30 0 1MB
Form
A
Peabody Picture Vocabulary Test, Fifth Edition
Record Form
Douglas M. Dunn, PhD Name: ________________________________________________
Sex: ■ F
Address: _____________________________________________ City: _________________________________________________
Current Grade: ____________________________________ or Level of Education Completed: ______________________________
State: __________________________ ZIP: _________________
School/Agency: ____________________________________
Phone: _______________________________________________
Teacher/Counselor: ________________________________
Language Spoken Most Often: __________________________
Examiner: _________________________________________
Language(s) Spoken at Home: __________________________
Reason for Testing: _________________________________
Year
Month
■ M
ID #: ___________________________
Calculating the Raw Score
Day
Test Date
Ceiling Item
Birth Date
Total Errors −
Age*
Raw Score
*Do not round up.
Score Summary Standard Score
Confidence Interval ■ 90% ■ 95%
Percentile Rank
Normal Curve Equivalent (NCE)
Stanine
Test-Age Equivalent
Growth Scale Value (GSV)
(Table A.1)
(Table A.1)
(Table A.1)
(Table A.1)
(Table A.1)
(Table B.1)
(Table B.1)
______ – ______
_____________
_____________
_____________
_____________
_____________
Graphical Profile
0.1% –4SD Standard Score
40
–3SD 50
2.2%
13.6%
–2SD
60
34.1%
–1SD
70
80
90
34.1%
13.6%
+1SD
Avg. 100
110
+2SD
120
2.2%
0.1%
+3SD
130
140
+4SD
150
160
Confidence Interval Percentile
1
2
5
9
16
25
37
50
63
75
84
91
95
98
99
NCE Stanine Description
Well Below Expected
Below Expected
Expected
Above Expected
Well Above Expected
Copyright © 2019 Wascana Limited Partnership. All rights reserved.
AUTHORIZED USE BY PL ONLY
1 2 3 4 5 6 7 8 9 10 11 12 A B C D E
0158013344_PPVT5_RF_A_v2.indd 1
Product Number 0158013344
9/19/18 10:19 AM
AUTHORIZED USE BY PL ONLY 0158013344_PPVT5_RF_A_v2.indd 2
9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
ItemScore
Training Items A + 2
3
NR
4
A2. chair
+
1
2
3
–
– NR
4
Training Items B 1
2
+ 3
2
+ 3
– NR
4
B2. sleeping 1
– NR
4
START Ages 2:6–3:11 1. ball
1
1
2
3
1 2
3
1
2
1 3
1
2
1 3
1
2
1 3
1
1 2
3
1
1 2
3
1
1 2
3
1
1 2
3
1
2
1 3
4
0 NR
4
10. drinking
0 NR
4
9. shoe
0 NR
4
8. bus
0 NR
4
7. duck
0 NR
4
6. foot
0 NR
4
5. animal
0 NR
4
4. spoon
0 NR
4
3. banana
0 NR
4
2. dog 1
1
1
2
3
0 NR
START Ages 4:0–4:11 12. eating
1
1
2
3
2
3
1 2
1
3
1
2
1 3
1
2
1 3
1
1 2
3
1
1 2
3
1
2
1 3
1
2
1 3
1
1 2
3
1
1 2
3
1
2
1 3
1
1 2
3
2
1 3
4
AUTHORIZED USE BY PL ONLY
0 NR
4
25. square
0 NR
4
24. turtle
0 NR
4
23. jumping
0 NR
4
22. toe
0 NR
4
21. drum
0 NR
4
20. swimming
0 NR
4
19. reading
0 NR
4
18. carrot
0 NR
4
17. sitting
0 NR
4
16. cookie
0 NR
4
15. flower
0 NR
4
14. mouth
0 NR
4 1
1
1
0158013344_PPVT5_RF_A_v2.indd 3
0 NR
4
13. pencil
B1. laughing
• Repetition: allow 1 per item.
ItemScore 11. cup
A1. boy 1
• Timing: about 10 seconds.
