Vineland Adaptive Behavior Scales, Third Edition …

Vineland Adaptive Behavior Scales, Third Edition (VinelandTM-3) Comprehensive Interview Form Report Sara S. Sparrow, Domenic V. Cicchetti, and Celine A. Saulnier

Examinee Information ID: Name: Jennifer Sample Gender: Female Birth Date: 04/01/2010 Age: 6:2 Overall IQ Score: 98

Test Information Test Date: 06/13/2016 Interview Respondent Name: Susan T. Sample Relationship: Mother

SAMPLE Examiner Name: Bonnie Kamp

Vineland-3 (Vineland Adaptive Behavior Scales, Third Edition) Copyright ? 2016 NCS Pearson, Inc. All rights reserved. Pearson, PSI design, PsychCorp, and Vineland are trademarks in the U.S. and/or other countries of Pearson Education, Inc., or its affiliate(s).

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Jennifer Sample

OVERALL SUMMARY

The Vineland-3 is a standardized measure of adaptive behavior--the things that people do to function in their everyday lives. Whereas ability measures focus on what the examinee can do in a testing situation, the Vineland-3 focuses on what he or she actually does in daily life. Because it is a norm-based instrument, the examinee's adaptive functioning is compared to that of others his or her age.

Jennifer Sample was evaluated using the Vineland-3 Comprehensive Interview Form on 06/13/2016. Susan T. Sample, Jennifer's mother, was interviewed by Bonnie Kamp, who completed the form.

Jennifer's overall level of adaptive functioning is described by her score on the Adaptive Behavior Composite (ABC). Her ABC score is 83, which is somewhat below the normative mean of 100 (the normative standard deviation is 15). The percentile rank for this overall score is 13.

The ABC score is based on scores for three specific adaptive behavior domains: Communication, Daily Living Skills, and Socialization. The domain scores are also expressed as standard scores with a mean of 100 and standard deviation of 15.

The Communication domain measures how well Jennifer listens and understands, expresses herself through speech, and reads and writes. Her Communication standard score is 92. This corresponds to a percentile rank of

E 30. L The Daily Living Skills domain assesses Jennifer's performance of the practical, everyday tasks of living that are

appropriate for her age. Her standard score for Daily Living Skills is 79, which corresponds to a percentile rank of 8. This domain is a relative weakness for Jennifer.

P Jennifer's score for the Socialization domain reflects her functioning in social situations. Her Socialization SAM standard score is 90. The percentile rank is 25.

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Jennifer Sample

SCORE SUMMARY PROFILE

Adaptive Behavior Composite Communication Daily Living Skills Socialization Motor Skills Receptive Expressive Written Personal Domestic Community Interpersonal Relationships Play and Leisure Coping Skills Gross Motor Fine Motor

140 130 120 110 100

90 80 70 60 50 40 30 20

Standard Score

ABC and Domain Score Profile

Based on mean of 100, SD of 15

Subdomain v-Scale Score Profile

Based on mean of 15, SD of 3

140 24

23

130 22

21 120 20

19 110

18

100 17 16

90 15

14 80 13

12 70 11

E 10

60 9 8

L 50 7 40 6

5

P 30 4 3 20 2

1

SAMCommunication

Daily Living Skills

Socialization

83

92

79

90

97

Conf Int 90%

80 - 86

87 - 97 74 - 84 85 - 95 90 - 104

v-Scale Score

13

16

12

14

8

12

15 14 11

24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 Motor Skills

18 11

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Jennifer Sample

SCORE SUMMARY

ABC and Domain Score Summary

ABC

Adaptive Behavior Composite Domains Communication Daily Living Skills Socialization Motor Skills

Standard Score (SS)

90% Confidence Interval

Percentile Rank

83

80 - 86

13

SS Minus Mean SS*

92

87 - 97

79

74 - 84

90

85 - 95

97

90 - 104

30

2.5

8

-10.5

25

0.5

42

7.5

Strength or Weakness**

Base Rate

Weakness Strength

25%

*The examinee's Mean Domain Standard Score (Mean SS) = 89.5 **Significance level chosen for strength/weakness analysis is .10

Subdomain Score Summary

E Subdomains

Communication

L Domain

Receptive Expressive

P Written

Daily Living Skills Domain Personal

M Domestic

Community Socialization Domain

A Interpersonal

Relationships Play and Leisure

S Coping Skills

Raw Score

v-Scale Score ( vS)

Age

Growth

Equivalent Scale Value

Percent Estimated

68

13

3:10

127

0.0

95

16

6:10

176

0.0

28

12

5:5

81

0.0

87

14

5:1

132

0.0

3

8

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