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1 of 1
2. PICTURE COMPLETION
(Discontinue after 5 consecutive failures.)
Score
1 or 0
1. Door
2. Tennis
3. Frog
4. PlatingCard
5. Car
6. Pitcher
7. Glasses
8. Pliers
9. Coat
10. Beach
11. Mirror
12. Crab
13. Violin
14. Sun
15. Watch
16. Leaf
17. Man
18. Horse
19. Female profile
20. Woodpile
Max = 20
3. DIGIT SPAN (Discontinue after failure on BOTH TRIALS ofany item.
Administer BOTH TRIALS ofeach item. Even ifthe subject passestrial.)
DIGITS FORWARD Pass/
Fail
Score
2, 1, or 0
DIGITS BACKWARD Pass/
Fail
Score
2, 1, or 0
1. 5 – 8 – 2 1. 2 – 4
6 – 9 – 4 5 – 8
2. 6 – 4 – 3 – 9 2. 6 – 2 – 9
7 – 2 – 8 – 6 4 – 1 – 5
3. 4 – 2 – 7 – 3 – 1 3. 3 – 2 – 7 – 9
7 – 5 – 3 – 8 – 6 4 – 9 – 6 – 8
4. 6 – 1 – 9 – 4 – 7 – 3 4. 1 – 5 – 2 – 8 – 6
3 – 9 – 2 – 4 – 8 – 7 6 – 1 – 8 – 4 – 3
5. 5 – 9 – 1 – 7 – 4 – 2 – 8 5. 5 – 3 – 9 – 4 – 1 – 8
4 – 1 – 7 – 9 – 3 – 8 – 6 7 – 2 – 4 – 8 – 5 – 6
6. 5 – 8 – 1 – 9 – 2 – 6 – 4 – 7 6. 8 – 1 – 2 – 9 – 3 – 6 – 5
3 – 8 – 2 – 9 – 5 – 1 – 7 – 4 4 – 7 – 3 – 9 – 1 – 2 – 8
7. 2 – 7 – 5 – 8 – 6 – 2 – 5 – 8 – 4 7. 9 – 4 – 3 – 7 – 6 – 2 – 5 – 8
7 – 1 – 3 – 9 – 4 – 2 – 5 – 6 – 8 7 – 2 – 8 – 1 – 9 – 6 – 5 – 3
Total Forward
Max = 14
Total Backward
Max = 14

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Wais r record form continuation

  • 1. 2. PICTURE COMPLETION (Discontinue after 5 consecutive failures.) Score 1 or 0 1. Door 2. Tennis 3. Frog 4. PlatingCard 5. Car 6. Pitcher 7. Glasses 8. Pliers 9. Coat 10. Beach 11. Mirror 12. Crab 13. Violin 14. Sun 15. Watch 16. Leaf 17. Man 18. Horse 19. Female profile 20. Woodpile Max = 20 3. DIGIT SPAN (Discontinue after failure on BOTH TRIALS ofany item. Administer BOTH TRIALS ofeach item. Even ifthe subject passestrial.) DIGITS FORWARD Pass/ Fail Score 2, 1, or 0 DIGITS BACKWARD Pass/ Fail Score 2, 1, or 0 1. 5 – 8 – 2 1. 2 – 4 6 – 9 – 4 5 – 8 2. 6 – 4 – 3 – 9 2. 6 – 2 – 9 7 – 2 – 8 – 6 4 – 1 – 5 3. 4 – 2 – 7 – 3 – 1 3. 3 – 2 – 7 – 9 7 – 5 – 3 – 8 – 6 4 – 9 – 6 – 8 4. 6 – 1 – 9 – 4 – 7 – 3 4. 1 – 5 – 2 – 8 – 6 3 – 9 – 2 – 4 – 8 – 7 6 – 1 – 8 – 4 – 3 5. 5 – 9 – 1 – 7 – 4 – 2 – 8 5. 5 – 3 – 9 – 4 – 1 – 8 4 – 1 – 7 – 9 – 3 – 8 – 6 7 – 2 – 4 – 8 – 5 – 6 6. 5 – 8 – 1 – 9 – 2 – 6 – 4 – 7 6. 8 – 1 – 2 – 9 – 3 – 6 – 5 3 – 8 – 2 – 9 – 5 – 1 – 7 – 4 4 – 7 – 3 – 9 – 1 – 2 – 8 7. 2 – 7 – 5 – 8 – 6 – 2 – 5 – 8 – 4 7. 9 – 4 – 3 – 7 – 6 – 2 – 5 – 8 7 – 1 – 3 – 9 – 4 – 2 – 5 – 6 – 8 7 – 2 – 8 – 1 – 9 – 6 – 5 – 3 Total Forward Max = 14 Total Backward Max = 14