0 NR
PPVT-5 • Form A
3
9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
ItemScore
START Ages 5:0–5:11 26. fire 2
3
1
1
2
3
1
1
2
3
2
1 3
1
2
1 3
1
1 2
3
1
2
1 3
1
2
1
2
1
1 2
3
1
1 2
3
1
1
2
3
1
1 2
3
1
1 2
3
1
4
2
PPVT-5 • Form A
0158013344_PPVT5_RF_A_v2.indd 4
1 3
4
0
0 NR
4
40. dancing
0
NR
4
39. whale
0
NR
4
38. fence
0
NR
4
37. empty
0
NR
4
36. happy
0
NR
4
35. lamp
3
42. gift
1
1
2
3
1
2
3
1
1 2
3
1
1 2
3
1
2
1 3
1
2
1 3
0 NR
4
47. feather
0 NR
4
46. squirrel
0 NR
4
45. horn
0 NR
4
44. castle
0 NR
4
43. panda 1
NR
4
0 NR
4
1
1 2
3
0 NR
4
49. shoulder 1
3
2
0
NR
4
34. throwing
1
48. net 1
3
0
1
NR
4
33. whistle
0 NR
4
32. kicking
0 NR
4
31. fly
0 NR
4
30. penguin
0 NR
4
29. painting
0 NR
4
28. gate
1
NR
4
27. belt
0
• Repetition: allow 1 per item.
ItemScore 41. farm
1
1
• Timing: about 10 seconds.
0 NR
1
2
1 3
1
2
1 3
2
1 3
1
2
1 3
0 NR
4
52. cobweb
0 NR
4
51. pouring 1
NR
4
50. juggling
0
0 NR
4
START Ages 6:0–6:11 53. elbow 1
1 2
3
1
2
1 3
1 2
3
4
0 NR
4
55. roof 1
NR
4
54. fountain
0
0 NR
AUTHORIZED USE BY PL ONLY 9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
ItemScore 56. peeking 1
2
1 3
1
1 2
3
1
2
3
1
2
1 3
1
2
1 3
1
2
1 3
1
1
2
3
1
2
1 3
1
2
1 3
1
1 2
3
0 NR
4
65. claw
0 NR
4
64. sawing
0 NR
4
63. branch
0 NR
4
62. tunnel
0 NR
4
61. dressing
0 NR
4
60. diamond
0 NR
4
59. envelope
0 NR
4
58. buckle 1
NR
4
57. full
0
0 NR
4
1
1 2
3
1
2
1 3
2
1 3
1
1 2
3
1
1 2
3
4
0 NR
4
70. arrow
0 NR
4
69. vest
0 NR
4
68. measuring 1
NR
4
67. calendar
0
0 NR
71. cactus 1
2
1 3
72. target 1
1 2
3
1
1 2
3
1
2
1 3
1
2
1 3
1
2
1 3
0 NR
4
76. squash
0 NR
4
75. dentist
0 NR
4
74. picking
0 NR
4
73. furry
0 NR
4
0 NR
4
START Ages 8:0–10:11 77. delivering 2
1
1 3
78. raccoon 1
2
1 3
1
1
2
3
2
1 3
4
81. gigantic 1
2
1
2
1 3
1
1 2
3
1
2
1 3
1
2
1 3
4
0 NR
4
85. chimney
0 NR
4
84. uniform
0 NR
4
83. ax
0 NR
4
82. floating
0 NR
1 3
0 NR
4
80. knight
0 NR
4
79. group
0 NR
4
AUTHORIZED USE BY PL ONLY 0158013344_PPVT5_RF_A_v2.indd 5
• Repetition: allow 1 per item.
ItemScore
1
START Ages 7:0–7:11 66. ruler
• Timing: about 10 seconds.
