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Clinician Report Longitudinal Report Parent Report

CLINICIAN REPORT FOR NEPSY-II
EXAMINEE: AGE: DATE OF BIRTH: EXAMINEE ID: GENDER:
John Sample 13 years, 8 months 10/24/1993 Not Specified Male
REPORT DATE: GRADE: ETHNICITY: EXAMINER:
7/18/2007 Not Specified <Not Specified> Lisa Drozdick
HOME LANGUAGE: <Not Specified> IS THIS A RETEST? N DURATION OF TESTING: 1 hr(s) 45 min(s) COMMENTS:
HANDEDNESS: Right AGE AT TESTING: 12 years 5 months
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CLINICIAN REPORT FOR NEPSY-II
Attention and Executive Functioning
Score Name Animal Sorting Total Correct Sorts Animal Sorting Total Errors Animal Sorting Total Repeated Sort Errors Animal Sorting Total Novel Sort Errors Animal Sorting Combined Scaled Score Auditory Attention Total Correct Auditory Attention Combined Scaled Score Auditory Attention Total Omission Errors Auditory Attention Total Commission Errors Auditory Attention Total Inhibitory Errors Response Set Total Correct Response Set Combined Scaled Score Response Set Total Omission Errors Response Set Total Commission Errors Response Set Total Inhibitory Errors AA vs. RS Contrast Scaled Score Clocks Total Score Inhibition­Naming Completion Time Total Inhibition­Naming Combined Scaled Score Inhibition­Naming Total Errors Inhibition­Naming Total SelfCorrected Errors Inhibition­Naming Total Uncorrected Errors Inhibition­Inhibition Completion Time Total Inhibition­Inhibition Combined Scaled Score Inhibition­Inhibition Total Errors Inhibition­Inhibition Total SelfCorrected Errors Inhibition­Inhibition Total Uncorrected Errors Inhibition­Switching Completion Time Total Inhibition­Switching Combined Scaled Score Inhibition­Switching Total Errors Inhibition­Switching Total SelfCorrected Errors Raw Scaled Percentile Cumulative Scores Scores Ranks (%) Percentages (%) 4 6 9 -0 ->75 -0 0 -30 -0 0 0 35 -1 0 1 -70 59 -3 3 0 85 -2 2 0 119 -6 4 --7 12 12 ---12 13 ---12 10 6 3 ---6 9 ---6 7 -->75 51­75 16 75 75 51­75 26­50 26­50 75 84 >75 >75 51­75 75 50 9 1 <2 <2 51­75 9 37 51­75 26­50 51­75 9 16 26­50 26­50 -----------------------------Classification Borderline Above Expected Level Above Expected Level At Expected Level Borderline At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level Above Expected Level Above Expected Level Above Expected Level At Expected Level At Expected Level At Expected Level Borderline Well Below Expected Level Well Below Expected Level Well Below Expected Level At Expected Level Borderline At Expected Level At Expected Level At Expected Level At Expected Level Borderline Borderline At Expected Level At Expected Level
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CLINICIAN REPORT FOR NEPSY-II
Inhibition­Switching Total Uncorrected Errors IN­Naming vs. Inhibition Contrast Scaled Score IN­Inhibition vs. Switching Contrast Scaled Score Inhibition Total Errors
2 --11
-13 7 8
51­75 84 16 25
-----
At Expected Level Above Expected Level Borderline At Expected Level
Scaled Scores
Score Name 1 Animal Sorting Total Correct Sorts Animal Sorting Combined Scaled Score Auditory Attention Total Correct Auditory Attention Combined Scaled Score Response Set Total Correct Response Set Combined Scaled Score Clocks Total Score Inhibition­Naming Completion Time Total Inhibition­Naming Combined Scaled Score Inhibition­Inhibition Completion Time Total Inhibition­Inhibition Combined Scaled Score Inhibition­Switching Completion Time Total Inhibition­Switching Combined Scaled Score Inhibition Total Errors 2 3 4 5 6 + + + + + + + + + + + + + + 7 8 9 10 11 12 13 14 15 16 17 18 19
Percentile Ranks
Score Name Animal Sorting Total Errors Animal Sorting Total Repeated Sort Errors Animal Sorting Total Novel Sort Errors Auditory Attention Total Omission Errors Auditory Attention Total Commission Errors Auditory Attention Total Inhibitory Errors Response Set Total Omission Errors Response Set Total Commission Errors Response Set Total Inhibitory Errors Inhibition­Naming Total Errors Inhibition­Naming Total Self-Corrected Errors Inhibition­Naming Total Uncorrected Errors Inhibition­Inhibition Total Errors <2 2-10 11-25 26-75 >75 + +
