Sensory Integration and Praxis Tests (SIPT") 1. SPACE VISUALIZATION (SV) Protocol Sheet ‘A. Jean Ayres, Ph.D. Directions: If you are right-handed, seat the child to your blocks fits this big black hole?" ut the block in the hole.” I child For Trial Il: “Here's ‘another. Look first; then show me which one fits... Put itn the ‘That's right. Think about it first; then pick up the block 8 the hole.” After Item 3 or 4: “Look at BOTH blocks. left. For Til | chooses wrong block: hol ‘thal "Which of thes If child doesn’t put it in hole: “Try the other oné hand (L (maximus | choose carefully. The first one you move counts as your ‘choice, You want to be right the first time.” For test items, record accuracy (R = Right, W = Wrong Left, B = Both, R = Right), and number of seconc 25 seconds). Keep track of number of errors (marke “"W" for accuracy) and discontinue after fith error, not necessar consecutive Enter time as two digits (e.g., 6 seconds as 08) Child's Name ‘© Maximum time per item: 25 seconds ‘ Discontinue after § erors, nt necessarily consecutive Trial L Do not score 4 Trial || Donet score 66 aocuracy: A Ment = LB Time (Seconds): aN $0 (0 ‘Accuracy: 100 Accuracy: 7 <> Accuracy: RW Aecuracy: AW Loe R Time (Seconds) 6 L © | ®© Accuracy: RW Ment = LB Time (Seconds: & Accuracy: RW || Mane = LR ‘Time Seconda}: 10. \* A | | aecurcr: June ot 8 f | tne seconds 1 R Accuracy: fend: = LB Time (Secondel Mane 68 | | Hone: LR | | Hone =k | | Hank | | He La ‘Time (Second): ‘Time (Seconcs: Time (econde}: | | time tSeconds): | | Time (secon 2 12, “<> |e Accuracy. RW Honé = LB Time (Seeonde} Number of Errors (tems 1-12): 2808) may wps. purchases tom WS. le ‘CONTINUE ON B