0 NR
PPVT-5 • Form A
5
9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
ItemScore 86. dripping 1
2
1 3
1
1 2
3
1 2
3
1
1 2
3
1
1 2
3
1 2
1
3
1
2
1 3
1
2
1 3
1
1 2
3
0 NR
4
94. globe
0 NR
4
93. flamingo
0 NR
4
92. vehicle
0 NR
4
91. chef
0 NR
4
90. waist
0 NR
4
89. river
0 NR
4
88. tablet 1
NR
4
87. violin
0
0 NR
4
START Ages 11:0–12:11 95. catching 1
2
1
2
1 3
1
1
2
3
2
1 3
1
2
1 3
1
6
2
PPVT-5 • Form A
0158013344_PPVT5_RF_A_v2.indd 6
1 3
4
0 NR
4
100. bloom
0 NR
4
99. plumber
0 NR
4
98. vegetable
0 NR
4
97. hyena
1
NR
4
96. sharing
0
0 NR
• Repetition: allow 1 per item.
ItemScore 101. swamp 1
2
1 3
1
1 2
3
1
1 2
3
1
2
1 3
0 NR
4
104. sorting
0 NR
4
103. trunk
0 NR
4
102. vase
0 NR
4
START Ages 13:0–13:11 105. pigeon 1
2
1 3
1
1 2
3
1
2
1 3
1
2
1 3
2
1 3
1
1 2
3
1
1 2
3
1
1 2
3
1
2
1 3
1
2
1 3
1
1 2
3
4
0 NR
4
115. heart
0 NR
4
114. wrench
0 NR
4
113. aquarium
0 NR
4
112. safe
0 NR
4
111. ankle
0 NR
4
110. harp
0 NR
4
109. flaming
0 NR
4
108. horrified
0 NR
4
107. pyramid
0 NR
4
106. timer
1 1
3
• Timing: about 10 seconds.
0 NR
AUTHORIZED USE BY PL ONLY 9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
• Timing: about 10 seconds.
• Repetition: allow 1 per item.
ItemScore
ItemScore
116. refueling
131. hydrant
1
2
1 3
1
2
1 3
2
1 3
1
1
2
3
1
2
1 3
1 2
1
3
0 NR
4
121. vine
0 NR
4
120. surprised
0 NR
4
119. canoe
0 NR
4
118. athlete 1
NR
4
117. luggage
0
0 NR
4
2
1
1 3
1
2
1 3
1 2
3
1
1
2
3
1
1 2
3
1
2
1 3
1
1 2
3
1
1 2
3
1
1 2
3
4
0 NR
4
130. palm
0 NR
4
129. solo
0 NR
4
128. drone
0 NR
4
127. predatory
0 NR
4
126. digital
0 NR
4
125. kiwi
0 NR
4
124. reptile 1
NR
4
123. directing
0
0
2
3
NR
4
132. valley
1 2
1
3
133. dissecting 1
1 3
2
1 3
2
2
1
3
1 3
2
1 3
2
1 3
2
1 3
0 NR
4
139. inflated 1
0 NR
4
138. harvesting 1
0 NR
4
137. clarinet 1
0 NR
4
136. pastry 2
0 NR
4
135. interviewing 1
0 NR
4
134. funnel 1
0 NR
4
0 NR
4
START Ages 19:0–90:11+ 140. tusk 1
1 2
3
141. snarling 1
2
1 3
1
2
1 3
1
2
1 3
1
1 2
3
4
0 NR
4
144. coast
0 NR
4
143. inhaling
0 NR
4
142. assisting
0 NR
4
0 NR
NR
AUTHORIZED USE BY PL ONLY 0158013344_PPVT5_RF_A_v2.indd 7
0
START Ages 17:0–18:11
1
START Ages 14:0–16:11 122. towing
1
1
PPVT-5 • Form A
7
9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
• Repetition: allow 1 per item.
ItemScore
ItemScore
145. beverage
160. feline
1
1
2
3
1
1
2
3
1
1
2
3
1
1
2
3
1
1
2
3
1
1
2
3
1
2
1
3
1
1 3
2
1
1
2
3
1
1 3
2
1
1 2
3
1
1 3
2
1
1 2
3
1
1
2
3
1
2
PPVT-5 • Form A
0158013344_PPVT5_RF_A_v2.indd 8
1 3
4
0 NR
4
159. consuming
0 NR
4
158. aquatic
0 NR
4
157. fern
0 NR
4
156. links
0 NR
4
155. duet
0 NR
4
154. clamp
0 NR
4
153. interior
0 NR
4
152. mammal
0 NR
4
151. demolishing
0 NR
4
150. polluting
0 NR
4
149. injecting
0 NR
4
148. amphibian
0 NR
4
147. rodent
0 NR
4
146. puzzled
8
• Timing: about 10 seconds.