+ + + + + + + + + + +
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CLINICIAN REPORT FOR NEPSY-II
Inhibition­Inhibition Total Self-Corrected Errors Inhibition­Inhibition Total Uncorrected Errors Inhibition­Switching Total Errors Inhibition­Switching Total Self-Corrected Errors Inhibition­Switching Total Uncorrected Errors + + + + +
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CLINICIAN REPORT FOR NEPSY-II
Language
Score Name Comprehension of Instructions Total Score Phonological Processing Total Score Speeded Naming Total Completion Time Speeded Naming Total Correct Speeded Naming Combined Scaled Score Speeded Naming Total Self-Corrected Errors Raw Scores 21 38 51 74 -0 Scaled Scores 5 10 7 -7 -Percentile Ranks (%) 5 50 16 26­50 16 51­75 Classification Below Expected Level At Expected Level Borderline At Expected Level Borderline At Expected Level
Scaled Scores
Score Name Comprehension of Instructions Total Score Phonological Processing Total Score Speeded Naming Total Completion Time Speeded Naming Combined Scaled Score 1 2 3 4 5 + + + + 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Percentile Ranks
Score Name Speeded Naming Total Correct Speeded Naming Total Self-Corrected Errors <2 2-10 11-25 26-75 + + >75
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CLINICIAN REPORT FOR NEPSY-II
Memory and Learning
Score Name Memory for Faces Total Score Memory for Faces Delayed Total Score MF vs. MFD Contrast Scaled Score Narrative Memory Free and Cued Recall Total Score Narrative Memory Free Recall Total Score Word List Interference-Repetition Total Score Word List Interference-Recall Total Score WI Repetition vs. Recall Contrast Scaled Score Raw Scaled Percentile Cumulative Scores Scores Ranks (%) Percentages (%) 14 12 75 -15 -4 2 16 16 -13 12 5 6 10 8 7 84 75 5 9 50 25 16 -------Classification At Expected Level Above Expected Level At Expected Level Below Expected Level Borderline At Expected Level At Expected Level Borderline
Scaled Scores
Score Name Memory for Faces Total Score Memory for Faces Delayed Total Score Narrative Memory Free and Cued Recall Total Score Narrative Memory Free Recall Total Score Word List InterferenceRepetition Total Score Word List InterferenceRecall Total Score 1 2 3 4 5 6 7 8 9 10 11 12 13 + + + + + + 14 15 16 17 18 19
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CLINICIAN REPORT FOR NEPSY-II
Sensorimotor
Score Name Fingertip Tapping­Dominant Hand Repetitions Completion Time Fingertip Tapping­Dominant Hand Sequences Completion Time Fingertip Tapping­Nondominant Hand Repetitions Completion Time Fingertip Tapping­Nondominant Hand Sequences Completion Time Fingertip Tapping­Dominant Hand Combined Scaled Score Fingertip Tapping­Nondominant Hand Combined Scaled Score Fingertip Tapping­Repetitions Combined Scaled Score Fingertip Tapping­Sequences Combined Scaled Score FT Dominant Hand vs. Nondominant Hand Contrast Scaled Score FT Repetitions vs. Sequences Contrast Scaled Score Visuomotor Precision Total Completion Time Visuomotor Precision Total Errors Visuomotor Precision Combined Scaled Score Visuomotor Precision Pencil Lift Total Raw Scaled Percentile Cumulative Scores Scores Ranks (%) Percentages (%) 7 9 7 9 ------105 5 -6 ----9 10 10 9 12 8 9 -8 -26­50 26­50 51­75 26­50 37 50 50 37 75 25 37 26­50 25 11­25 --------------Classification At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level Borderline
Scaled Scores
Score Name Fingertip Tapping­ Dominant Hand Combined Scaled Score Fingertip Tapping­ Nondominant Hand Combined Scaled Score Fingertip Tapping­ Repetitions Combined Scaled Score Fingertip Tapping­ Sequences Combined Scaled Score Visuomotor Precision Total Completion Time Visuomotor Precision Combined Scaled Score 1 2 3 4 5 6 7 8 9 + 10 11 12 13 14 15 16 17 18 19
+
+
+ + +
