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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