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These template sheets come with some scores already entere

into
cells.
These
scores act as placeholders and demonstrate what score

necessary. The only sheets that require any user input is the W
IV sheet.

All cells, except those requiring entry, are protected. Use the
key****Be
to move
input
cell
to input
cell.
surefrom
to delete
any
scores
that do
not pertain to your particu
case.****
We (Ron Dumont and John Willis) and The Psychological
Corporation, take no responsibility for any errors made while
these templates.
There may be some differences between some of the templates reporting and data in the WISC-IV Manuals.
The Percentiles reported here are simple SS to Percentile lookups. They are based upon the normal curve distribution.
The Composite and FSIQ ranges are based upon a formula (SEE, page 37, WISC-IV Technical and Interpretive Manual).

Critical Values for subtest differences are approximations - because there are so many subtest combinations available, the template uses the roun
of all possible critical values. Please refer to page 265, WISC-IV Administration and Scoring Manual for actual values for the 10 core subtests

Gf-Gc configurations were adapted from Appendix A, pp. 445 453, The Intelligence Test Desk Reference (ITDR): Gf-Gc Cross-Battery Assessment
Flanagan, 1998) and Table 8.3, p. 312, The Wechsler Intelligence Scales and Gf-Gc Theory (Flanagan, McGrew & Ortiz, 2000)

DUMONT - WILLIS WISC-IV Computer Template

Name: Tasha

Date of Test:

9/15/2003

Date of Birth:

3/6/1996

Check the subtests used in the Full Scale IQ calculation (7 required).


Core subtests are those with borders

SUBTESTS

Block Design

ss
1

Similarities

Digit Span

Picture Concepts

Coding

Vocabulary

Letter-Number Sequence

Matrix Reasoning

Comprehension

Symbol Search

PRI

WM

( Picture Completion)

11

( Cancellation)

12

(Information)

13

(Arithmetic)

14

(Word Reasoning)

15

Age:

PS

1
2
3
4
5
6
7
8
9

10

Sums of Scaled Scores

Process Scores

VCI

Date Analyzed:

10

Full
Scale

PR

0.1

0.4

16

25

37

10

50

(11)

75

(13)

84
(14)

91

(15)

95
13

10

15

16

98

Digit Span Forward

17

99

Digit Span Backward

18

99.6

Cancellation Random

19

99.9

0.1

Longest Digit Forward (raw score)

Longest Digit Backward (raw score)

WISC-IV The Psychological Corporation All rights reserved

###
###
##
###

comp

The VCI is based upon the


following subtests:
SVC
The PRI is based upon the
following subtests:
BD MR PCn

55

Block Design No Time Bonus

Cancellation Sequenced

7 years, 6 months, 9 days

63
(12)

17

7/5/2015

Page 2 WISC-IV Template Dumont - Willis 2003

DUMONT - WILLIS WISC-IV Computer Template


WISC-IV Interpretive Worksheet
1. Evaluate the Full Scale IQ

90%

Obtained
SS Totals

Percentile

IQ

Rank

##

95%

Confidence

Bands

##wr

Verbal Comprehension

(17)

100

50

94 - 106

Average to Average

###

Perceptual Reasoning

(13)

100

50

94 - 106

Average to Average

###

Working Memory

(10)

100

50

94 - 106

Average to High Average

###

Processing Speed

(15)

100

50

92 - 108

Average to Average

###

Full Scale

(55)

100

50

96 - 104

Average to Average

###
dif
v scat

2. Is the VCI versus PRI Significantly Different?

Note: See Table B.1 for standardization frequenc


Significance

VCI (100) vs PRI (100) Diference

(p < .01)

(p < .05)

none

0 points

15 or more

11

0 - 10

1213fs
14fs sca
##

Is there a significant diference?

##

NO

##

Because there is no significant differences between the VCI and PRI, explain the meaning of the
scales not being significantly different.

3. Is the VCI versus PRI Difference Abnormally Large?

Note: See Table B.2 for standardization frequency

VCI (100) vs PRI (100) Diference

Size of Diference needed for abnormality

Is Size of Diference Abnormal?

0 points (V = P)

16

NO

##
##

V=P
##

Because no abnormal differences are found, determine if the noted differences are interpretable.

4. Are the VCI and PRI composites interpretable?

Note: See Table B.6 for standardization frequency

A. Is there abnormal VCI scatter?


Verbal Subtests High-Low Diference

Normal

Abnormal

13 points between 5 subtests

0-5

6 or more

Perceptual Reasoning Subtests High-Low Diference

Normal

Abnormal

10 points between 4 subtests

0-7

8 or more

B. Is there abnormal PRI scatter?

Is there abnormal scatter?