0 NR
1
1 2
3
1
1 2
3
1 2
3
1
2
1 3
1
2
1 3
1
2
1 3
1
2
1 3
1
2
1 3
1
2
1 3
1
2
1 3
1
1 2
3
1
2
3
1
1
2
1 3
1
1 2
3
1
1 2
3
4
0 NR
4
174. glider
0 NR
4
173. valve
0 NR
4
172. hovering
0 NR
4
171. reprimanding
0 NR
4
170. citrus
0 NR
4
169. garment
0 NR
4
168. departing
0 NR
4
167. pedestrian
0 NR
4
166. isolation
0 NR
4
165. currency
0 NR
4
164. trumpet
0 NR
4
163. carpenter
0 NR
4
162. florist 1
NR
4
161. pillar
0
0 NR
AUTHORIZED USE BY PL ONLY 9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
• Timing: about 10 seconds.
• Repetition: allow 1 per item.
ItemScore
ItemScore
175. hedge
190. appliance
1
1 2
3
1
1
2
3
1
2
3
1
2
1 3
1
2
1 3
1
2
3
1
1
2
1 3
1
2
1 3
1
2
1 3
1
2
1 3
1
1 2
3
1
2
1
2
1 3
1
2
1 3
1
2
1 3
4
0 NR
4
189. peninsula
0 NR
4
188. poultry
0 NR
4
187. apparel
1
0 NR
2
1 3
1
2
1 3
2
1 3
2
1 3
1 2
3
2
1 3
1
2
3
2
3
1
1
2
3
2
3
1
1 3
2
1 3
2
3
1
2
3
4
0 NR
1
AUTHORIZED USE BY PL ONLY 0158013344_PPVT5_RF_A_v2.indd 9
1
4
203. depleted [di PLEET ed]
0 NR
4
202. perpendicular [puhr pen DI kyoo luhr] 1
0 NR
4
201. lever [LE vuhr] 1
0 NR
4
200. wedge [WEJ] 2
0 NR
4
199. replenishing 1
0 NR
4
198. confiding 1
0 NR
4
197. incarcerating 1
0 NR
4
196. cascade 1
0 NR
4
195. cerebral 1
0 NR
4
194. sedan 1
0 NR
4
193. porcelain 1
0 NR
4
192. cornea 1
0 NR
4
191. detonation
1 1
3
0 NR
4
186. dejected
0 NR
4
185. talon
0 NR
4
184. syringe
0 NR
4
183. pentagon
0 NR
4
182. submerging
0 NR
4
181. hazardous
0 NR
4
180. parallelogram
0 NR
4
179. primate
0 NR
4
178. hatchet
0 NR
4
177. transparent 1
NR
4
176. irregular
0
0 NR
PPVT-5 • Form A
9
9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Timing: about 10 seconds.
• Repetition: allow 1 per item.
ItemScore
ItemScore
204. pestle [PE suhl]
216. pilfering [PIL fuhr ing]
1
1
2
3
1
2
3
1
2
2
3
1
1
1
3
2
1
2
3
1
1
2
3
1
1
3
2
1
1
2
3
1
1
2
3
1
1
2
3
1 4
0 NR
4
215. converging [kuhn VUHRJ ing]
0 NR
4
214. mercantile [MUR kuhn teel]
0 NR
4
213. maritime [MAR uh tiym]
0 NR
4
212. filtration [fil TRAY shuhn]
0 NR
4
211. sternum [STUHR nuhm]
0 NR
4
210. incandescent [in kuhn DES uhnt]
0 NR
4
209. perusing [puh ROOZ ing]
0 NR
1
3
2
1
4
208. ascending [uh SEND ing]
0 NR
4
3
0 NR
1
207. cultivating [KUHL tuh vayt ing] 1
1
4
206. quintet [kwin TET]
0 NR
4
205. enumerating [i NOO muh rayt ing]
10
• Ceiling: 6 consecutive incorrect responses.
