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These template sheets come with some scores already entered into cells.

These scores act as placeholders and demonstrate what scores are necessary. The only sheets that require any user input is the All cells, except those requiring entry, are protected. Use the TAB key to move from input cell to input cell. ****Be sure to delete any scores that do not pertain to your particular We (Ron Dumont and John Willis) and The Psychological Corporation, take no responsibility for any errors made while using 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 rounded average 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 CrossBattery Assessment (McGrew & 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: Date of Birth:

9/15/2003 3/6/1996

Date Analyzed: Age: Full Scale 1 2

1/3/2014 7 years, 6 months, 9 days

SUBTESTS Check the subtests used in the Full Scale IQ calculation (7 required). Core subtests are those with borders Block Design Similarities Digit Span Picture Concepts Coding Vocabulary Letter-Number Sequence Matrix Reasoning Comprehension Symbol Search ( Picture Completion) ( Cancellation) (Information) (Arithmetic) (Word Reasoning)

ss 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

VCI

PRI 1

WM

PS

PR 0.1 0.4 1 2 5 9 16 25 37 50 63

2 3 4 5 6 7 8 9 10 (11) (12) (13) (14) (15) 17 13 10 15

3 4 5 6 7 8 9 10

75 84 91 95 55 98 99 99.6 99.9 0.1

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

Sums of Scaled Scores Block Design No Time Bonus Digit Span Forward Process Scores Digit Span Backward Cancellation Random Cancellation Sequenced Longest Digit Forward (raw score) Longest Digit Backward (raw score) 16 17 18 19 1

2 3

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DUMONT - WILLIS WISC-IV Computer Template


WISC-IV Interpretive Worksheet
1. Evaluate the Full Scale IQ 90% Obtained IQ 100 100 100 100 100 Percentile Rank 50 50 50 50 50 Confidence Bands 94 - 106 94 - 106 94 - 106 92 - 108 96 - 104 Average to Average Average to Average Average to High Average Average to Average Average to Average 95%

SS Totals Verbal Comprehension Perceptual Reasoning Working Memory Processing Speed Full Scale (17) (13) (10) (15) (55)

2. Is the VCI versus PRI Significantly Different? Significance VCI (100) vs PRI (100) Difference 0 points (p < .01) 15 or more (p < .05) 11

Note: See Table B.1 for standardization frequency

none 0 - 10

Is there a significant difference? 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? VCI (100) vs PRI (100) Difference 0 points (V = P) Note: See Table B.2 for standardization frequency Is Size of Difference Abnormal? NO

Size of Difference needed for abnormality 16

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

4. Are the VCI and PRI composites interpretable? A. Is there abnormal VCI scatter? Verbal Subtests High-Low Difference 13 points between 5 subtests B. Is there abnormal PRI scatter? Perceptual Reasoning Subtests High-Low Difference 10 points between 4 subtests

Note: See Table B.6 for standardization frequency Is there abnormal scatter? YES Is there abnormal scatter? YES

Normal 0-5

Abnormal 6 or more

Normal 0-7

Abnormal 8 or more

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 frequency

A. Is there a significant difference between the Core WMI subtests? WMI Subtests [ DS (3) LNS (7) ] Difference 4 points Normal 0-4 Abnormal 5 or more

Is there abnormal scatter? NO

The WMI may be interpreted.

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DUMONT - WILLIS WISC-IV Computer Template


6. Determine if the Processing Speed Index is interpretable. Note: See Table B.4 for standardization frequency

A. Is there a significant difference between the Core PSI subtests? PSI Subtests [ SS (10) Cd (5) ] Difference 5 points Normal 0-3 Abnormal 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 Perceptual Reasoning mean Full Scale mean 9.0 6.0 8.0 based on 5 subtests based on 4 subtests based on 15 subtests Full Scale Statistics Crit. Value 3 3 3 s s w 3 3 3 3 3 s 3 3 3 3 3 3 3 Deviation -6.0 -2.0 1.0 5.0 7.0 -7.0 -4.0 0.0 3.0 -5.0 -1.0 6.0 -3.0 2.0 4.0 s s s w w w

