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Age
Raw
Equivalents
Scores
Grasping
months
Visual-Motor
Integration
months
Percentile
Standard
Score
Description
of
Performance
TOTAL
Fine-Motor
Quotient
Description of Performance
for Subtest Standard Scores
17-20 Very Superior
15-16 Superior
13-14 Above Average
8-12 Average
6-7
Below Average
4-5
Poor
1-3
Very Poor
Description of Performance
for Quotient Scores
131-165
Very Superior
121-130
Superior
111-120
Above Average
90-110
Average
80-89
Below Average
70-79
Poor
35-69
Very Poor
Percentile
Description
of Performance
Performance Indices
Score
4. Non-verbal Index
(Visual perceptual abilities with
minimal motor components)
#R:
#Y:
#R:
#Y:
Score
(see below)
Section Raw
Score Total
/40
/45
/55
/90
/35
/60
Typical
Performance
40 ---------- 30
45 ---------- 32
55 ---------- 48
90 ---------- 73
35 ---------- 27
60 ---------- 46
Probable
Difference
29 ----------- 26
31 ----------- 27
47 ----------- 45
72 ----------- 65
26 ----------- 24
45 ----------- 40
Definite
Difference
25 ----------- 8
26 ----------- 9
44 -----------11
64 -----------18
23 ------------7
39 ---------- 12
/45
45 ---------- 39
38 ----------- 36
35 ----------- 9
/50
50 ---------- 41
40 ----------- 36
35 ---------- 10
/35
35 -------- 23
22 ----------- 19
18 ------------- 7
/20
20 ---------- 16
15 ------------14
13 ----------- 4
/20
20 -----------15
14 --------- 12
11 ------------- 4
/85
85 ---------- 63
62 ----------- 55
54 -----------17
/30
30 ---------- 22
21----------- 19
18 ----------- 6
/15
15 ---------- 12
11 ----------- 10
9 ------------- 3
A. Auditory Processing
B. Visual Processing
C. Vestibular Processing
D. Touch Processing
E. Multisensory Processing
F. Oral Sensory Processing
Modulation
G. Sensory Processing Related
to Endurance/Tone
H. Modulation Related to Body
Position and Movement
I. Modulation of Movement
Affecting Activity Level
J. Modulation of Sensory Input
Affecting Emotional Responses
K. Modulation of Visual Input
Affecting Emotional Responses
& Activity Level
Behaviour & Emotional Responses
L. Emotional/Social Responses
M. Behavioural Outcomes of
Sensory Processing
N. Items Indicating Thresholds
for Response
FACTOR
1. Sensory Seeking
2. Emotionally Reactive
3. Low Endurance/Tone
4. Oral Sensory/Sensitivity
5. Inattention/Distractibility
6. Poor Registration
Factor Raw
Score Total
/85
/80
/45
/45
/35
/40
Typical
Performance
85 --------------- 63
80 --------------- 57
45 --------------- 39
45 --------------- 33
35 --------------- 25
40 --------------- 33
Probable
Difference
62 -------------- 55
56 -------------- 48
38 -------------- 36
32 ------------ 27
24 -------------- 22
32 -------------- 30
Definite
Difference
54 ----------- 17
47 ------------16
35 ------------- 9
26 -------------- 9
21 ------------- 7
29 ------------- 8
7. Sensory Sensitivity
8. Sedentary
9. Fine Motor/Perceptual
/20
/20
/15
20 --------------- 16
20 ------------- 12
15 --------------- 10
15 -------------- 14
11 -------------- 10
9 ----------------- 8
13 ------------ 4
9 ---------------- 4
7 ---------------3
Typical
Performance
35------------30
20--------------15
15------------13
Probable
Difference
29--------------27
14-------------12
12--------------11
Definite
Difference
26---------------7
11---------------4
10---------------3
35--------------27
30------------23
30------------26
26-------------24
22--------------20
25--------------24
23---------------7
19---------------6
23---------------6
25------------19
190--------155
18--------------16
154-----------142
15---------------5
141------------38
Standard
Score
Scaled
Score
Percentile
Performance
VMI
Visual
Perception
Motor Coordination
Description of Performance for Standard Score
>129
Very High
120-129
High
110-119
Above Average
Age
Equivalent
90-109
80-89
70-79
<70
Average
Below Average
Low
Very Low
Subtests
Subtest
Standard
Score
Description of Performance
(see below)
Sum =
Composite Standard
Score=
Percentile Rank =
Scaled
Score
Standard
Score
Percentile
Rank
Age Equivalent
Descriptive
Category
Fine Motor
Precision
Fine Motor
Integration
Fine Manual
Control
Composite
Manual
Dexterity
Sum =
Upper-Limb
Coordination
