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‘The Beery-Buktenica Ay Name Ryssh APOLLON Sex: 0 rhe Developmental Test of Visual-Motor Integration a ‘Scho ae - Grade:_W 4 Examiner 6v0gha,_cclomon- Oakes eer mV TestDate: 2. 24 Sint ation = ay Bith Date: Ages 2 through 100 (FULL FORM) ees Chronological Age: 2D by Keith E Beery, Norman A. Buktenica, al Natasha A. Bee anes to Susivany PROMI See the Beery VMI manual isthe Standard Beery Visual Motor Score Vil Perception Coordination Percentile Beery Visual ca 97 Vall Perception on | 15 : 2 i‘ ts % Raw Scores: a a \ 10 : : 9% 5 pa re 7 : 8 Standard Scores: ON « es ee : : i ne as zi a ‘Scaled Scores: 4 a 10, - B : = ne 8 Percentiles: vx to : % ke 5 il 7 Other Scaling: Low — 0 3 © 85 - 16 : ee es ; Comments and Recommendations: See 3 » 2 6 i i ae : eee Taping on page 1 Tara Alt over wih bound edge ward the examine: Mf subtests are ose alway Wat in ins onen VMI Visual = Me x= Orayenca Beery VF Fee Imitation ot vertical, | horizontal, and elrout rowtar Vines 1 to not photocopy orethernis repreduce any part of this poke. is agains eo Let's Draw! ——————— | Use a No. 2 peneil (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 tlt it. THIS SIDE UP ‘Just do the best you can on both the easy ones and the hard ones. Don't skip any! |When asked to do so, please turn the page from the top to begin. for adult fem 7 is answered coctly. THIS SIDE UP. tems 16 are for childeen: cro ems 1-3: Marking and Sribbl + Use the bowes below for Hem 13 ony if necessary for immature children Refer to the administration directions fr these tems (invidual Children Under Functional Age") i8 chapter Ho the Bry” VNll manual sth ein), + If there are marks below, which box contains the child's marks: _—_leftsie or right side? Werethe cil’s marks: spontancousor mated? + For scoring direction, rele tothe “Marking ad Senbbling” section in chapter Ill ofthe Beery VMI manual sixth elton). t photocopy or othenwise reproduce any part ofthis Booklet. It 1 against the law. ot 97,12, 18,197, 2 2010. ay, MA A Bey. a ‘The Beery VMI Developmental Test of Motor Coordinat f Name: ! Sec OF aM School Grade 5 Motor %yo « Test Date os Coordination cori. ~ in (unt ethan 8 ay sone eth) by Keith and Natasha A. Bory Chronological Age: ‘Ages 210100 Motor Coordination Raw Score: ——(Nsoeieron the rot of the Beary VMI et Boke) Let's Draw! I 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 tit 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. (De not photocopy or otherwise reproduce any part of hs booklet. tis aint te law OPsychcorp 7. | Start timing here i e le} \ 12 5 ° | . Continue on the next page. Noms 1-3 are for children, credit for adult lem 4 is answered comely. , Sex OF GAL Grade: 0/4 The Bory” VMI Developmental Test of Visual Perception Name: pvsHhoORTA School: Visual vy = Perception... == by Keith E.and Natasha A. Boory Chronological Age:

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