WAIS-IV

Patient: _______________________ DOE: ____/____/_____

DOB: ____/____/_____

Arithmetic

Discontinue after 3 consecutive scores of 0.

Item Completion Correct Response Score

Time Response
Sample 3
1. Count to 0 1
3
2. Count to 0 1
10
3. 6 0 1
4. 9 0 1
5. 2 0 1
6. 8 0 1
7. 5 0 1
8. 5 0 1
9. 17 0 1
10. 5 0 1
11. 3 0 1
12. 200 0 1
13. 38 0 1
14. 140 0 1
15. 30 0 1
16. 186 0 1
17. 600 0 1
18. 47 0 1
19. 49.5 0 1
20. 51 0 1
21. 96 0 1
22. 23,100 0 1
Total Raw Score