before your real sitting is one of the few ways to simulate that pressure safely.
Score Reporting Requirements
Every response is evaluated by a different trained human rater on a 1 to 9 Likert scale - meaning no single rater sees your entire test, which reduces the impact of any one person's bias but also means consistency across all 22 responses matters. There is no passing score in the traditional sense. Applicants only see their result as a quartile, while the programs receiving your score see the actual numeric score, typically 2 to 3 weeks after your sitting.
Key Takeaway
Because you never see a raw numeric score, you can't "aim" for a specific number the way you might on a standardized test - the more useful goal is consistent, well-reasoned answers across all 11 scenarios rather than a strong finish on a few standout ones.
If you want the mechanics of how quartiles and rater scoring actually work, Casper Passing Score 2026: Exactly What You Need to Pass and Casper Pass Rate 2026: What the Data Shows go into more detail on what "doing well" actually looks like from a scoring standpoint.
Preparing to Meet the Requirements
Since there's no content to memorize, Casper preparation is less about cramming facts and more about building comfort with the format, timing, and domain-based reasoning under a strict clock. A short, focused runway in the weeks before your sitting is generally more useful than an unstructured months-long study plan.
Format & Equipment
- Confirm registration details, sitting date, and fee distribution list
- Test webcam, microphone, and internet connection on the exact device you'll use
- Read through the fixed 11-scenario, video-then-typed structure until timing feels familiar
Domain Practice: Ethics, Empathy, Fairness
- Work through scenarios that force competing-interest reasoning
- Practice naming stakeholder perspectives explicitly in typed responses
- Time yourself at 3.5 minutes per typed pair to build pacing instinct
Domain Practice: Collaboration, Communication, Problem Solving
- Record video answers at the 1-minute-per-question limit to get comfortable speaking under pressure
- Focus on concrete, actionable resolutions rather than vague statements of principle
Full Simulation & Self-Awareness/Resilience/Motivation
- Run a complete timed simulation using the optional reflection and break periods as they'll actually appear
- Practice acknowledging uncertainty and setbacks honestly rather than projecting false confidence
This kind of structured, domain-anchored review - rather than generic exam-prep tactics - is what actually maps onto how Casper is scored. For a deeper dive into pacing your entire prep window, see Casper Study Guide 2026: How to Pass on Your First Attempt, and consider running a full-length simulation on our practice platform before locking in your final week.
It's also worth understanding who's actually asking for this score in the first place. Casper results are used across a range of health professions and education programs during admissions review, and some employers and residency-adjacent programs reference familiarity with the assessment; you can see more on this in Casper Jobs and Is the Casper Certification Worth It? Complete ROI Analysis 2026.
Frequently Asked Questions
No. Casper has no academic prerequisites of its own. Eligibility requirements come entirely from the individual programs that require a Casper score as part of their application.
No. Casper requires a desktop or laptop computer with a working webcam and microphone. Smartphones and tablets are not supported under the current test delivery format.
Since there is no defined passing score, there's no "failing" outcome to appeal in the usual sense. Applicants receive a quartile, while programs see the underlying numeric score, and each program interprets that score independently.
No. Retakes are only granted for verified technical failures reported within one week of your sitting. You get one attempt per test type per admissions cycle, and scores never carry forward to a future cycle.
No. All Casper fees are final, non-refundable, and non-transferable between admissions cycles, though applicants approved for AAMC or CASPA fee assistance can have the fee waived before registration.