‘| ©0008 |_| Scoring sheet TIVITIC Thames Valley Tar Company Subject and test details Name Age Date of test Before you start the test battery Ensure that you have all the test materials, a stopwatch, a tape recorder, set of coloured pens, a pencil, eraser, spare paper, and water for the action program. Profile score summary Test 1: Test Test 3: Key search Test 4: Temporal judgement Test 5: Z00 map Test 6: Modified six elements Total profile score (max = 24) Standardised score (Manual Table 5, p.16) Age corrected standardised score (Manual Table 5, p.16) Overall classification Calmpaited PBorderine Ejlowaverege ChAverage igh Average (1 Supetior £2Very superior Test 1: Rule shift cards For full text and procedure see Mana p.8 Trial * Putthe playing card booklet, unopened, between you and the subject and have the rule sheet ready, + Thisis a booklet of playing cards, | am going to turn over. « Place Rule 1 in front of the subject (Say yes’ to red, ‘no! to black’) + Remember to omit page 0 fortis trial—start with the 2 of #. * Time the tal Correct Subject’s Total response response errors 1oY 20N I aN Time taken SY ey ay any Note that Trial 7 is not i used to calculate the wy profile score TYG oN BOY We ON 16 ON TY ek w Y ce 2 ON Tal 2 ‘Lam going to tum over the set of cords again no ‘Place Rule infront ofthe subject (‘Say ‘esi the cardis the same colour as the last one, otherwise say ‘no') ‘+ Remembertostarton page 0~the 4 of ¥ Time the ial Correct Subject’s Total Profile response response errors score 1 Total Profile 28 errors score ay Hees 0 4 ay ee: as 2 aoe 94 6 Y pi0 0 ay BY Time taken ou 5 10 N ny Iftime tenis Ne ‘reaterthan 67 BN seconds subtract aN {from profile score 6 OY 6 zs Total profile score 7 ON BON N NTest 2: Action program For full text and procedure see Manual p.8 * Fillthe beaker to two-thirds full of water (out of sight ofthe subject) and place the equipment in front ofthe subject. ‘ifyou look atthe bottom of this tbe you will see a small cork.” * Start stopwatch * fnecessary, prompt after 2 minutes 1 give you some help’ and remove the ld withthe wire hook. ‘ry to complete the task now: * ifmecessary, prompt ater a further 2 minutes by attaching the screw top tothe container. Tick each stage completed Raw [Raw Profle independently score score score | Removes lid from beaker Sef using wire hook a3 (1 Attaches screw top to 24 container sto Fills container with water {5 Pours one container! of water int tube containing cork | Pours second conainerul of water into tube containing cork Total profile score [| Test 3: Key search For full text and procedure see Manual p.9 * Place a photocopy of the response sheet infront ofthe subject. + Twant you to imagine that this square isa large fel.” + ‘Starting from this dot I want you to draw a line with the pen to “show me where you would walk to search the fel. + ifthe subject does not grasp the idea, demonstrate on another piece of paper. + "Although | willbe timing you there isno time limit." * Start the stopwatch, + Make notes here. These could indicate, for example, the order in which the siabject makes marks. This will help. you to calculate the score latet. * For scoring criteria see Appendices 9.1 and 9.2 in Manual pp. 20-22. Entering the field + within 10mm of comer {base of square) = 3 * base of square (other than within 10mm of corners) = 2 * somewhere else = 1 Finishing the search * within 16mm of ay commer * base of square (other than within 10mm of corners) =2 + somewhere ele = 1 Making a continuous fine = 1 Making all parallel line ‘Making all vertical lines =1 Search patterns * followed one of our pre-defined search pattems (see Appendix 9.1, Manual pp. 20-21) orsuper- imposed one predetermined pattern over another =5 or3 * duplicated or combined one or more of our pre-defined search patterns = 2 * followed some other obviously systematic, but ineficient ~andior unsuccessful search pattem = + ad hoc not systematic or pre-planned = 0 Raw score ntal | i B Has made an obvious effort to cover all the ground = 1 Using their chosen pattern, they would find the keys (95% certainty) =1 Total Profile Time taken raw score score aw Profile score score wis 4 M33 10 2 S74 