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Score Sheet of BGT

This document contains a score sheet for the Bender Gestalt Test, which assesses visual-motor integration and visual perception. It records information about the test taker such as name, age, education level, and diagnosis. The sheet contains 13 design drawings that are scored based on characteristics like asymmetry, angles, dots/dashes/circles, extra lines, distortions, etc. The scores are summed to generate a total raw score and standard score to evaluate the test taker's performance.

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Asad Chaudhary
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1K views1 page

Score Sheet of BGT

This document contains a score sheet for the Bender Gestalt Test, which assesses visual-motor integration and visual perception. It records information about the test taker such as name, age, education level, and diagnosis. The sheet contains 13 design drawings that are scored based on characteristics like asymmetry, angles, dots/dashes/circles, extra lines, distortions, etc. The scores are summed to generate a total raw score and standard score to evaluate the test taker's performance.

Uploaded by

Asad Chaudhary
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Score Sheet – Bender Gestalt Test

Name: Age: Sex:


Education: I.Q: Diagnosis:
Design 1
Design 4 Design 7
1. Wavy line (2) ………
1. Asym Crv (3) ……… 1. Ends no. join (8) ………
2. Dot, Dash, Cir (3) ……….
2. Break Crv (4) ………. 2. Angle ext (3) ……….
3. Dashes (2) ....…….
3. Crv, not center (1) ....……. 3. Angle miss (3) ....…….
4. Circles (8) ……….
4. Circles (4) ………. 4. Ext. scat (3) ……….
5. No Dots (2) each ……….
5. Not Joined (8) ………. 5. Dbl. line (1) each ……….
6. Dhl. Row (8) ………..
6. Crv. Rotation (3) ………. 6. Tremor (4) ………..
7. Workover (2) ………..
7. Touch-up (8) ……….. 7. Distortion (8) each …………
8. See, Attempt (3) each ...………
8. Tremor (4) ……….. 8. Guidelines (2) ………..
9. Rotation (8) ………..
9. Distortion (8) ……….. 9. See, Attempt (3) each ...………
10. Design miss (8) ………..
10. Guidelines (2) ……….. 10. Rotation (8) ………..
Design Total ……..
11. See, Attempt (3) each ....... 11. Design miss (8) ………..
Design 2
12. Rotation (8) ……….. Design Total ……..
1. Wavy line (2) ……… 13. Design miss (8) ………..
Design 8
2. Dash or Dots (3) ……….
Design Total ……..
3. Shape circle (3) ....……. 1. Ends no. join (8) ………
Design 5
4. Cir, mist, ext (3) ………. 2. Angle ext (3) ……….
1. Asymmetry (3) ………
5. Cir, touch (5) ………. 3. Angle miss (3) ....…….
2. Dot, Dash, Cir (3) ……….
6. Dev. Hunt (3) ……….. 4. Ext. scat (3) ……….
3. Dashes (2) ....…….
7. No col (2) each ……….. 5. Dbl. line (1) each ……….
4. Circles (8) ……….
8. Fig on 2 lines (8) ...……… 6. Tremor (4) ………..
5. Ext, Join, Dot (2) ……….
9. Guidelines (2) ……….. 7. Distortion (8) each …………
6. Ext rotation (3) ………..
10. Workover (2) ……….. 8. Guidelines (2) ………….
7. No Dots (2) ………..
11. See, attempt (3) each .............. 9. Workover (2) ………..
8. Distortion (8) ...………
12. Rotation (8) ……….. 10. See, Attempt (3) each ...………
9. Guidelines (2) ………..
13. Design miss (8) ………… 11. Rotation (8) ………..
10. Workover (2) ………...
Design Total ………… 12. Design miss (8) ………..
11. See, attempt (3) each …………
Design 3 Design Total ……..
12. Rotation (8) ………….
1. Asymmetry (3) ……… 13. Design miss (8) ……….. Config. Design
2. Dot, Dash, Cir (3) ……….
Design Total ……… 1. Place Design A (2) ……..
3. Dashes (2) ....…….
Design 6 2. Overlap (2) each ……….
4. Circles (8) ………. 3. Compression (3) ..………
1. Asymmetry (3) ………
5. No Dots (2) ………. 4. Lines Drawn (8) ………..
2. Angles (2) ………. 5. Order (2) ……….
6. Extra row (8) ………..
3. Pt. Crossing (2) each ....……. 6. No order ……….
7. Blunting (8) ………..
4. Crv extra (8) ………. 7. Rel. size …………
8. Distortion (8) ...………
5. Dbl line (1) each ………. Total ………
9. Guidelines (2) ………..
6. Touch-up (8) ………..
10. Workover (2) ………... Design Total
7. Tremor (4) ………..
11. See, attempt (3) each …………
8. Distortion (8) ...……… 1. …..
12. Rotation (8) ………….
9. Guidelines (2) ……….. 2. …..
13. Design miss (8) ……….. 3. …..
10. Workover (2) ………...
Design Total ………… 4. …...
11. See, attempt (3) each ………… 5. ……
Total raw score ………….
12. Rotation (8) …………. 6. …….
13. Design miss (8) ……….. 7. ……..
8. …….. Standard Score ………
Design Total ………
Config …….

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