EEG EXPERT REPORT ON QIK CPT - Visual Test Page 1

Initials: AVHR Subject: 1296 Test Date May 7, 2022

Age at Test 22.9 Test #: 1 Test Time 10:43
Gender: female Test Note: - empty -

Description of Test: Qik CPT is a computerized visual continuous performance test developed for assessing
attention and impulse control. The EEG Expert Report on Qik CPT is specifically intended for use by
neurofeedback clinicians for assessment and monitoring the effects of EEG training. A simple visual target or
non-target is presented once every two seconds. During the 21-minute test, the subject must press a button to
respond to each target and not press for each non-target.

Results Summary:

Performance
103 Index
60 80 100 120 140

^
55 Accuracy Index
^
60 80 100 120 140

(Speed and Consistency of Response) (Attention and Impulse Control)

128 Speed of Response

| 93
Consistency of Response 55 Sustained Attention
| 55
Impulse Control
(Omission Errors + Outliers) (Commission + Anticipatory Errors)
15.7% Correct Response Rate female 22.9

Performance Index reflects speed and consistency of response, which are continuous variables.
Accuracy Index reflects sustained attention and impulse control, which involve discrete errors.
Sustained Attention is determined by omission errors and outliers.
Impulse Control is determined by commission errors and anticipatory errors.
All indices are presented as standard scores. The range of scores is limited from 55 to 145.
Results are with reference to the 2014 population-based QIKnorm for the specific age and gender group.
Scores significantly below average (<80) are printed in red. Scores significantly above average (>120) are
printed in green.
Equivalent Age is the hypothetical age for which the specific result would be normal; it is displayed only if the
calculation is mathematically possible and for ages up to 20
The symbol ">" is used to indicate a range of scores in cases of zero error, for which data resolution does not
allow greater precision in the assignment of scores.

Results Data Norm Score

F22.9 Total Test Measured Value Median of Distribution Standard Score Percentile

Omission Errors 101 errors 0.9 errors 55 1%

Outlier Responses 0 errors 1.0 errors max max
Commission Errors 135 errors 5.5 errors 55 1.0 %
Response Time 283.3 ms 365 ms 128 96 %
Variability 73.7 ms 65 ms 93 31 %

Omission Errors occur when the subject does not respond correctly to a target
Outliers are correct responses with very long response times.
Commission Errors occur when the subject responds incorrectly to a non-target.
Response Time is the mean of all correct reaction times to a target.
Variability is the standard deviation of correct response times.

SPECIAL NOTE FOR THIS REPORT : ACCURACY SCORE IS BELOW 85

The percentage of correct responses is indicated below the chart of the actual results on Page
1. When the accuracy index is below 85, the percentage is indicated in red. This is a caution
flag to the clinician to inspect the data for validity. For example, if there are lots of
commission errors, and if these tend to pile up at short reaction time, then the reaction time
score is suspect. This may well occur in the younger age range of 6-9 years.

When the accuracy index is at its lowest score of 55, the clinician should also evaluate the
validity of the variability score. There could be a problem of insufficient sample size to yield
a valid number.

These matters will tend to be an issue only during the initial test. One would like to avoid
the situation in which the client is misled by wrongly inflated scores on reaction time and
variability at the outset. On retest, the impression might be given that scores have declined
when in fact the pre-test scores were simply inflated because they were unreliable.

The accuracy score is 55.

 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 2

Initials: AVHR, #1296 Test Date: May 7, 2022 Test #1

Period Period Period Period Period

1 2 3 4 5
RAW DATA Sect. 1 Sect. 1 Sect. 2 Sect. 2 Sect. 3 Sect. 1 Sect. 2 Sect 3 Total
Low Low High High Low
Demand Demand Demand Demand Demand
Omissions(#) 9 20 24 21 27 29 45 27 101
Outliers 0 0 0 0 0 0 0 0 0
Commissions(#) 66 28 15 20 6 94 35 6 135
Response
354 310 258 289 219 341 273 219 283
time(ms)
Variability(ms) 126 82 57 104 0 116 86 0 74