Manual
Coordination
Composite
Sum =
Descriptive Category
Well-Above Average
Above Average
Average
Below Average
Well-Below Average
Scale Score
Range
25 or greater
20-24
11-19
6-10
5 or less
Standard Score
Range
70 or greater
60-69
41-59
31-40
30 or less
Percentile Rank
Range
98 or greater
84-97
18-83
3-17
2 or less
Scaled
Score
Standard
Score
Percentile
Rank
Age Equivalent
Descriptive
Category
Fine Motor
Precision
Fine Motor
Integration
Fine Manual
Control
Composite
Manual
Dexterity
Sum =
Upper-Limb
Coordination
Manual
Coordination
Composite
Bilateral
Coordination
Sum =
Balance
Body
Coordination
Sum =
Running Speed
& Agility
Strength
Strength &
Agility
Descriptive Category
Well-Above Average
Above Average
Average
Below Average
Well-Below Average
Sum =
Scale Score
Range
25 or greater
20-24
11-19
6-10
5 or less
Standard Score
Range
70 or greater
60-69
41-59
31-40
30 or less
Percentile Rank
Range
98 or greater
84-97
18-83
3-17
2 or less
Figure Ground:
Visual Closure:
Visual Memory:
TEST RESULTS
Raw Score
Standard Score
Percentile Rank
Age Equivalent
Performance Range
Description of Scores
Verbal Description Range of Standard
Scores
Very Superior
130 and above
Superior
120-129
High Average
110-119
Average
90-109
Low Average
80-89
Low
70-79
Very Low
69 and below
Range of
Percentile Ranks
98 and above
91-97
75-90
25-74
9-24
2-8
2 and below
Percentage in
Population
2
7
16
50
16
7
2
Standard
Scores
Scaled
Scores
Percentile
Rank
Stanine
Description
of
Performance
1-capital
alphabet
2-lowercase
alphabet
5-dictated
numbers
Description of Performance for Standard Scores
116-130: Above average
85-115: Average
70-84: Below Average
<69: Well Below Average
9. FIRST ASSESSMENT OF THE SCREENING TEST AND ACADEMIC RECORD
(F.A.S.T.A.R.)
TEST DESCRIPTION: The F.A.S.T.A.R. is a timed test which compares printing/writing speed
and skill to children of the same age. There are 8 visual-motor subtests in total.
TEST RESULTS
Visual Motor
Subtests
Alphabet from memory
Copying the AlphabetPrinting Lowercase
Copying the AlphabetPrinting Uppercase
Copying a Paragraph
Printing
Raw Score
(point score)
z-score
Description of Performance
(see below)
Average
Average
Below Average/Average
Average
Below Average
Below Average
Below Average
Below Average
1 minute:
2 minutes:
3 minutes:
4 minutes:
Copying Numerals
Raw
Score
Standard
Score
Percentile
Age Equivalent
yrs, mths
yrs, mths
Description of
Performance
Copying
Figure-Ground
Spatial
Relations
Visual Closure
Visual-Motor
Speed
Form
Constancy
yrs, mths
yrs, mths
yrs, mths
yrs, mths
yrs, mths
yrs, mths
Composite Quotients
>130
Very Superior
121-130 Superior
111-120 Above Average
90-110 Average
80-89 Below Average
70-79 Poor
<70
Very Poor
Right
Raw Score
Standard Score
Description
of Performance
(see below)
SD below the
mean of (+/____)
Left
SD below the
mean of (+/____)
Both
SD below the
mean of (+/___)
Assembly
SD below the
mean of (+/___)
Performance
Age
(Optional)
Visual Discrimination - the ability to identify a dissimilar form from among similar forms
Visual Memory - the ability to immediately remember a form and identify it from among
similar forms
Visual Spatial - the ability to identify a form that is oriented in a different direction from
other similar forms
Visual Form Constancy - the ability to identify a form from among similar forms even
though it may be smaller, larger, rotated or reversed
Visual Sequential Memory - the ability to immediately remember a series of forms shown
from among similar forms
Visual Figure Ground - the ability to distinguish a form from its background
Visual Closure - the ability to identify incomplete figures when only fragments are
presented
TEST RESULTS
Visual Motor
Subtests
Raw Score
(point score)
Scaled
Scores
Description of Performance
(see below)
1. Visual Discrimination
2. Visual Memory
3. Visual-spatial Relation
4. Visual Form Constancy
5. Visual Sequential
Memory
6. Visual Figure-Ground
7. Visual Closure
PERCEPTUAL QUOTIENT
Description of Performance for
Subtest Scaled Score
14-16 - above average
7-13 - average
4-6 - below average
<69
57
64
8
89-95
Block Patterns
Subtest
31
52
5
40-59
Combined Total
88
62
7
77-78