YES
Is there abnormal scatter?
YES

##
##
points

Because an answer to either A or B was YES, the VCI versus PRI discrepancy differences should
probably not be interpreted.
5. Determine if the Working Memory Index is interpretable.

Note: See Table B.4 for standardization frequenc

A. Is there a significant difference between the Core WMI subtests?


WMI Subtests [ DS (3) LNS (7) ] Diference

Normal

Abnormal

4 points

0-4

5 or more

WISC-IV The Psychological Corporation All rights reserved

Is there abnormal scatter?


NO

Page 3 WISC-IV Template Dumont - Willis 2003

##
##

DUMONT - WILLIS WISC-IV Computer Template

The WMI may be interpreted.

WISC-IV The Psychological Corporation All rights reserved

Page 4 WISC-IV Template Dumont - Willis 2003

DUMONT - WILLIS WISC-IV Computer Template


6. Determine if the Processing Speed Index is interpretable.

Note: See Table B.4 for standardization frequen

A. Is there a significant difference between the Core PSI subtests?


PSI Subtests [ SS (10) Cd (5) ] Diference

Normal

Abnormal

5 points

0-3

4 or more

Is there abnormal scatter?

##

YES

##

Because of subtest differences in the PSI, do not interpret PSI.


7. Interpret significant strengths and weaknesses.
Verbal Comprehension mean

9.0

based on 5 subtests

Perceptual Reasoning mean

6.0

based on 4 subtests

Full Scale mean

8.0

based on 15 subtests

WM

Perceptual

Verbal

Verbal / Perceptual Statistics


ss

Crit. Value

Similarities

-7.0

-6.0

Vocabulary

-3.0

-2.0

Comprehension

0.0

1.0

Information

13

4.0

5.0

##

Word Reasoning

15

6.0

7.0

##
##

Block Design

-5.0

-7.0

##

Picture Concepts

-2.0

-4.0

##

2.0

0.0

##

11

5.0

3.0

##
##

Matrix Reasoning
Picture Completion

Crit. Value

Deviation

Digit Span

-5.0

Letter-Number Sequence

-1.0

14

6.0

Arithmetic
Pr. Spd.

Deviation

Full Scale Statistics

Coding

##
##
##

##
s

##

-3.0

##

Symbol Search

10

2.0

##

Cancellation

12

4.0

##

8. Compare relevant subtest groupings (.05 level of significance)


Word Reasoning (15) > Matrix Reasoning (8)

7 point significant diference

wr/mr

Matrix Reasoning (8) < Block Design (1)

7 point significant diference

mr/bd

Similarities (2) > Picture Concepts (4)

2 point nonsignificant diference

Information (13) > Comprehension (9)

4 point significant diference

Digit Span (3) < Arithmetic (14)

11 point significant diference

Digit Span (3) < Letter Number Sequence (7)

4 point significant diference

Arithmetic (14) > Letter Number Sequence (7)

11 point significant diference

a/lns

Coding (10) < Symbol Search (5)

5 point significant diference

cd/ss

Coding (5) < Cancellation (12)

7 point significant diference

cd/ca

sim/pcm
i/c

ds/a
DS/lns

9. Process comparisons

DS/lns

Block Design (1) < Block Design No Time Bonus (16)

15 point significant diference

Digit Span Forward (17) < Digit Span Backward (18)

1 point nonsignificant diference

dsf/dsb

Longest Digit Span Forward (2) < Longest Span Backward (3)

1 point nonsignificant diference

ldf/ldb

WISC-IV The Psychological Corporation All rights reserved

Page 5 WISC-IV Template Dumont - Willis 2003

DUMONT - WILLIS WISC-IV Computer Template

Cancellation Random (19) > Cancellation Structured (1)

