MRN,
VIQ
No. Corr.
Scaled
Span
A1
A2
A3
A4
A5
A6 (retention)
A7 (delay)
Recog
A1-A5 Tot
"F"
Animals
No Cues
Sem Cues
Phon Cues
Y/N
2.5
5.0
10.0
B1
B2
B3
B4
B5
B6 Recog
B7 Delay Recall
B8 Delay Recog
B9 Immed Rep
B10 Copy + B9
Categories
Persev Err
Loss of Set
Part B
BDI
Hand Preference
Left Eye
Right Eye
LO Score
LO Categ
Data Entry Date
Notes
Behavioral Testing Date
Gender
Age
Handedness
Date of History
Date of History Copy
Behavioral Testing Date Copy
Handedness Copy
Gender Copy
Total Flags
Record No.
Observation of Pt
Pt's Condition
Count Backward (20)
Recite Backward (Months)
Speech
Fluency
Naming (High Freq)
Naming (Low Freq)
Naming (Total)
Repetition
Comprehension
Reading
Exception Words
Regular Words
Non-Words
Pass/Fail
Praxis
Buccofacial Command
Buccofacial Imitation
Limb Imitation
Limb Command
List Attempts
List Recall
List Cues
List Multiple Choice
Digit Span Forward
Write Name
Write Sentence
Draw Clock
Copy Block Figure
Copy Ramparts
Copy 3 Squiggles
Bisect Line
Error
Write name error
Write sent error
Draw clock error
Copy block fig error
Copy ramparts error
Copy squiggles error
Bisection error
Oral Trail
Written Trail-Part B
Animal Fluency
"F" Fluency
"F" Fluency Repetitions
"F" Fluency Rule Violations
Animal Fluency Rule Violations
Animal Fluency Repetitions
Oral Trail Error
Written Trail Error
Referring Hospital
Count Backward P/F
Months Backward P/F
Rating Scale
Rating1
Rating2
Rating3
Rating4
Rating5
Rating6
Rating7
Rating8
Rating9
Rating10
Rating11
Rating12
Rating13
Rating14
Rating15
Rating16
Rating17
Rating18
Rating19
Rating20
Rating21
Rating22
Rating23
Rating24
Rating25
Rating26
Rating27
Duration of Testing (hours)
Tests Administered
Pt Cooperative
Family Cooperative
Additional Comments
Name of Examiner
Alert1
Hand Classification
Pt Last Name
Pt First Name
Explanation of Ratings
Albert Line Cancellation
Line Canc Error
Age at Screening
Notes:  Counting/Months
Screening Notes
MRI Screening
MRI checklist
Praxis Notes
Body-Part-As-Object Errors
Buccofacial Command2
Buccofacial Imitation2
Limb Imitation2
Limb Command2
Pt Rec'd Feedback for BPO Errors
WAIS-R, Multiple Choice
Avg Age
Stdev Age
Avg VIQ
Stdev VIQ
Avg Counting
Stdev Counting
Stdev Months
Avg Months
Avg Naming
Stdev Naming
Avg Digit Span
Stdev Digit Span
Avg Animal Fluency
Stdev Animal Fluency
Avg F Fluency
Stdev F Fluency
Total Pts in Subset
DMS-Attention
DMS-Initiation/Perseveration
DMS-Construction
DMS-Conceptualization
DMS-Memory
DMS-Total
DMS-Att-%tile
DMS-Init/Per-%tile
DMS-Const-%tile
DMS-Concep-%tile
DMS-Mem-%tile
DMS-Tot-%tile
A1.Forward Digit Span
A2.Backward Digit Span
B.Two Successive Commands
C.Single Command
D.Imitation
AD.Counting Distraction 1
AE.Counting Distraction 2
AH.Vebal Recognition--Presentation
AJ.Visual Matching
E.Complex Verbal Initiation/Perseveration
F.SimpleInitiation/Perseveration
G.Consonant Perseveration
H.Vowel Perseveration
I.Double Alternating Movements
J.Double Alternating Movements
K.Alternate Tapping
L.Graphomotor Design 1
M.Graphomotor Design 2
N.Graphomotor Design 3
O.Graphomotor Design 4
P.Construction Design 1
Q.Construction Design 2
R.Construction Design 3
S.Construction Design 4
T.Construction Design 5
U.Construction Design 6
V.Identities and Oddities
W.Similarities
X.Priming Inductive Reasoning
Y.Differences
Z.Similarties--Multiple Choice
AA.Verbal Recall--Sentence Reading
AB.Verbal Recall--Sentence Initiation
AC.Orientation
AF.Verbal Recall--Reading
AG.Verbal Recall--Initiation
AI.Verbal Recognition
AK.Visual Memory
Screening Exam Type
AMSS Att
AMSS Init/Pers
AMSS Const
AMSS Concept
AMSS Memory
AMSS Total
AEMSS
Total Misses
Left Misses
Right Misses
Center Misses
BDI-II
Greyscales Task
Foveated Reaching
Non-Foveated Reaching
LE1
LE2
LE3
LE4
RE1
RE2
RE3
RE4
Visual Fields
viewexclude
