4 ys = Bender Adult Scoring Sheet* Name: Date: BENDER GESTALT TEST SCORING SHEET 4 Points Preservation Rotation or Reversal Concretism J Points Added Angles + Separation of Line Overlap e Distortion 2 Points Embellishments Partial Rotation 1 Point Omission - = —— Abbreviation #1 or #2 Separation Absence of Erasure Closure Point of Coftact on Figure A TOTAL fe eeT—Bennen Name ..+... . e cee racers era y Education . VQ. oo... Dingnosis oo. sceeeeliesssceseeeeee fe pesicn 1 DESIGN 4 Desien 7 $01. Wary fine (2) Bev Grn (3) asses Be Ene no, Jn, (8) cesses Ba dot dat 2 Mees ee) a Anges eG) ale 18 Dashes @) 2. Gr. oat centers) sosses 3, Angee mi, @) 4. Circles (ny 4. Curls (4), 4. Ext, scat, (3) 5. No. dots (2) each 5. DUI. line (1es.) 6. Tremor (4) 7. Distortion (ftes.) 1B, Guide lines (2) 9. See. attempt (end) ve ow (a) 7. Workover (2) B. Sec. atempt (3.8) 9. Rotation (1) 10 1s, (a) 8. Tremor (4) 9. Wistortion (A) to, (2) seeeee 10, Notation (8) 3 + 11, See. attempt (Bea) 11, Der. miss, (8) ; 12, Rotation (8) Design Total a 13. Den, isn, (0) Deegan Total DESIGN 2 DESIGN 5 1, Wavy fine (2) 2 Dash ne dots (3) 3. Shape vir. (3) mist, ext (3)... owl. (5) 5. Dev. wlan (3) 7. No, cul. (en) DESIGN 8 1, Ends no, join. (8). 2, Angles ext. (3) 3. Angles mis Aen, 5. DI, Hine (1m 6. Tremor (4) 7. Distortion (es.) 8, Guide Fines (2) +9. Workorer (2). 1. Asymmetry (3) 2 Dot, dash, ele. (2) 7. No, slots (2) A, Distortion (0) 9. Guide Fines (2) W. Workorer (2) eee 10, See, alent (Dea) Vi. Sor, attempt Gen) ssesce Hy Rotation (6) + 12, Rotation (0) 12, Des. mise. (8) : - RD (a) Design Tol sss. Total DESIGN 3 DESIGN 6 CONFIG. DESIGN 1. Asyiometry (3) 2 Dot, d 3. Dashes (2) 4..Circles (8) 1. Asymmetry (3) 2. Angles (2) 3. PL crossing (Zea) 4.Crv. esta (8), 1. Place, Des. A. (2) sessee 2. Overlap (2 3. Compression (3) 4. Lines drawn (8) (3) 5 oom 5. No. dots (2) 5. Dbl, line (Lea) 5. Order (2) 6. Extra row (8) 6. Touchnp (8) 6. No order (8) fs 7, Bunting, (8) 7. Tremor (4) seeee Te Mel wine (8) em 8, Distortion (8) 8, Distortion (8) Total 9. Guide ines (2) . DESIGN TOTALS 10, Workover (2) seseee Le - I, See, attempt (3ea) .. cesses 12, Rotation (8) 1B. Des. amine, (0) +13. Des. miss. (B) Design Total ...+.. Design Total a Total Raw Score Standard Score [2091YU ‘Table Se! res for Subjects of One Year or Mora of High School . y ‘Ayes 13-80 Ze 1.06 (x—=JH0) +50. 7 a _ ae Taw z Raw 7 ae Score Score Score Score 01 130 Ba a 08 102 139 So 53 87 303 140 34 304 141 54 80 EB 55 89 105 142 36 60 90 108 143 é 31 ea ‘1 307 144 a 58 92 408 145 ‘ 0 59 93 109 146 : a 60 95 110 148 ‘ rn 61 96 ut 149 4 62 97 112 150 Ber 45 63 98 113 151 46. 64 99 114 152 ar 05 100 15 153. 38 68 401 16 154 A a 102 MT 155 . 50 68 103 118 156 51 60 104 119 157 52 70 105 120 158 53 u {06 121° 159 54 2 107 122 160 55 +13 108 123 161 56 "4 109 + 424 162 57 "8 130 125 "163 69 7 ut , 126 165 60 1 113 321 166 a 78 MA 128 167 62 79 115 129 168 63 80 116 130 169 64 aL 117 131 170 65 82 118 132 a1 66 83 119 133 472 67 ad 120 134 173 68 85 ia 135 414 69 > 8 122 136 475 0 81 123 137 16 1 a8 124 138 a1 12, 89 125 139 118 13 90 126 . 140 119 4 om 127, 744d 180 15, 92 128 142 182 7 . 93. 130 143, 183 18 3 04 131 144 184 oy 95° 132 145, 185 ow 96 139 . 148 188 8 a7 134 147 18 82 98 135 148 188 & 99 136 149 189 34 100 137 180 __190 ' . Scanned by CamScanner Eeear or More of College « LID (x17) $50. > he _@ Raw z Raw Z bl Score Score Score Score Score i Ea 51 92 10i 17 3 a 82 93 102 148 4 a 53 34 103 149 5 4 Sy 95 104 150 6 42 55 97 105 151 1 a 86 98 106 152 8 4 ST 99 : 107 153 9 46 58 100 108 154 10 a 59 101 109 155 fn ha 60 102 110 156 12 a 61. 103 ul 157 13 50 62 104 112 159 7 0 63 105 113 160 15 tA 64 106 114 161 16 53 65 107 ie 15, 162 1 54 ee 108 116 163 18 3S 67 110 M7 164 19 Fe 68 ML 118 165 Ea 3s 69 12 119 166 21 39 wD 43 120 167 22 cc .a Md 121 168 a 2 15 122 169 By a1 13 6 123 170 eo je: "4 M7 e 124 71 % 7 Ba ne 325 172 as ta us 126 173 2 65 a 120 427 HG 2 ee i a 128 mW . 122 30 69 . 80 123 ue os cas 10° 81 124 isi a 32 cl 82 125 pad 180 33 2 83 128 HS 101 uM 3 84 128: 134 2 35 u 85 129 135 tel 30 5 a6 130 Aa 37 18 rr co HD 185 38 i 88 192 138 pee 30 7 89 133 13a 187 40 80 90 134 no 1a9 a BY + a1 138 io 190 42 a, 92 136 142 an 43 a3 89 13 3 eat a + a 138 144 in te a {—8 us 195 a + aT ce a7 143 ta 196 43 88 98 1 . 197 40 50 = 20 M5 a 198 50 1 100 M6 149 200