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Name: Sex: OF QM The Beery-Buktenica we i Last First Developmental Test of Visual-Motor Integration wy School: ee ™ pon ee ne Beery VMI roa Sixth Edition year ‘month day Birth Date: Ages 2 through 100 (FULL FORM) ea magnet =, Chronological Age: yer month by Keith E. Beery, Norman A. Buktenica, and Natasha A. Beery ar, ea be ‘ount more than 15 days as one mont SUMMARY PROFILE See the Beery VMI manual (sixth edition) for norms. Standard Beery Visual Motor Score VMI Perception Coordination Percentile Beery Visual Motor dg ea MI Perception Coordination a 99.2 135 99 Raw Scores: 130 98 125 7 95 Standard Scores: 120 1 115 Scaled Scores: 10 105 75 Percentiles: Other Scaling: = Comments and Recommendations: @PsychCorp Product Number 46240/46261 Task Score Observations J. ‘Age Norm | Score Observations ym | (s:Mos) nsf} 56 wi><] 59 alps s|@_ oa Ae JOO] 7:14 eae aa} | 6 | | 102 \26 | <> ha, 46 27] |} 12 ha} \ | 4:7 128. 12:8 ha} | att 29 13:2 up to three consecutive No Scores 1rd raw score on page 24. Let's Draw! =a 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 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. Items 1-6 are for children; credit for adult if Item 7 is answered correctly. Items 1-3: Marking and Scribbling * Use the boxes below for Items 1-3 only if necessary for immature children. Refer to the administration directions for these items (‘Individual Children Under Functional Age 5”) in chapter Ill of the Beery VMI manual (sixth edition), * If there are marks below, which box contains the child’s marks: left side or right side? ‘Were the child’s marks: spontaneous or ___ imitated? * For scoring directions, refer to the “Marking and Scribbling” section in chapter III of the Beery VMI manual (sixth edition). Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1989, 1997, 2004, 2010 Kelth E, Beery, Norman A. Buktenica, Imitation of vertical, horizontal, and circular lines Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1989, 1997, 2004, 2010 Keith E. Beery, Norman A. Buktenica, and Natasha A. Beery. Al rights reserved, a CHLr Published and distributed exclusively by NCS Pearson, inc. Page 2 qulealzHisateyey Beery VMI Full Form. Do not photocopy or otherwise reproduce any part of this b 1982, 1969, 1997, 2004, 2010 Keith €. Beery, Normen A. Buktenica, and Ns copyright © 1967, Published end distributed exclusively by NCS Pearson, Ine. jooklet, It is against the law. latasha A. Beery. All rights reserved. Page 4 Beery VMI Full Form 10 14 40 14 12 Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. 43997, 2004, 2010 Keth E. Beery, Norman A. uktenla, and Netasho A. Beery, Al ight reserved Page 6 Copyright © 1967, 1982, 198, Published and distributed exclusively by NCS Pearson, Inc 13 14 i 13] 4 15 Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. th E. Beery, Norman A. Buktenica, and Natasha A. Beery. Al rights reserved Page 8 Copyright © 1967, 1962, 1988, 1997, 2004, 2010 Kel Published and distributed exclusively by NCS Pearson, Ine. Beery VMI Full Form Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. copyright© 1967, 3982, 1989, 1957, 2004, 210 Ket E Bery, Norman A. Bulenica, and Notasha A. Beery AI ahs reserved Page 10 Beory VMI Full Form Published and distributed exclusively by NCS Pearson, Inc ai 24 20) oduce any part of this booklet, It is against the law. Norman A. Bukterica, and Natasha A. Beery All ights reserved. Ie. Page 12 Do not photocopy or otherwise repr copyright © 1967, 1962, 1989, 1997, 2004, 2010 Keith E. Beery, Published and distributed exclusively by NCS Peorson, Beery VMI Full Form 24! 24 22 23] Do not photocopy or otherwise reproduce any part of this booklet. Its against the law. canmgree 1967, 1962, 1989, 1997, 2008, 2010 Keth €. Beery, Norman A Bueren, and Natasha A: Bee rights reserved Beery VMI Full Form Published and distributed exclusively by NCS Pearson, Inc. Page 14 Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. copyright © 1967, 1982, 1989, 1997, 2008, 2010 Keith E, Beery, Norman A. Guktenica, and Natasha A. Beery, All rights reserved. Beery VMI Full Form Published and distributed exclusively by NCS Pearson, Inc. Page 16 Beery VMI 28 29 30 28. 23 30 Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1969, 1997, 2004, 2010 Kelth E. Beery, Norman A. Bu i Form Published and di Page 18

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