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The Beery-Bukteniea Developmental Test of Visual-Motor Integration wy Beery VMI ‘Ages 2 through 7 (SHORT FORM) th Edition by Keith E. Boery, Norman A. Buktenica, and Natasha A. Beery EVECN Namei¥ Sex UM School: I Examiner: B10 ‘Test Date Binh Date al Chronological Age 3 suMMaRY See the Beery VMI manual (sixth edition) for norms, Beery Visual Motor VMI Perception Coordination Raw Scores: a 5 Standard Scores: _ Scaled Scores Percentiles Other Scaling Comments and Recommendations: PROFILE Standard Beery Visual Motor Scote, —- VMI_ Perception Coordination Percentile us : o97 10 992 135 : 0 10 ‘ 98 15. : i 95 120 o1 us : st 10 : B 105 : 6 100 : 50 35 : ” *” : 3 85 ss 16 80 : ‘ : B : 3 7 a : 2 5 5 z 1 0 : s 35 : : 3 ‘Begin testing on page. Tum booklet over with bound egetowand the examinee: [subtests are wae, always testi his aor VMI Visual = Motor @Psychcor> Let's Dranw! Use a No. 2 pencil (or another pencil with soft black lead) (a ballpoint pen with black ink. Remember, you get one try with no erasing. Keep the booklet straight infront of you and don't tit it. THIS SIDE UP Just do the best you can on both the easy ones and the hard ones. THIS SIDE UP Don't skip any! When asked to do so, please turn the page from the top to begin. (Perhaps you can draw in the spaces below after you finish inside.) ems 1-3: Marking and Seribbling * Use the bores below for lems 1-3 only if necessary for immature children, Refer tothe administration directions for these tems (individual Children Under Funclional Age 5") in chapter Il of the fiery” VAM manual (sixth ition, + Ifthere are marks below, which box contains the child's marks: _—_leftsde or righ side? Were tne cild'smarks.” spontaneous or imitated? + For scoring directions, refer tothe “Marking and Seibling” section in chapter Il ofthe Beery VMI mana sth eition), Do not photocopy or otherwise repraduce any part of this Booklet. I against the low. Beery WA Sto Ferm ° iol and tae exc sae Page The Beery" VMI Developmental Test of Visual Perception % Name: KET EVEL) Sex oF OM Grade If Visual 8 y mm co Test Date u Perception... 9 SE Chrorlopial Age: AS by Keith End Natasha A. Beery aA. 3. Ages 2 to 100 {Count mote than 15 days as one month} ems 1 are for citer credit Voradultit em We angwered consi, ] [Visual Pecepion Raw Score (No wero ie fot tem 1. Points to one by pat on elf when asked: “eye vir ear Deey Vl tlt) Hem 2 Pots to a lest 2 of outine puree og Pe Seay Ml ee me em 3. Pins to Gof & pated bony parts when ake air —nose ca foot mouth hand —_tumay _ eye pone toe 9 | | la | | | Brey Vl Vis Pecepton H#ooR B 1X | y| | / | }O| The Beery VMI Developmental Test of Motor Coordination & Name WAWACE TOE EVELYN _ sex off OM tt fis ee School: __A Grade. °* Prep Motor, ¥y Speci Coordination wn... = ve ra aes ay by Keith Ean Natasha A Bory Chronological age A 3 ‘Ages 2t0100 (Count mor dae one meth) Motor Coordination aw Sore ———(asoeasron iro they Vil at ok) Let's Draw! 4 ieee Use a No. 2 pencil (or another pencil with soft black lead) or a ballpoint pen with black ink. Remember, you get one try with no erasing. Keep the booklet straight in front of you and don’t tilt it. Just do the best you can on both the easy ones and the hard ones. Don't skip any! Please turn the page from the top to begin. 'bp not photocopy ar atherwise reproduce any par of this booklet. Iti against the law, Parser tect oes 01 crea vey Orv Soomngtn MN 38437 OPsychOorm ey Ta i Continue on the next page. ogers) hand and scribbles or draws withthe other 'o not photocopy or oth

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