Section 1.
dentifying Information
CTMT Name
Female Male O
Year Month Day
Date of Testing
Comprehensive
Trail-Making Test
Date of Birth
Test Age ||
Record Booklet
Referred by
Reason for Referral
||
Examiner
Section l. Record of Trail andComposite Index Scores
Raw Score
Trail Time in Seconds T-Score %ile Descriptive Rating
Trail 1
Trail 2
Trail 3
Trail 4
Trail 5
T-Score Sum
CTMT Composite Index
Section I. Profile of Scores Section IV Calcülation of Significance
1. Divide the T-score sum for all trails by 5:
asodwo
x•pu
2. Subtract the mean trail score from each individual trail
SCore:
m
Trail 1:
Trail 2:
85 85 85
80 80
Trail 3:
80
75 79
Trail 4:
75
70
Trail 5:
70 70
69 65
3, Compare the difference score to the values listed in the
65
60 60 60
table below. If the difference score equals orexceeds the
tabled value, a real difference may exist and is not a
55 55 55 reflection solely of chance or errors of measurement.
50 50 50
Significant
45 45 .01 Yes/No
45 05
40 40 40
Trail 1 12.38 15.79
35 35 35
Trail 2 11.38 14.51
30 30 30
Trail 3 12.20 15.56
25 25 25
Trail 4 12.54 15.99
20 20
20
Trail 5 12.54 15.99
15 15
15
Significance levels corrected for 5 comparisons
Sample A
4 Start
5
End
D
3
Start
Page 3
Trail 1 Time in Seconds:
(15) 16)
17 (20)
9
18 19 (13)
(14)
(12)
4
Start
(10)
LO (21
8
(23)
6 (25)
(24) End
CTMT Page 5
Arail 2
Time in Seconds:
(16) 18)
12
14
8
End
CTMT
Page 7
Trail 3 Time in Seconds:
16 2
(12) 11
15 Start Sx
Fout 18) (19)
2
8
(13)
(4
10)
5
5
3
End
CTMT Page 9
Sample B
TWo Start
Six
Four 5
8
End
CTMT Page 11
Time in Seconds:
Fifteen
Nine
(14)
Twelve
(13)
(11)
Two
Start
(16)
10) Four
End
Five (21
Six
18
Nineteen
Twenty
Rort
CTMT Page 13
TMT
Sample C
End
Start
Page15