Consumable Booklet of Dwarka Pershad (Chandigarh) P G I ae B B D . Verma (Chandigarh) (Hindi Version) gua fer gam sft (Please fill up the following informations) — ara (Name)"” faran (Education)" Test Variables —. Sub-tests | Remote Memory Recent Memory Mental Balance Attention and Concentration Delayed Recall Immediate Recall Retention for Similar Pairs Retention for Dissimilar Pairs Visual Retention Recognition *P Fr 100 Performance Quotient T.Q. on Information B1+ T.Q. onDigit Span B14 TQ. onArithmetic Bit T.Q. onComprehension Bit Difference in P.Q. and V.Q. upto 14 Nahor & Benson Test Bender-Gestalt Test Remarks Dysfunction Rating Score = Estd. 1971 © : (0562) 2364926 NATIONAL PSYCHOLOGICAL CORPORATION 4/230, KACHERI GHAT, AGRA-282 004 (INDIA)SUB-TEST I. Memory Scale 1, Yaenreita Bf (Remote Memory) 1, saat au frat #2 2. sma ST Re aT ? 3. (a) strat urd) aa ag 7 = (bo) 3m sad arena aren aa wren fear 2 = (co) are wear aa ret 7 TERRA Cy 20 (4 4, TMG TAM Maas feat ® 2 Gury ee] 5. ama ga faut (areqare # yet are TT — Fa yera & fereaea ana 2 6. fret ar airy ga faa (terete tr amet Y 2 1. adara Byfa (Recent Memory) _ sa Me Ta SUA aa Gra ? dpuss lyeg : 2. STs Aare HT area A sara ? Ube 3. same ararame ? ee Le 4, onaataar fer’ 2 — bid 5. Be oTea aaa firey Sra aT Ato weer arr fared Frere? 1. Arafaes Ge (Mental Balance) a . / 14. A,B, C, ¥Z 7 (Alphabet of any Language) are 1 ~/ 2. 2081 am sed fred ar 1 ‘ 3. 40 at werd EU seat Fred ate | Chste eeeceensees Lonsu Ta Waa (Attention & Concentra! Tape ata, tion) WERT ren oma UE bth ate vg span aren aa ated a apt 4-1-7 6—1-5-8 2-9-7-6-3 6-—1-5-8-3-9 4-7-1-5-3-8-6 aT a eH a a Free rae ey Wf '2.5" th arm ai '5-2" 1 -1-5-3-9-6 . () 3-5-8-6-1-9-2 )6—3-7-1-4-g_5 . Vg—s—2-3-6-1-9-4 2-8—4-—5-9-7-1_3 V. Gaara BAU (Delayed Recall) UL ferdd wintery a Horr a ist 2 am eT faa a ah oT 3a dist & ara arene farraet BA agro | arm afar dang at THAR B Uy sik we fier a wa anit at geut & fa ayVIL. VI. an pri Ht San, TAT TT ait ara aren Trad | - 2. Srvit an tra oe fren, SH Ta, Za ra fer an Fee HCH BT ATTA ray, 3114 UA V ni =? vt fered 3itt A ATT Wa, wa Fara ap at array aah aT co oe a 7 Sg xe VA ET TSA ATEN aT, on 7 a ae en ee TAT, TAT ETAT aT are are | BA Bal sar eres TUT YO YY (Verbal Retention for Similar Pairs) 4 ge dist § a wari | a a Wy set 8 a oe Us Ss ara fer ara dt meat tS at gad via a aH ae RIT | (SY SHU AER I HI TATA Ug | were TS & are cH 5 Gave HI wen Ta, aia GH & ae oT 10 avg ar A TSR GS Bt IH aeY ama Ug ai sae are at Ga ete aT AT aaa & fora ee 1) Sear a ear vif ATTY ve (Verbal Retention tor Dissimilar Pairs) faders oe vate were sega Rifas TT, afer en oats amt fered HH 1 ae ware wainsra sat a 2 Ta dt ae ATR YF: FHL ATT I THT Wee aT, Fa en aa are Bea | SOR TaTST eT ware 8 et aa Bel SATS ea aT TATE Bi rad afrard & 1pol- BBD SS aaae veces . _.., Gonsumab 1X. afiee arc (vinuat Retention) » bef A fare av A met evening oer Penny, uM ana 0 1 9 2 Go an en Wound agen ef afte finer 904 A steniy aah, (300 these ane) orn ane ALF Pat BETA agi 4 145 fy 14%, AA HAT fox, ane Rae or (ren aaner4, wn: feet a ens ta, HAT 1 A APA AP OG aac Tea & an 1) xX. wefan (Recognition) sg MP Te ans Fresh, a pe ort ahh of #1 a TH (30 FaME TH) EO Re (2 Ferrey are aren ere ard Frerearaio Foe a aed eel eH ATA TTA RU STH A TA EET 1 (oer aa eB area fw Te AT TSH Farr As AT ae AT Fert a is afte ret &, arena erat ar Ferd) SUMMARY OF MEMORY SCALE Sub-tests 1 aif Raw Scores 6[5 Converted Scores. | 5 aSUB-TEST II. Battery of Performance Tests of Intelligence KOHS' BLOCK PASS-A-LONG Hem] timetaken | Score |''@] Time Taken | Score No. B B2 Bs Be Bs Bs B7 Total Score TQ. Total Score Ta Performance Quotient =ay Consumanie toomet ot OL BAD. J SUD TESTI, Verbal Adult Intelligence Scale (VAIS) 1. INFORMATIONS Discontinus after 7 consecutive failure response, ne a bat Trey 19, 4d anton 20, feeun-ficech arate a aft rnd BS Te areE / fee wnt ert ura MRC TG HT TAHA aw Uber . eras BUA / argferer rar atta-are ATT, 13° tera 14, mie oer 15. Tae TOTALSCORE= | 4, TOTAL SCORE = | || bomen 88 8 | Consumable Booklet of PG! — BBO DIGIT SPAN Discontinue after failure on BOTH TRIALS of any item. DIGITS FORWARD SCORE DIGITS BACKWARD SCORE TOTAL SCORE 2\ 3.__ ARITHMETIC Discontinue after 5 consecutive failutres. Problem TOTAL SCORECOMPREHENSION Discontinue after 6 failure TOTAL SCORE *” Ifthe subject replies only one idea, ask for a second response. Rephrase the test item appropriately, saying, Tell me another reason why (another thing people can do. . SUMMARY OF VAIS [Subseste | iormation | Digt'Span | anthmeti_[Gomprenension| [testQuctens | te tse rf a7 Verbal. @. — [24Response for Bender Gestalt Test Response for Nahor Benson Test