0 NR
1
2
3
1
1
2
3
1
2
1 3
1
2
3
1
1
2
3
1
1
2
3
1
1
2
1 3
1
2
1 3
1
2
3
1
2
3
2
3
1
2
1
4
0 NR
4 1
3
0 NR
4
227. convex [kon VEKS]
0 NR
1
226. cupola [KYOO puh luh] 1
1
4
225. legume [LE gyoom]
0 NR
4
224. terpsichorean [tuhrp sik uh REE uhn]
0 NR
4
223. embossed [im BAWST]
0 NR
4
222. caster [KAS tuhr]
0 NR
4
221. timpani [TIM puh nee]
0 NR
4
220. wildebeest [WIL duh beest]
0 NR
4
219. encumbered [in KUHM buhrd]
0 NR
4
218. honing [HOHN ing] 1
NR
4
217. coniferous [koh NIF uh ruhs]
0
0 NR
PPVT-5 • Form A
0158013344_PPVT5_RF_A_v2.indd 10
AUTHORIZED USE BY PL ONLY 9/19/18 10:19 AM
• Basal: 3 consecutive correct responses.
• Ceiling: 6 consecutive incorrect responses.
• Timing: about 10 seconds.
• Repetition: allow 1 per item.
ItemScore
ItemScore
228. torrent [TOHR uhnt]
240. osculating [OS kyuh layt ing]
1
2
1 3
1
1
2
3
2
3
1
1
2
3
1
1
3
2
1
3
2
3
2
1
2
3
1
1
2
3
1
2
1 3
1
2
3
1 4
0
0
0
0
0
0 NR
4
239. tonsorial [ton SOHR ee uhl]
0
NR
4
238. vitreous [VI tree uhs]
0
NR
4
237. cairn [KAYRN]
0
NR
4 1
2
0
NR
4
236. supine [suu PIYN] 1
1
1 3
0 NR
AUTHORIZED USE BY PL ONLY 0158013344_PPVT5_RF_A_v2.indd 11
NR
NR
4
235. cenotaph [SEN uh taf]
4
NR
1
234. lugubrious [luu GOO bree uhs] 1
1
4
233. calyx [KAY liks]
3
NR
4
232. dromedary [DROM uh dayr ee]
2
0
NR
4
231. arable [AYR uh buhl]
1
1
NR
4
230. reposing [ri POHZ ing] 1
NR
4
229. derrick [DER ik]
0
PPVT-5 • Form A
11
9/19/18 10:19 AM
PPVT–5 Scores Over Time Administration Date
PPVT–5 Form
Raw Score
Standard Score
Confidence Growth Scale GSV Score Interval Value (GSV) Difference
Significant Difference
______________
■ A
■ B
__________ __________ __________ __________
______________
■ A
■ B
__________ __________ __________ __________ __________
■ Yes
■ No
______________
■ A
■ B
__________ __________ __________ __________ __________
■ Yes
■ No
______________
■ A
■ B
__________ __________ __________ __________ __________
■ Yes
■ No
______________
■ A
■ B
__________ __________ __________ __________ __________
■ Yes
■ No
______________
■ A
■ B
__________ __________ __________ __________ __________
■ Yes
■ No
Note. For interpretation of standard scores and growth scale values, refer to the Manual.
PPVT–5 Compared to EVT–3 Standard Score Comparison
PPVT–5 A or B
EVT–3 A or B
Difference
Statistically Significant Level
Critical Value
Significant Difference
.05 / .10
Prevalence in Normative Sample
Yes / No
Score Profile 40 50 60 70 80 90 100 110 120 130 140 150 160
PPVT– 5 Standard Score Confidence Interval ■ 90% ■ 95%
–
EVT– 3 Standard Score Confidence Interval ■ 90% ■ 95%
–
1 2 5 9 16 25 37 50 63 75 84 91 95 98 99 –4SD –3SD –2SD –1SD Mean +1SD +2SD +3SD +4SD
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