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CLINICIAN REPORT FOR NEPSY-II
Percentile Ranks
Score Name Fingertip Tapping­Dominant Hand Repetitions Completion Time Fingertip Tapping­Dominant Hand Sequences Completion Time Fingertip Tapping­Nondominant Hand Repetitions Completion Time Fingertip Tapping­Nondominant Hand Sequences Completion Time Visuomotor Precision Total Errors Visuomotor Precision Pencil Lift Total <2 2-10 11-25 26-75 + + + + + + >75
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CLINICIAN REPORT FOR NEPSY-II
Social Perception
Score Name Affect Recognition Total Score Affect Recognition Total Happy (H) Errors Affect Recognition Total Sad (S) Errors Affect Recognition Total Neutral (N) Errors Affect Recognition Total Fear (F) Errors Affect Recognition Total Angry (A) Errors Affect Recognition Total Disgust (D) Errors Theory of Mind Total Score Theory of Mind­Verbal Score Raw Scores 29 0 2 1 1 0 3 25 19 Scaled Scores 11 --------Percentile Ranks (%) 63 26­50 51­75 26­50 26­50 >75 6­10 26­50 26­50 Classification At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level Above Expected Level Below Expected Level At Expected Level At Expected Level
Scaled Scores
Score Name Affect Recognition Total Score 1 2 3 4 5 6 7 8 9 10 11 + 12 13 14 15 16 17 18 19
Percentile Ranks
Score Name Affect Recognition Total Happy (H) Errors Affect Recognition Total Sad (S) Errors Affect Recognition Total Neutral (N) Errors Affect Recognition Total Fear (F) Errors Affect Recognition Total Angry (A) Errors Affect Recognition Total Disgust (D) Errors Theory of Mind Total Score Theory of Mind­Verbal Score <2 2-10 11-25 26-75 + + + + >75
+ + + +
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CLINICIAN REPORT FOR NEPSY-II
Visuospatial Processing
Score Name Arrows Total Score Block Construction Total Score Design Copying Process Total Score Design Copying Process Motor Score Design Copying Process Global Score Design Copying Process Local Score DCP Global vs. Local Contrast Scaled Score Design Copying General Total Score Geometric Puzzles Total Score Picture Puzzles Total Score Raw Scores 25 16 85 34 31 20 -11 28 15 Scaled Scores 6 9 9 9 9 9 10 -8 10 Percentile Ranks (%) 9 37 37 37 37 37 50 51­75 25 50 Classification Borderline At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level At Expected Level
Scaled Scores
Score Name Arrows Total Score Block Construction Total Score Design Copying Process Total Score Design Copying Process Motor Score Design Copying Process Global Score Design Copying Process Local Score Geometric Puzzles Total Score Picture Puzzles Total Score 1 2 3 4 5 6 + 7 8 9 + + + + + + + 10 11 12 13 14 15 16 17 18 19
Percentile Ranks
Score Name Design Copying General Total Score <2 2-10 11-25 26-75 + >75
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CLINICIAN REPORT FOR NEPSY-II
Behavioral Observations Attention and Executive Functioning
Raw Score Auditory Attention & Response Set Inattentive/Distracted­Off Task Behaviors Total Out of Seat/Physical Movement in Seat­Off Task Behaviors Total Inhibition INN Points to Stimuli Total INI Points to Stimuli Total INS Points to Stimuli Total 0 0 Cumulative Percent of Normative Percentages (%) Sample (%) 26­75 26­75 ---
0 2 2
26­75 11­25 26­75
----
Language
Raw Score Comprehension of Instructions Asks for Repetition Total Phonological Processing Asks for Repetition Total 0 0 Cumulative Percent of Normative Percentages (%) Sample (%) 26­75 26­75 ---
Memory and Learning
Raw Score Word List Interference Asks for Repetition Total 0 Cumulative Percent of Normative Percentages (%) Sample (%) 26­75 --
Sensorimotor
Raw Score Fingertip Tapping Visual Guidance Incorrect Position Posturing Mirroring Overflow Rate Change Visuomotor Precision Pencil Grip - Mature Y N N N N 0 Y Cumulative Percent of Normative Percentages (%) Sample (%) -----26­75 -55 82 92 96 91 -87
Social Perception
Raw Score Affect Recognition Spontaneous Comments Total 0 Cumulative Percent of Normative Percentages (%) Sample (%) 26­75 --