sto Iftime taken isgreater than 95 seconds subtract 1 from profile score Total profile score Test 4: Temporal judgement For fulltext and procedure see Manual p.9 += Ym going to ask you to estimate how long it takes to do four things.” Question 1 How longdoesittaketodo Raw ‘routine dental checkup? score ‘between 5 &15 mins score 1, otherwise 0. Question 2 How long dees it take a window cleaner to clean the windows of anaverage size house? Ibbetween 15 & 25 mins score 1, otherwise 0 Question 3 How long do most dogs lve for? between 98 15 years score 1, otherwise 0 Question 4 How long does ft take to blow up a party balloon? ‘between 50 & 70 secs score 1, otherwise 0 Total raw score otal profile scoreeee eae es Test 5: Zoo map For fulltext and procedure see Manual p, 9 Version 1 * Place aphotocopy of Zoo map version 1 in front ofthe subject. * Heres. map of 200, Your task sto plan a route around the 200 to visitall the places indicated inthe instructions. * Allow the subject to read the instructions (aloud). * Clatify the rules by reading them again, ‘+ ‘While wil use ths stopwatch to see how long it takes you todo the ask, the ime really not important." * Stat the stopwatch. * For scoring criteria see Append 9.3 in Manual p, 23. Each Occasions Note subject's correct ‘each path used sequence scores Correct responses more than once Entrance a — WamesiCafeltlephants B — Blephants/Cafe c_ — . Caleltlephantsilamas Bb TY ears - tions F Bird sanctuary e iene area: 1 1 eee _ on co . “ Sequence score Total Planning time Total time Errors Total number of occasions paths used ‘more than once (from above). Number of deviations from the path {i.e cutting across the grass) Number of failures to make a continuous line Number of inappropriate places visited Total errors Version 1 raw score = sequence ‘score minus total errors Version 2 * Place aphotocopy of Zoo map version 2 infront ofthe subject +The next day you go back tothe 200 for another vst.’ * Clarify the rules and record timings as in version Each Occasions Note subject's correct ‘each path used Sequence scores Correct response more than once Envance A iis | Elephants co Peer iene a seseserinntameegy. 1% e the eG Bid sanctuary Picnic area a ' ee i— Hee i— L ™ Sequence score Total Planning time Total time Errors Total number of occasions paths used ‘mote than once [rom above) Number of deviations from the path {ve.cutting across the grass) ‘Number of failures to make a continuous line Number of inappropriate places visited Total errors. Version 2 raw score = sequence score minus total errors Raw Profile Profile score score |score ‘Add version 1 and 64 version 2 raw scores. m5 3 610 2 4 00 {planning time on version 2s greater than 15 seconds _ subtract 1 from profile score H total time on version 2is greater than 123 seconds subtract | from profile score Total profile scoreTest 6: Modified six elements forfull text and procedure see Manual p10 * Arrange the test materials. ‘You get ten minutes for this next test, and in this test you wil be doing thre diferent kinds of task." * Go through each task with the subject. ‘During the next ton minutes I would like you to ty to complete at Teast some of each ofthe six individual parts." ‘However, there is one rule you must obey...” ‘Now, tel me what you must do,” * Set the timer for 1@ minutes. * Start the stopwatch and timer. Record the order of sub tasks attempted and the subject's start and stop times Time Subtask _Timestarted Time stopped _on subtask Suramary of time spent on each sub task ‘and number of correct responses Sub task Total time on sub task ictation A i Dictation & | PicturesA | Pictures B | Arithmetic A ‘Arithmetic B | Number of sub tasks attempted (max=0) [Raw Profile Minus number of sub tasks score score whereruleswere broken 5 (nax=3) hors 3 Rawscore [24° {| Profile score If total time on any one sub task s greater than 271 seconds, subtract | from profile score Total profile score No part of this publication may be reproduced, in whole or in part in any form (except by reviewers forthe public press) ‘without written permission from the publishers. Copyright © 1996 The authors Pearson seiner PEARSON 20°Strand London WC2R ORL