Spreadsheet: 107398d1304586930-excel-2007-selecting-worksheets-by-numerical-or-text-value-in-cell-developmental-test-of-visual-perception-3
Sheet: Section 8 Rec Item & Subt Perf

Section I: Identifying Information
 |  |  |  |  |  |  |  |  |  |  |  |  |  | *Mark with X
 |  |  |  |  | Name: |  |  |  |  |  |  |  |  | Male: |  | Female:
 |  |  |  |  |  |  |  |  |  | Year | Month | Day
 |  |  |  |  | Date Tested: |  |  |  |  | 2010 | 4 | 12
 |  |  |  |  | Date of Birth: |  |  |  |  | 2005 | 8 | 15
 |  |  |  |  | Age: |  |  |  |  | 5 | -4 | -3 | 64
 |  |  |  |  | Age Equivelant: Months |  |  |  |  | 64
 |  |  |  |  | Age Equivelant: Years |  |  |  |  | 5-4
 |  |  |  |  | School:
 |  |  |  |  | Examiner's Name:
 |  |  |  |  | Examiner's Title:
Section VIII: Record of Item and Subtest Performance
 |  |  | Subtest 1: Eye-Hand Coordination (EH) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Category Raw Scores | EH Total Raw Score
 |  |  |  | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 |  |  |  |  |  |  |  |  |  |  |  | 7 | 140
 |  |  |  | 2 | 4 | 0 | 3 | 3 | 4 | 3 | 3 | 3 |  |  |  |  |  |  |  |  |  |  |  | 23
 |  |  |  | 3 | 3 | 3 | 3 | 3 | 3 | 2 | 4 | 0 | 3 | 4 | 2 | 3 | 4 | 3 | 4 | 3 | 0 | 3 | 3 | 53
 |  |  |  | 4 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 3 | 4 | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 4 |  |  | 57
 |  |  |  |  | a | b | c | d | e | f | g | h | i | j | k | l | m | n | o | p | q | r | s
 |  |  | Subtest 2: Position in Space (PS) (ceiling 3 of 5 incorrect) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PS Raw Score
 |  |  |  |  | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25
 |  |  |  |  | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 0 |  |  |  |  |  |  |  |  | 14
 |  |  |  |  | c | b | b | d | b | d | c | b | a | a | b | c | e | d | c | b | d | e | a | e | d | a | c | b | d
 |  |  | Subtest 3: Copying (CO) (ceiling 3 zeros in a row) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | CO Raw Score
 |  |  |  |  | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20
 |  |  |  |  | 2 | 2 | 2 | 0 | 2 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 0 |  |  |  |  | 17
 |  |  | Subtest 4: Figure-Ground (FG) (ceiling 3 of 5 incorrect) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | FG Raw Score
 |  |  |  |  | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18
 |  |  |  |  | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 11
 |  |  |  |  | ae | cd | ad | bd | bd | ad | bc | cgi | bgi | abf | eg | ceh | ehij | acdj | cdh | dgij | bfg | acdf
 |  |  | Subtest 5: Spatial Relations (SR) |  |  |  |  |  |  |  |  |  |  |  | SR Raw Score
 |  |  |  |  | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10
 |  |  |  |  | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 4 | 2 | 0 | 23
 |  |  | Subtest 6: Visual Closure (VC) (ceiling 3 of 5 incorrect) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | VC Raw Score
 |  |  |  |  | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20
 |  |  |  |  | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5
 |  |  |  |  | c | a | c | b | a | c | e | b | d | b | a | c | d | e | d | b | a | e | c | a
 |  |  | Subtest 7: Visual Motor Speed (VMS) |  |  |  |  |  |  |  |  |  |  |  |  |  | VMS Raw Score
 |  |  |  |  |  | Row |  | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | Score
 |  |  |  |  |  | Squares |  | 2 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 4 | 5
 |  |  |  |  |  | Circles |  | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1
 |  |  | Subtest 8: Form Constancy (FC) (ceiling 3 of 5 incorrect) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | FC Raw Score
 |  |  |  |  | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20
 |  |  |  |  | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12
 |  |  |  |  | ac | ab | bc | ab | bc | ad | bd | ac | ae | bd | ce | bc | ad | be | ab | cd | ac | de | bc | ad