We recommend using Internet Explorer because this interactive form may not be compatible with other web browsers. This interactive form will create standard "feedback" letters for the cognitive testing portion of a CKiD participant visit. First time users should review the Psychologist Corner Instructions for more detailed directions on completing this interactive form and generating the feedback letters. The name of person and email address of person generating the letter will appear at the end of the letter.

You are visiter: 506
Date of Evaluation: mm/dd/yy
Name of person generating letter:
Email address of person generating letter:

     
Select all administered tests: Enter scale scores (and grade equivalent where needed):  
     
   

Scale scores:

Age Equivalent

or

Percentile Scores:

 
Mullen Gross motor:   Gross motor < 40:
  Visual reception:   Visual reception < 40:
  Fine-motor:   Fine-motor < 40:
  Receptive language:   Receptive language < 40:
  Expressive language:   Expressive language < 40:
  Early learning composite:   Early learning composite < 85:
           
WPPSI-III, version 2:6-3:11 Receptive vocabulary:  

Receptive vocabulary < 8:

  Block design:  

Block design < 8:

  Information:  

Information < 8:

  Object assembly:  

Object assembly < 8:

  Verbal IQ:

Verbal IQ < 85:

  Performance IQ:

Performance IQ < 85:

  Full-scale IQ:

Full-scale IQ < 85:

           
WPPSI-III, version 4:0-7:3

Block design:

 

Block design < 8:

 

Information:

 

Information < 8:

 

Matrix reasoning:

 

Matrix reasoning < 8:

  Vocabulary:  

Vocabulary < 8:

 

Picture concepts:

 

Picture concepts < 8:

 

Word reasoning:

 

Word reasoning < 8:

 

Coding:

 

Coding < 8:

 

Verbal IQ:

Verbal IQ < 85:

 

Performance IQ:

Performance IQ < 85:

 

Full-scale IQ:

Full-scale IQ < 85:

           
WASI II

Vocabulary:

 

Vocabulary < 40:

 

Matrix reasoning:

 

Matrix reasoning < 40:

 

Full-scale IQ:

Full-scale IQ < 85:

           
K-CPT

Omissions

 

Omissions > 60:

 

Commissions

 

Commissions > 60:

           
CPT-II

Omissions

 

Omissions > 60:

 

Commissions

 

Commissions > 60:

           
WISC-IV Digit Span

Forward

 

Forward < 8:

 

Backward

 

Backward < 8:

           
WAIS-IV Digit Span

Forward

 

Forward < 8:

 

Backward

 

Backward < 8:

           
WISC-IV-I Spatial Span

Forward

 

Forward < 8:

 

Backward

 

Backward < 8:

           
WMS-III Spatial Span

Forward

 

Forward < 8:

 

Backward

 

Backward < 8:

           
DKEFS Tower

Tower Total Achievement

 

Total < 8:

           
DKEFS Verbal Fluency

FAS Letter

 

FAS Letter < 8:

 

Category Fluency

 

Category Fluency < 8:

 

Category Switching

 

Switching < 8:

 

Category Switching Total Switching

 

Total Switching < 8:

           
DKEFS Design Fluency

Design Fluency Total

 

Total < 8:

           
DKEFS Color-Word Interference

Color-Word Interference Inhibition

 

Inhibition < 8:

 

Color-Word Interference Inhibition Switching

 

Inhibition Switching < 8:

           
Please write any comments that you would like appended to the letter: