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Technical and Administration Manual
Technical and Administration Manual
TRUE OR FALSE?
A
Answer: FALSE
A
Answer: TRUE
Physical Conditions
5. The Checklist can be administered in a
setting familiar to the respondents. Ideally,
the place should be relatively quiet, well
lighted and ventilated, and have a table
and chairs to provide comfortable
conditions for the respondents and
examiner. If conducted outdoors and there
is no table, any flat work surface.
TRUE OR FALSE?
Standard Procedures
6. The examiner cannot employ
various methods to determine if
the child exhibits specified
bahavior.
A
Answer: FALSE
Standard Procedures
6. The examiner CAN employ various
methods to determine if the child
exhibits specified bahavior.
a. observation
b. direct elicitation of the behavior
from the child
c. interview of the parents(s) or
caregiver(s).
TRUE OR FALSE?
Administration Time
Administration Time
A
Answer: TRUE
A
Answer: FALSE
A
Answer: TRUE
A
Answer: FALSE
HOW TO SCORE:
15. Tally the number of check marks
() in each domain and record all this
in the section labeled “Total Score”.
The check marks () that you tallied
in each domain are the scaled
scores. A
Answer: FALSE
HOW TO SCORE:
15. Tally the number of check marks ()
in each domain and record all this in the
section labeled “Total Score”. The check
marks () that you tallied in each
domain are the raw scores.
TRUE OR FALSE?
HOW TO SCORE:
16. Transfer the raw score for each
domain in the table. Using the Scaled
Score Equivalent of Raw Scores Table,
convert the raw scores to scaled
scores appropriate to the age of the
child. A
Answer: FALSE
HOW TO SCORE:
16. Transfer the raw score for each domain in the
table. Using the Scaled Score Equivalent of Raw
Scores Table, convert the raw scores to scaled
scores appropriate to the age of the child.
To arrive at the sum of scaled scores, add the scaled scores across
all domains. To derive the standard score, refer to the Standard
Score Equivalent of Sums of Scaled Scores Table. Write the date for
each test administration.
Scaled Score Equivalents of Raw Scores
Age band 5.1- 5.11 years
Scaled Gross Fine Self- Receptive Expressive Cognitive Social
Score Motor Motor Help Language Language raw score Emotional
raw score raw score raw score raw score raw score raw score
1 0-10 0-5 - 0-2 - 0-9 0-15
2 - - 0-19 - - 10 16
3 - 6 20 - - 11 17
4 11 - 21 3 - 12 -
5 - 7 - - 0-7 13 18
6 - - 22 - - 14 19
77 12
12 8 23 - - 15 20
8 - 9 - 4 - 16 -
99 - - 24 - - 17
17 21
10
10 - 10 25
25 - - 18 22
11
11 13 - - 5 8 19 23
12 - 11
11 26 - - 20 -
13
13 - - 27 - - 21 24
24
14 - - - - - - -
15 - - - - - - -
16 - - - - - - -
17 - - - - - - -
18 - - - - - - -
19 - - - - - - -
Child's Age: ___________
DOMAIN
5.1 Child's Age: ____________
DOMAIN
Child's Age: ___________
DOMAIN
GROSS MOTOR
GROSS MOTOR
GROSS MOTOR
SCALED SCORE
SCALED SCORE
SCALED SCORE
FINE MOTOR
FINE MOTOR
FINE MOTOR
EMOTIONAL
EMOTIONAL
EMOTIONAL
COGNITIVE
COGNITIVE
EXPRESSIVE
LANGUAGE
LANGUAGE
SELF-HELP
SELF-HELP
SELF-HELP
COGNITIVE
RECEPTIVE
EXPRESSIVE
EXPRESSIVE
LANGUAGE
LANGUAGE
LANGUAGE
LANGUAGE
RECEPTIVE
RECEPTIVE
SOCIAL-
SOCIAL-
SOCIAL-
19 • • • • • • • 19 • • • • • • • 19 • • • • • • •
Average development
Average development
11 • • • • • • • 11 • • • • • • • 11 • • • • • • •
10 • x
• • • • • • 10 • • • • • • • 10 • • • • • • •
9 • • • • • x• • 9 • • • • • • • 9 • • • • • • •
8 • • • • x • • • 8 • • • • • • • 8 • • • • • • •
7 x• • • • • • • 7 • • • • • • • 7 • • • • • • •
6 • • • • • • • 6 • • • • • • • 6 • • • • • • •
Re-test after 3-6 months
Sum of Scaled Scores Standard Scores Sum of Scaled Scores Standard Scores
29 37 64 88
30 38 65 89
31 40 66 91
32 41 67 92
33 43 68 94
34 44 69 95
35 45 70 97
36 47 71 98
37 48 72 100
38 50 73 101
39 51 74 103
40 53 75 104
41 54 76 105
42 56 77 107
43 57 78 108
44 59 79 110
45 60 80 111
46 62 81 113
47 63 82 114
48 65 83 116
49 66 84 117
50 67 85 119
51 69 86 120
52 70 87 122
53 72 88 123
54 73 89 124
55 75 90 126
56 76 91 127
57 78 92 129
58 79 93 130
59 81 94 132
60 82 95 133
61 84 96 135
62 85 97 136
63 86 98 138
AGES
GROSS MOTOR 12 7
FINE MOTOR 10 10
SELF-HELP 22 10
RECEPTIVE LANGUAGE 4 8
EXPRESSIVE LANGAGE 8 11
COGNITIVE 17 9
SOCIAL-EMOTIONAL 24 13
Sum of Scaled Scores 69
Standard Score 95
Interpretation Average Development
(AD)
17. How many items are there in
all?
A. 106
B. 108
C. 109
Answer:
17. How many items are there in
all?
A. 106
B. 108
C. 109