STANDARD Period Period Period Period Period Section Section Section

Total
SCORES 1 2 3 4 5 s1 s2 s3
Omission Errors 40 40 40 40 40 40 40 40 40
Outliers max max max max max max max max max
Commission
40 40 54 40 40 40 40 40 40
Errors
Response Time 111 128 131 118 160 119 126 160 128
Variability 62 84 113 83 160 65 92 160 93

OTHER Period Period Period Period Period Section Section Section

Total
RESPONSES 1 2 3 4 5 s1 s2 s3
Anticipatory
1 0 1 1 0 1 2 0 3
Resp. (#)
Multiple
1 1 82 94 7 2 176 7 185
Responses (#)

Section 1 (periods 1 and 2) and section 3 (period 5) represent the target-infrequent or low-demand task.
Section 2 (periods 3 and 4) represents the target-frequent or high-demand task.
Anticipatory Responses occur within 150 milliseconds of any stimulus (target or non-target).
Multiple Responses reflect more than one response to a stimulus
Scores significantly below average are printed in red. Scores significantly above average are printed in green.
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 3

Initials: AVHR, #1296 Test Date: May 7, 2022 Test #1

Response Time Graph: Period 1 of Section 1 - Low Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
0 60000 120000 180000 240000

Response Time Graph: Period 2 of Section 1 - Low Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
252000 312000 372000 432000 492000

Response Time Graph: Period 3 of Section 2 - High Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
504000 564000 624000 684000 744000

Response Time Graph: Period 4 of Section 2 - High Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
756000 816000 876000 936000 996000

Response Time Graph: Period 5 of Section 3 - Low Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
1008000 1068000 1128000 1188000 1248000

X-Axis for all charts: time into QIKtest in msec, with vertical gridlines of 1 minute
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 4

Initials: AVHR, #1296 Test Date: May 7, 2022 Test #1

Response Time Histogram - Totals
60
Mean of Test 283 ms
40 Anticipitory Norm 365 ms
Responses
Norm
20 <150 ms
Outlier Responses >730ms
0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Totals : COMMISSIONS & ANTICIPATORY

30
Mean of Test 292 ms
20 Anticipitory Norm 365 ms
Responses
Norm
10 <150 ms
Outlier Responses >730ms
0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Norms: the blue line represents a normal distribution of reaction times for this age and group: compare by form and position to your data in red. The light blue area represents 68.2%
(or ±1σ) of a normal distribution.

Response Time Histogram - Period 1 of Section 1 - Low Demand

6
Mean of Test 354 ms
4 Anticipitory Norm 390 ms
Responses
Norm
2 <150 ms
Outlier Responses >730ms
0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 2 of Section 1 - Low Demand

6
Mean of Test 310 ms
4 Anticipitory Norm 400 ms
Responses
Norm
2 <150 ms
Outlier Responses >730ms
0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 3 of Section 2 - High Demand

30
Mean of Test 258 ms
20 Anticipitory Norm 347 ms
Responses
Norm
10 <150 ms
Outlier Responses >730ms
0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 4 of Section 2 - High Demand

20
Mean of Test 289 ms
Anticipitory Norm 342 ms
10 Responses
Norm
<150 ms
Outlier Responses >730ms
0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 5 of Section 3 - Low Demand

3
Mean of Test 219 ms
2 Anticipitory Norm 409 ms
Responses
Norm
1 <150 ms
Outlier Responses >730ms
0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 5

Initials: AVHR, #1296 Test Date: May 7, 2022 Test #1

Pre-Post Graphs

Performance Index Accuracy Index

145 145

130 128 130

115 115

103
100 100
93

85 85

70 70

55 55 55
55 55
PERFORMANCE INDEX Speed Consistency ACCURACY INDEX Sustained Impulse
of Response of Response Attention Control

QIKtest: DEVELOPMENT OF NUMBER OF ERRORS and RT OUTLIERS

500
490
480
470
460
450
440 Omission Errors
430
420
410
Commission Errors
400
390
380
Outliers
370 Anticipatory
360
350
340
330
320
310
Number of Events

300
290
280
270
260
250
240
230
220
210
135
200
190
180
170
160
150
140
130
120
110
100
90 101
80
70
60
50
40
30
20
10
0
May 7, 2022
Date of Test
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 6

Initials: AVHR, #1296 Test Date: May 7, 2022 Test #1

INTERPRETATION

→ Performance Index is within normal range.

