Psychological Test Record Blanks
date: label: date made
content: 1918-1939
notes: label: Description
content: These record blanks are for a variety of psychological examinations, ranging in date from at least 1918 to 1939. There are multiple copies of some record blanks. Included are:
label: Description
content: 1- Record Blank for Yerkes-Bridges Point-Scale Examination.
label: Description
content: 2- Children’s Aid Society, Psychological Laboratory, Stanford Revision-Binet Scale.
label: Description
content: 3- Detroit Public Schools, Department of Special Education-Psychological Clinic, Report of Special Psychological and Educational Diagnosis.
label: Description
content: 4- Herring Revision of the Binet-Simon Tests, Individual Record Card: Form A.
label: Description
content: 5- Adaptation of the Herring Revision of the Binet-Simon Tests Individual Record Card.
label: Description
content: 6- Indiana University, Mental Survey-Preliminary Study.
label: Description
content: 7- Performance Scale Examination. This document is published by the Division of Psychology, Medical Department, USA. Authorized by the Surgeon General, Feb. 23, 1918. March 6, 1918.
label: Description
content: 8- Psychological Record, typewritten (no date or names).
label: Description
content: 9- Psychological Examination, Clinical Summary and Interview. Appears to be published, no name or date.
label: Description
content: 10- New Jersey Reformatory, Rahway, N.J. Standard Score Sheet, Stenquist Assembling Test Series 1.
label: Description
content: 11- New Jersey Reformatory at Rahway, Report of Educational Examination.
label: Description
content: 12- Report of Psychological Evaluation, New Jersey Reformatory at Rahway.
label: Description
content: 13- New Jersey Reformatory at Rahway, Summary Classification Report.
label: Description
content: 14- Report of Special Psychological and Educational Diagnosis. No names or dates given. File no. 1723.
label: Description
content: 15- Stenquist Assembling Test, Series 1.
label: Description
content: 16- Wechsler-Bellevue Record Sheet, Adult and Adolescent Scales, 1945 Edition. Published by the Psychological Corporation.
label: Description
content: 17- Wechsler-Bellevue Record Sheet, Adult and Adolescent Scales. Copyright 1939, The William & Wilkins Company. Published by the Psychological Corporation.
label: Description
content: 18- Untitled document, no date or author given. Provides space to record biographical information and mental state.
label: Description
content: 19- Performance Test Record. No date or name given. D.M.D. Form 248 written in small font in upper left hand corner.
label: Description
content: 20- Individual Examination. No author or date given. Four-page booklet with space to record information about tests on: cubes, clocks, mazes, form boards, digits, association, vocabulary, dissected sentences, controlled associations, absurdities, likeness and differences, ingenuity, designs, logical memory, comprehension, sentence construction, arithmetical reasoning, and code learning.
label: Description
content: 21-Psychopathic Department, Boston State Hospital, Record Blank for Yerkes-Rossy Adolescent-Adult Point Scale Examination. Two identical copies.
label: Description
content: 22- Psychopathic Department, Boston State Hospital, Psychological Examination.
label: Description
content: 23-Boston Psychopathic Hospital, Department of Psychology. Form Psg.-12. 1500. 10-5-’22. 1932. Multiple copies in record.
label: Description
content: 24- Boston Psychopathic Hospital, Psychological Laboratory. Series I. Stanford.
label: Description
content: 25- Boston Psychopathic Hospital, Psychological Laboratory. Series 6. Memory.
label: Description
content: 26- Untitled document. Lists 100 words.
label: Description
content: 27- Boston Psychopathic Hospital, Psychological Laboratory, Kuhlmann-Anderson. Dated 6-19-30.
label: Description
content: 28- Boston Psychopathic Hospital, Department of Psychology, Series 8. Performance. There are three copies of this document.
label: Description
content: 29- Record Card Stanford Revision Simon-Binet Test. Index Card. Department of Psychology, University of Utah.
label: Description
content: 30- Massachusetts School for the Feeble-Minded Training Class Record. No date.
label: Description
content: 31- The New Jersey State Village for Epileptics at Skillman. Laboratory of Clinical Psychology. Routine Examination. Form 1.
label: Description
content: 32-Untitled Document, undated. Includes eleven spaces to record questions.
label: Description
content: 33- Untitled Document, undated. Includes four spaces to record answers to questions.
label: Location
content: Currently not on view
topic: label: Subject
content: Psychology
label: Subject
content: Psychological Tests
label: Subject
content: Mathematics
setName: label: See more items in
content: Medicine and Science: Mathematics
creditLine: label: Credit Line
content: Gift of David Shakow
dataSource: label: Data Source
content: National Museum of American History
identifier: label: ID Number
content: MA.316371.112
label: accession number
content: 316371
label: catalog number
content: 316371.112
objectType: label: Object Name
content: sheets, set of
physicalDescription: label: Physical Description
content: paper (overall material)
label: Measurements
content: overall: 21.5 cm x 28 cm; 8 15/32 in x 11 1/32 in