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LONGITUDINAL REPORT FOR NEPSY-II
EXAMINEE: AGE: DATE OF BIRTH: EXAMINEE ID: GENDER: HOME LANGUAGE:
John Sample 13 years, 8 months 10/24/1993 Not Specified Male <Not Specified>
REPORT DATE: GRADE: ETHNICITY: EXAMINER:
7/18/2007 Not Specified <Not Specified> Lisa Drozdick
HANDEDNESS:
Right Date of Testing: 3/26/2006 Age at Testing: 12.05 Duration of Testing: 1 hr(s) 45 min(s)
NEPSY-II Administrations
Date of Testing: 6/25/2007 Age at Testing: 13.08 Duration of Testing:
Attention and Executive Functioning
Animal Sorting Total Correct Sorts Animal Sorting Total Errors Animal Sorting Combined Scaled Score Auditory Attention Total Correct Auditory Attention Combined Scaled Score Response Set Total Correct Response Set Combined Scaled Score Clocks Total Score Design Fluency Total Score Inhibition­Naming Completion Time Total Inhibition­Naming Total Errors Inhibition­Naming Combined Scaled Score Inhibition­Inhibition Completion Time Total Inhibition­Inhibition Total Errors Inhibition­Inhibition Combined Scaled Score Inhibition­Switching Completion Time Total Inhibition­Switching Total Errors Inhibition­Switching Combined Scaled Score Inhibition Total Errors Statue Total Score Scaled Percentile Scores Ranks (%) 8 25 26­50 8 25 6­10 2 0.4 11­25 8 25 3 1 9 5 7 4 11 8 6 37 2­5 5 16 2­5 2 63 11­25 25 9 Scaled Percentile Scores Ranks (%) 6 9 >75 7 16 12 75 12 75 12 75 13 84 10 50 6 3 6 9 6 7 8 9 <2 1 9 51­75 37 9 26­50 16 25
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LONGITUDINAL REPORT FOR NEPSY-II
NEPSY-II Administrations
Date of Testing: 6/25/2007 Age at Testing: 13.08 Duration of Testing:
Date of Testing: 3/26/2006 Age at Testing: 12.05 Duration of Testing: 1 hr(s) 45 min(s)
Language
Scaled Percentile Scores Ranks (%) Body Part Naming Total Score Body Part Identification Total Score Comprehension of Instructions Total Score Oromotor Sequences Total Score Phonological Processing Total Score Repetition of Nonsense Words Total Score Speeded Naming Total Completion Time Speeded Naming Total Correct Speeded Naming Combined Scaled Score Word Generation-Semantic Total Score Word Generation-Initial Letter Total Score Scaled Percentile Scores Ranks (%)
4 1 1 3 1 3
2 0.1 0.1 6­10 1 0.1 1
5 10 7 7
5 50 16 26­50 16
Memory and Learning
Scaled Percentile Scores Ranks (%) List Memory and List Memory Delayed Total Score Memory for Designs Total Score Memory for Designs Delayed Total Score Memory for Faces Total Score Memory for Faces Delayed Total Score Memory for Names Total Score Memory for Names Delayed Total Score Memory for Names and Memory for Names Delayed Total Score Narrative Memory Free and Cued Recall Total Score Sentence Repetition Total Score Word List Interference-Repetition Total Score Word List Interference-Recall Total Score Scaled Percentile Scores Ranks (%)
9 7
37 16
12 13
75 84
12 4 10
75 2 50
5 10 8
5 50 25
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LONGITUDINAL REPORT FOR NEPSY-II
NEPSY-II Administrations
Date of Testing: 6/25/2007 Age at Testing: 13.08 Duration of Testing:
Date of Testing: 3/26/2006 Age at Testing: 12.05 Duration of Testing: 1 hr(s) 45 min(s)
Sensorimotor
Fingertip Tapping­Dominant Hand Repetitions Completion Time Fingertip Tapping­Dominant Hand Sequences Completion Time Fingertip Tapping­Nondominant Hand Repetitions Completion Time Fingertip Tapping­Nondominant Hand Sequences Completion Time Fingertip Tapping­Dominant Hand Combined Scaled Score Fingertip Tapping­Nondominant Hand Combined Scaled Score Fingertip Tapping­Repetitions Combined Scaled Score Fingertip Tapping­Sequences Combined Scaled Score Imitating Hand Position Total Score Manual Motor Sequences Total Score Visuomotor Precision Total Completion Time Visuomotor Precision Total Errors Visuomotor Precision Combined Scaled Score Scaled Percentile Scores Ranks (%) 6­10 2­5 2­5 2­5 3 2 4 3 1 0.4 2 1 9 10 10 9 Scaled Percentile Scores Ranks (%) 26­50 26­50 51­75 26­50 37 50 50 37
9 8
37 26­50 25
