Ages 5.1 - 5.

11 Years

Gross Fine Self- Receptive Expressive Cognitive Social

Scaled motor motor help language language (Raw Emotional
score (Raw (Raw (Raw (Raw (Raw score) (Raw
score) score) score) score) score) score)
0-10 0-5 - 0-2 0-9 0-15
1.
- - 0-19 - - 10 16
2.
- 6 20 - - 11 17
3.
11 - 21 3 - 12 -
4.
- 7 - - 0-7 13 18
5.
- - 22 - - 14 19
6.
12 8 23 - - 15 20
7.
- 9 - 4 - 16 -
8.
- - 24 - - 17 21
9.
10 25 - - 18 22
10.
13 - - 5 8 19 23
11.
- 11 26 - - 20 -
12.
- - 27 - - 21 24
13.
- - - - - - -
14.
- - - - - - -
15.
- - - - - - -
16.
- Child’s age:
- - - Child’s age: - - -
17.
- 1ST ADMINISTRATION
- - / JUNE - 2 ND -
ADMINISTRATION/ -
MARCH -
18.
- - - - - - -
19.

Socio Emotional

Socio Emotional
SCALED SCORE

SCALED SCORE
SCALED

Gross Moter

Gross Moter
Fine Motor

Fine Motor
Expressive

Expressive
Receptive

Receptive
Cognitive

Cognitive
Self Help

Self Help
SCORES

19 * * * * * * * 19 * * * * * * *
18 * * * * * * * 18 * * * * * * *

Suggest Advance
17 * * * * * * * 17 * * * * * * *

development
16 * * * * * * * 16 * * * * * * *
15 * * * * * * * 15 * * * * * * *
14 * * * * * * * 14 * * * * * * *
13 * * * * * * * 13 * * * * * * *
12 * * * * * * * 12 * * * * * * *
11 * * * * * * * 11 * * * * * * *

Average
10 * * * * * * * 10 * * * * * * *
9 * * * * * * * 9 * * * * * * *
8 * * * * * * * 8 * * * * * * *
7 * * * * * * * 7 * * * * * * *
6 * * * * * * * 6 * * * * * * *
5 * * * * * * * 5 * * * * * * *
Re-test after 3

4 * * * * * * * 4 * * * * * * *
to 5 months

3 * * * * * * * 3 * * * * * * *
2 * * * * * * * 2 * * * * * * *
1 * * * * * * * 1 * * * * * * *