WISC-IV The Psychological Corporation All rights reserved

18 point significant diference

car/cas

Page 6 WISC-IV Template Dumont - Willis 2003

DUMONT - WILLIS WISC-IV Computer Template

9. WISC-IV Subtests and Proposed Broad and Narrow Abilities and Cultural and Linguistic Demands
Broad
Abilities

Narrow Abilities

ss

Linguistic
Demand

Cultural
Loading

##

Verbal Comprehension
Similarities

Gc

Language Development
Lexical Knowledge

high

high

Vocabulary

Gc

Language Development
Lexical Knowledge

high

high

Comprehension

Gc

Language Development
General Information

high

high

Information

Gc

General Information

13

high

high

high

high

###
###
###
###
###
###
###

Word Reasoning

Gc

Lexical Knowledge
General Information

15

Perceptual Reasoning
Block Design

Gv

Spatial Relations
Visualization

moderate

low

Picture Concepts

Gc
Gf

General Information
Induction

moderate

moderate

Matrix Reasoning

Gf

Induction

low

low

Picture Completion

Gv
Gc

Flexibility of Closure
General Information

11

low

high
###
###

Working Memory
Digit Span

Gsm

Memory Span

moderate

low

Letter-Number Sequence

Gsm

Working Memory

high

low

Gq
Gf

Math Achievement
Quantitative Reasoning

14

moderate

moderate

Processing Speed
Coding

Gs

Rate of test taking

moderate

low

Symbols Search

Gs

Perceptual Speed
Rate of test taking

10

moderate

low

Cancellation

Gs

Perceptual Speed

12

low

low

Arithmetic

Adapted from Appendix A, pp. 445 453, The Intelligence Test Desk Reference (ITDR): Gf-Gc Cross-Battery Assessment (McGrew &
Flanagan, 1998) and Table 8.3, p. 312, The Wechsler Intelligence Scales and Gf-Gc Theory (Flanagan, McGrew & Ortiz, 2000)

WISC-IV The Psychological Corporation All rights reserved

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###

Page 7 WISC-IV Template Dumont - Willis 2003

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DUMONT/WILLIS WISC-IV Computer Template


The following uses separate Verbal and Perceptual values unless you specify the Full Scale by typing "F" here:
Deviation from mean:
Strength or Weakness:
Positive or Negative:
INPUT
Attention-Concentration
Auditory-Vocal Channel
Complex Verbal Directions
Essential from Non Essential
Encoding Information for Processing
Understanding Long Questions
Understanding Words
Visual Motor Channel
Visual Perception-Abstr. Stim.
Visual Perception-Cmpl. Mean. Stim.
Visual Perception-Mean. Stim.
INTEGRATION/STORAGE
Achievement
Acquired Knowledge
Concept Formation
Crystallized Intelligence
Culture Loaded Knowledge
Evaluation
Facility with Numbers
Figural Cognition
Figural Evaluation
Fluid Intelligence
Fund of Information
Long-term Memory
Memory
Nonverbal Reasoning
Planning Ability
Reasoning
Semantic Content
Sequencing
Verbal Conceptualization
Verbal Reasoning
Visual Memory
Visual Processing
Visual Sequencing
OUTPUT
Much Verbal Expression
Simple Verbal expression
Visual Organization
Visual-Motor Coordination
INFLUENCES
Ability to Respond When Uncertain
Alertness to environment
Anxiety
Attention span
Field in/dependence
Concentration
Distractibility

S
-6.0
w
-

V
-2.0

C
1.0
+

I
5.0
s
+

WR
6.0
s
+

BD
-7.0
w
-

PCn
-4.0
w
-

MR
0.0

PCmp
3.0

Ds
-5.0

Ln
-1.0

f
Cd
-3.0

SS
2.0

Can
4.0

A
6.0
s
+

s
s

+
+
+

+
+
+

+
+

+
+

w
w

+
+

s
s
s
w
w

w
w
w

s
s

+
+
+

s
s

s
s
s
s
s

w
w

+
+

+
s
s

w
w
w

+
-

w
-

s
s

w
w
w

+
+
w

+
+

s
s
s

s
s

s
s
s

w
w
w

w
w

w
w

s
s

+
+

w
w

+
+

+
+

+
s

+
+

WISC-IV The Psychological Corporation All rights reserved

s
s

+
+

+
+

s
s

+
+

+
+

+
+

WISC-IV Template Dumont - Willis 2003

DUMONT/WILLIS WISC-IV Computer Template

Motivation Level
Negativism
Working Under Time Pressures

WISC-IV The Psychological Corporation All rights reserved

+
+

WISC-IV Template Dumont - Willis 2003

Verbal

WISC-IV The Psychological Corporation All rights reserved


Perceptual
WM
Cancellation

Symbol Search

Coding

Arithmetic

Letter-Number Sequence

Digit Span

Picture Completion

Matrix Reasoning

Picture Concepts

Block Design

Word Reasoning

Information

Comprehension

Vocabulary

Similarities

Scaled Score

DUMONT/WILLIS WISC-IV Computer Template

WISC-IV Subtest Scaled Score Profile

Pr. Spd.

WISC-IV Template Dumont - Willis 2003

DUMONT/WILLIS WISC-IV Computer Template

WISC-IV Subtests Order of Administration


19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2

WISC-IV The Psychological Corporation All rights reserved

Word Reasoning

Arithmetic

Information

Cancellation

Picture Completion

Symbol Search

Comprehension

Matrix Reasoning

Letter-Number Sequence

Vocabulary

Coding

Picture Concepts

Digit Span

Similarities

Block Design

WISC-IV Template Dumont - Willis 2003

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