Social Perception
Affect Recognition Total Score Theory of Mind Total Score Scaled Percentile Scores Ranks (%) 6 9 2­5 Scaled Percentile Scores Ranks (%) 11 63 26­50
Visuospatial Processing
Arrows Total Score Block Construction Total Score Design Copying Process Total Score Design Copying General Total Score Geometric Puzzles Total Score Picture Puzzles Total Score Route Finding Total Score Scaled Percentile Scores Ranks (%) 3 1 9 37 8 25 26­50 3 1 8 25 Scaled Percentile Scores Ranks (%) 6 9 9 37 9 37 51­75 8 25 10 50
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PARENT / TEACHER REPORT FOR NEPSY-II
EXAMINEE: AGE: DATE OF BIRTH: EXAMINEE ID: GENDER: HOME LANGUAGE:
John Sample 13 years, 8 months 10/24/1993 Not Specified Male <Not Specified>
REPORT DATE: GRADE: ETHNICITY: EXAMINER:
7/18/2007 Not Specified <Not Specified> Lisa Drozdick
HANDEDNESS:
Right
John was administered the NEPSY-II as part of an evaluation. The NEPSY­II helps assess academic, social, and behavioral difficulties in children and adolescents. Results obtained from a NEPSY­II assessment can be used to diagnose and aid in intervention planning for a variety of childhood disorders. In particular, a comprehensive understanding of a child's cognitive limitations can facilitate the development of appropriate Individual Education Plans (IEPs) and guide placement and intervention decisions. To evaluate John's performance on the NEPSY-II, review both the Classification Description Table, and the Normal Curve Graph below. These tools will serve as a guide to help you obtain a general understanding of TBI's performance on the assessment. Below the Classification Description Table is a description of each domain TBI was evaluated on. Next to this is a summary of how John performed on the domains that were assessed. Please refer specific questions or concerns about performance to the clinician who administered the assessment.
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PARENT / TEACHER REPORT FOR NEPSY-II
Classification Description Table Description Children whose scores fall within this range have skills that are more developed Above Expected Level than 75% of their peers. Children whose scores fall within this range have skills that are equal to 50% of At Expected Level their peers. Children whose scores fall within this range have skills that are not as developed Borderline as 75% of their peers. Children whose scores fall within this range have skills that are not as developed Below Expected Level as 90% of their peers. Children whose scores fall within this range have skills that are not as developed Well Below Expexted Level as 98% of their peers. Classification
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PARENT / TEACHER REPORT FOR NEPSY-II
Summary of Results Domain Description Result These tests measure how well a child can plan, John's performance in this domain fell Attention and Executive organize, change, and control behavior. between the Well Below Expected Functioning Level and Above Expected Level. These tests measure how well a child John's performance in this domain fell understands and uses words and sentences to between the Below Expected Level Language communicate with others. and At Expected Level. These tests measure how a child takes in, John's performance in this domain fell between the Below Expected Level Memory and Learning stores, and remembers information. and Above Expected Level. These tests measure how well a child can John's performance in this domain fell Sensorimotor control hand movements. at the At Expected Level. These tests measure how well a child John's performance in this domain fell understands other people's feelings and at the At Expected Level. Social Perception thoughts. These tests measure how well a child sees and John's performance in this domain fell between the Borderline range and At Visuospatial Processing arranges visual information. Expected Level.
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