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muss
Year Month ay
Developmental Test | Date Testes ee
of Visual Perception Der of ea — = __
‘Second Edition a = =
PROFILE/EXAMINER | e=nrers are
RECORD FORM ene
School:
“Section Il. Record of DTVP-2 Subtest and Composite Scores
Subtest Standard Scores Composite Scores
Raw Ago ‘Age
‘Subtest Score Equiv. sile vp MRP vat Composite __Quotients _soiies_ Equiv.
4. EyeHand Coordination —_ —— — Gonoral Vie
2. Position in Space aa eee Perception — — __
8. Copying = — —— Motor-Reduoed
4, Figueo-Ground — — —_ Visual Perception — —_
5. Spatial Relations as ae —
6. Visual Closure _ ~~ asi ier
7, VisualMotor Spoed — — ae
8. Form Constancy — ae 2 ees
subtest Standara Scores sum = [
‘Composite Scores Other Test Scores
ie ie Hi Ty]
$f Fig ie |
aaae ea caa 2ubs
ow 23S F ERE EE ou igi |
Scores ha ined bal ‘Scores Quotients, ne I
ne “ea Hee
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% ee
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is
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ia
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2 te
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‘Aral epee (0) ay pase ton
190 oy PAO PROD soa Shea Ges hay nth 1 a7 207
Tete 19 1 16 07 06 06 OF os paar Ste econ oe rocaSubtest 1. Eye-Hand Coordination sone
1 —
2 —
8 * Raw Score
4
alolelalelelalnlilylelilminiolplalr s |
Subtest 2. Position in Space (colin 3 of § incorrect)
a2|s|4|slel7|s|s|s0|1|12|15| 1] 15] 16] 17] 16 |19 [20] 21 | ze | 20 | 2 | 25
LTT tTTy Trt it - raw Sooe
ebbdbdecbaabeedcbdeaedacba
Subtest 2. Copying (ceiing 9 zer009 In a row)
t{z|afa|sfe]7 |e] [rls] | 13| 14| 15 16 17| 18/19 | 20
“ aw Score
Subtest 4. Figure-Ground (celing 2 of § incorret)
sfelol{«|sle|r7l{els|w 14 | 15 | 16 | 7 | 8]
LJ paw Se
ae cd ad bd bd ad be eg bol abt sed) cah dg big scat
Subtest 5. Spatial Relations
r[els{«{sfel7 els |r
. Raw Score
Subtest 6. Visual Closure (ceiling 3 of 5 Incorext)
s[2{s|«|sfeo|z|o]s|rols|r2|19|14[15| 16] 17| 18 19 |20
| [| paw So
cacbacebddbacdedbaeca
Subtest 7. Visual-Motor Speed
row |sfels[s[slel7|s Score
Squares
ores } naw eae
Subtest 8. Form Constancy (cong 3 of 5 incorec)
r{els|+{se]7|eole |r|] 1] 19|1| 15| 16] 17| 18 19 | 20
7 aw Score
fac ab bo ab bo ad bd ac ae bd ce bo ad be ab cd ac de