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Score ReportFOR EXAMINER USE ONLY Parent/Primary Caregiver Form Ages 0-5 Record of Input Data Adaptive skill area Raw score Number of skipped items Number of guessed items Communication 32 0 0 Community Use 32 0 0 Functional Pre-Academics 45 0 0 Home Living 34 0 0 Health and Safety 21 0 0 Leisure 21 0 0 Self-Care 14 0 0 Self-Direction 12 0 0 Social 16 0 0 Motor 43 0 0 Child Information Grade Black/African American Sex Male 2 years 7 months 09/26/2016 Disability or other limitation None Client ID 3 years 4 months Name of child being evaluated (first, middle, last) Jamie Sample Age at testing Date of birth Age School City State Race/Ethnicity Parent/Caregiver Information Occupation Parent Nurse 3 or more Julie Sample Relationship to child Number of siblings at home Describe relationship Parent/Caregiver's name (first, last) Copyright © 2015 by Western Psychological Services www.wpspublish.com 800.648.8857 Page 1 of 10 Sum of Scaled Scores to General Adaptive Composite (GAC) and Adaptive Domain Score Conversions Sum of scaled scores Standard score Percentile rank Confidence interval: 95% General Adaptive Composite (GAC) 47 70 2 67 - 73 Conceptual 20 79 8 74 - 84 Social 2 51 0.1 45 - 57 Practical 22 75 5 70 - 80 Score Summary Year Month Day Testing date 2019 4 29 Date of birth 2016 9 26 Age 2 7 3 Raw Score to Scaled Score Conversions Adaptive skill area Raw score Scaled score Test-Age Equivalent Communication 32 2 2 1:2-1:3 Community Use 32 11 11 2:6-2:8 Functional Pre-Academics 45 17 17 3:6-3:8 Home Living 34 7 7 1:10-1:11 Health and Safety 21 3 3 1:2-1:3 Leisure 21 1 1 0:09 Self-Care 14 1 1 0:07 Self-Direction 12 1 1 0:09 Social 16 1 1 0:07 Motor 43 3 1:0-1:1 Sum of scaled scores 47 20 2 22 Note: Motor is included in the GAC but not adaptive domains GAC Conceptual Social Practical Copyright © 2015 by Western Psychological Services www.wpspublish.com 800.648.8857 Page 2 of 10 Score Profile Percentage of cases 2.2 6.7 16.1 50 16.1 6.7 2.2 Standard scores 70 80 90 100 110 120 Qualitative descriptions Extremely low Low Below average Average Above average High Adaptive skill area scaled scores Score ranges = 15 Scale Name Graph 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C on ce pt ua l Communication X Functional Pre- Academics X Self-Direction X S oc ia l Leisure X Social X P ra ct ic al Community Use X Home Living X Health and Safety X Self-Care X Motor X 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Extremely low Low Below average Average Above average High GAC and adaptive domain standard scores Copyright © 2015 by Western Psychological Services www.wpspublish.com 800.648.8857 Page 3 of 10 Optional Analyses Adaptive Domain Comparisons Significance Base rate in Domain comparison Standard score 1 Standard score 2 Difference Critical value .05 level standardization sample Conceptual-Social 79 51 28 7.78 Y = 15 Scale Name Graph 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C on ce pt ua l Communication X Functional Academics X Self-Direction X S oc ia l Leisure X Social X P ra ct ic al Community Use X School Living X Health and Safety X Self-Care X Work 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Extremely low Low Below average Average Above average High GAC and adaptive domain standard scores Copyright © 2015 by Western Psychological Services www.wpspublish.com 800.648.8857 Page 3 of 9 Optional Analyses Adaptive Domain Comparisons Significance Base rate in Domain comparison Standard score 1 Standard score 2 Difference Critical value .05 level standardization sample Conceptual-Social 56 68 -12 7.20 Y 15% Scatter in Adaptive Skill Area Scaled Scores Comparison used: Adaptive domains Highest skill area Lowest skill area Difference Significance Base rate in GAC/Domain Name Scaled score Name Scaled score betweenscaled scores Critical value .05 level standardization sample GAC: All skill areas Conceptual skill areas Self-Direction 3 Communication 2 1 2.04 N Social skill areas Leisure 6 Social 1 5 2.04 Y = 15 Scale Name Graph 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C on ce pt ua l Communication X Functional Academics X Self-Direction X S oc ia l Leisure X Social X P ra ct ic al Community Use X Home Living X Health and Safety X Self-Care X Work 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Extremely low Low Below average Average Above average High GAC and adaptive domain standard scores Copyright © 2015 by Western Psychological Services www.wpspublish.com 800.648.8857 Page 3 of 10 Optional Analyses Adaptive Domain Comparisons Significance Base rate in Domain comparison Standard score 1 Standard score 2 Difference Critical value .05 level standardization sample Conceptual-Social 87 92 -5 5.09 N Conceptual-Practical 87 97 -10 5.88 Ycases 2.2 6.7 16.1 50 16.1 6.7 2.2 Standard scores 70 80 90 100 110 120 Qualitative descriptions Extremely low Low Below average Average Above average High Adaptive skill area scaled scores Score ranges = 15 Scale Name Graph 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C on ce pt ua l Communication X Functional Academics X Self-Direction X S oc ia l Leisure X Social X P ra ct ic al Community Use X Home Living X Health and Safety X Self-Care X Work 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Extremely low Low Below average Average Above average High GAC and adaptive domain standard scores Copyright © 2015 by Western Psychological Services www.wpspublish.com 800.648.8857 Page 3 of 10 Optional Analyses Adaptive Domain Comparisons Significance Base rate in Domain comparison Standard score 1 Standard score 2 Difference Critical value .05 level standardization sample Conceptual-Social 71 90 -19 6.57 Y 15% Social skill areas Leisure 8 Social 8 0 1.76 N Practical skill areas Home Living 3 Community Use 1 2 2.04 N Strengths and Weaknesses in Adaptive Skill Areas Comparison used: Adaptive domains Calculate the mean scaled scores for adaptive skill areas GAC Adaptive domain 9 skill areas without Work 10 skill areas with Work Conceptual Social Practical without Work Practical with Work Sum of scaled scores 13 16 7 Number of skill areas divide by 9 divide by 10 divide by 3 divide by 2 divide by 4 divide by 5 Mean scaled score 4.33 8 1.75 Determine strengths and weaknesses in adaptive skill areas Skill area Mean scaled score Difference Significance Base rate in Skill area scaled score from above from mean Critical value .05 level standardization sample C on ce pt ua l Communication 2 4.33 -2.33 1.86 Y >15% Functional Academics 6 4.33 1.67 1.95 N Self-Direction 5 4.33 0.67 1.76 N S oc ia l Leisure 8 8 0 1.76 N Social 8 8 0 1.66 N P ra ct ic al Community Use 1 1.75 -0.75 2.12 N Home Living 3 1.75 1.25 2.12 N Health and Safety 2 1.75 0.25 2.28 N Self-Care 1 1.75 -0.75 2.28 N Copyright © 2015 by Western Psychological Services www.wpspublish.com 800.648.8857 Page 4 of 10 abas3 parent 05 score report with test age abas3 teacher 5 21 with test age score report abas3 parent 5 21 score form with test age abas3 adult other score report