→ Accuracy Index is significantly below average, indicating significant inattention and/or
impulsivity.

I. TOTAL SCORES:

→ All total scores are within the normal range.

→ Omission Errors are significantly greater than average, indicating significant inattention (low
Sustained Attention)..

→ Commission Errors are significantly greater than average, indicating significant impulsivity (low
Impulse Control).

→ Fast and impulsive response profile indicates fast nervous system with poor impulse control. Ask
subject about test taking strategy.

→ Total Multiple Responses are excessive (>20). Multiple Responses occur when both buttons are
pressed together or when one button is pressed more than once per stimulus presentation (target or
non-target). Excessive Multiple Responses represent poor impulse control or poor understanding of
test instructions.

II. SCORES BY SECTION

→ First section Omission Errors, Commission Errors and Variability of Response Time standard
scores are significantly below average.
This is the low demand task (target-infrequent condition). Poor scores in the first section indicate
difficulty maintaining attention and control in a boring situation.

→ Second section Omission Errors and Commission Errors standard scores are significantly below
average.
This is the high demand task (target-frequent condition). Poor scores in the second section indicate
difficulty maintaining attention and control when performing under pressure.

→ Third section Omission Errors and Commission Errors standard scores are significantly below
average.
This is a repeat of the low demand task (target-infrequent condition). Poor scores in the third section
indicate difficulty maintaining attention and control with boredom and fatigue at the end of the test.

→ Below average standard scores in first and second sections indicate difficultly maintaining
attention and control both when bored and when pressured.

→Variability of Response Time: Standard scores are significantly worse in the first section than the
second section. The first section is the low demand task (target-infrequent condition). Lower scores in
the first section indicate greater difficulty maintaining attention and control in a boring situation.
III. SCORES BY PERIOD

→ First period Omission Errors, Commission Errors and Variability of Response Time standard
scores are significantly below average.

→ Second period Omission Errors and Commission Errors standard scores are significantly below
average.

→ Third period Omission Errors and Commission Errors standard scores are significantly below
average.

→ Fourth period Omission Errors and Commission Errors standard scores are significantly below
average.

→ Fifth period Omission Errors and Commission Errors standard scores are significantly below
average.

→ Standard scores for Commission Errors, Response Time and Variability of Response Time are
significantly worse in period 4 than period 3.
Period 4 is a continuation of the same high demand task as period 3. Scoring worse in period 4
indicates increasing difficulty maintaining attention and control under continued pressure.

→ Standard scores for Response Time and Variability of Response Time are significantly worse in
period 1 than period 2.
Section 1 (periods 1 and 2) and section 3 (period 5) represent the target-infrequent or low-demand
task.

→ Post Commission Response Time is faster than average correct Response Time in period s 1
and 2.
A Post Commission Response Time is the response time immediately following a Commission Error.
People typically slow down after a Commission Error in order to be more careful. A faster response
time following a Commission Error might result from increased speed with increased attention after a
careless error. This might indicate that Commission Errors are resulting more from inattention than
from lack of impulse control. Look at the Response Time graphs to see which Commission Errors are
faster (impulsive) or slower (inattentive) than average.

→ Significant Omission Errors (standard score < 70) in periods 1, 2, 3, 4 and 5.

It is important to know why a significant number of targets were missed. Ask subject whether missed
targets were seen, and look for clusters of Omission Errors in the Response Time graphs. These might
reflect periods of sleep or distraction or possibly absence seizures. Excessive Omission Errors might
also reflect visual processing deficits. Consider assessment by a developmental optometrist.