Verbal / Perceptual Statistics Similarities Verbal Vocabulary Comprehension Information Word Reasoning Perceptual Block Design Picture Concepts Matrix Reasoning Picture Completion Digit Span WM Letter-Number Sequence Arithmetic Pr. Spd. Coding Symbol Search Cancellation ss 2 6 9 13 15 1 4 8 11 3 7 14 5 10 12 Crit. Value 2 2 2 2 2 2 2 2 2 Deviation -7.0 w -3.0 0.0 4.0 6.0 -5.0 -2.0 2.0 5.0 w

8. Compare relevant subtest groupings (.05 level of significance) Word Reasoning (15) > Matrix Reasoning (8) Matrix Reasoning (8) < Block Design (1) Similarities (2) > Picture Concepts (4) Information (13) > Comprehension (9) Digit Span (3) < Arithmetic (14) Digit Span (3) < Letter Number Sequence (7) Arithmetic (14) > Letter Number Sequence (7) Coding (10) < Symbol Search (5) Coding (5) < Cancellation (12) 9. Process comparisons Block Design (1) < Block Design No Time Bonus (16) Digit Span Forward (17) < Digit Span Backward (18) Longest Digit Span Forward (2) < Longest Span Backward (3) Cancellation Random (19) > Cancellation Structured (1) 15 point significant difference 1 point nonsignificant difference 1 point nonsignificant difference 18 point significant difference 7 point significant difference 7 point significant difference 2 point nonsignificant difference 4 point significant difference 11 point significant difference 4 point significant difference 11 point significant difference 5 point significant difference 7 point significant difference

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DUMONT - WILLIS WISC-IV Computer Template

9. WISC-IV Subtests and Proposed Broad and Narrow Abilities and Cultural and Linguistic Demands Broad Verbal Comprehension Similarities Vocabulary Comprehension Information Word Reasoning Perceptual Reasoning Block Design Picture Concepts Matrix Reasoning Picture Completion Gc Gc Gc Gc Gc Narrow Abilities Language Development Lexical Knowledge Language Development Lexical Knowledge Language Development General Information General Information Lexical Knowledge General Information Spatial Relations Visualization General Information Induction Induction Flexibility of Closure General Information ss 2 6 9 13 15 Linguistic Demand high high high high high Cultural Loading high high high high high

Gv Gc Gf Gf Gv Gc

1 4 8 11

moderate moderate low low

low moderate low high

Working Memory Digit Span Letter-Number Sequence Arithmetic

Gsm Gsm Gq Gf

Memory Span Working Memory Math Achievement Quantitative

3 7 14

moderate high moderate

low low moderate

Processing Speed Coding Symbols Search Cancellation

Gs Gs Gs

Rate of test taking Perceptual Speed Rate of test taking Perceptual Speed

5 10 12

moderate moderate low

low low low

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)

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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: S Deviation from mean: -6.0 Strength or Weakness: w 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 Motivation Level Negativism Working Under Time Pressures V -2.0 C 1.0 + I 5.0 s + WR 6.0 s + BD -7.0 w PCn -4.0 w MR PCmp Ds 0.0 3.0 -5.0 + + w w + w s + s s w + Ln -1.0 A 6.0 s + s s f Cd -3.0 w w w w w w w w + s s s s + + + s s w w w w w w w + + + w s s s + w w w w + + + s + s + + + + + + + + + s s SS 2.0 + + + + + Can 4.0 + + + + +

s s s

+ + +

s s s s s

w s s s

w w w -

s s s
w

s s s

w w

+ +

+ +

+ s

s
w w + + +

s + +

w + + w + w + + -

s s s s

+ + + + + +

+ + + + + +

WISC-IV The Psychological Corporation All rights reserved

WISC-IV Template Dumont - Willis 2003

DUMONT/WILLIS WISC-IV Computer Template


WISC-IV Subtest Scaled Score Profile
19 18 17 16 15 14 13 12

Scaled Score

11 10 9 8 7 6 5 4 3 2 1 0
Comprehension Information Digit Span Matrix Reasoning Word Reasoning Block Design Letter-Number Sequence Picture Completion Picture Concepts Symbol Search Cancellation Similarities Vocabulary Arithmetic Coding

Verbal

Perceptual

WM

Pr. Spd.

WISC-IV The Psychological Corporation All rights reserved

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

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WISC-IV Template Dumont - Willis 2003

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