Bayley-4 Cognitive, Language, Motor, Social-Emotional, and ...
Bayley Scales of Infant and Toddler DevelopmentTM, Fourth Edition (BayleyTM-4)
Cognitive, Language, Motor, and Social-Emotional and Adaptive Behavior Scales Score Report
SAMPLE, Nancy Bayley, PhD, Glen P. Aylward, PhD, ABPP
Examinee Information
ID:
2763411
Gender:
Female
NOT FOR Name: Susie Sample
Birth Date:
Cognitive, Language, and Motor Information
02/19/2018
Test Date:
05/28/2019
Examiner Name:
Bayley Examiner
RESALE OR Test Age (Months:Days):
Adjusted Test Age
(Months:Days):
15:9 12:8
Caregiver Name:
Martha Caregiver
Relationship to Child: Mother
Note: All scores reported use the child's adjusted test age.
ADMINISTRATION Social-Emotional and Adaptive Behavior Information
Test Date:
05/28/2019
Examiner Name:
Test Age (Months:Days): 15:9
Caregiver Name:
Bayley Examiner Martha Caregiver
Adjusted Test Age
(Months:Days):
12:8
Relationship to Child: Mother
Note: All scores reported use the child's adjusted test age.
Copyright ? 2019 NCS Pearson, Inc. All rights reserved.
Warning: This report contains copyrighted material and trade secrets. The qualified licensee may excerpt portions of this output report, limited to the minimum text necessary to accurately describe their significant core conclusions, for incorporation into a written evaluation of the examinee, in accordance with their profession's citation standards, if any. No adaptations, translations, modifications, or special versions may be made of this report without prior written permission from Pearson.
Pearson, Bayley, the Bayley design, and the Bayley Scales of Infant and Toddler Development are trademarks, in the U.S. and/or other countries, of Pearson PLC or its affiliates.
[ 1.0 / RE1 / QG1 ]
BayleyTM-4 Cognitive, Language, Motor, and Social-Emotional and Adaptive Behavior Scales Score Report Page 2
REASON FOR REFERRAL
Cognitive, Language, and Motor Information Developmental concerns. Social-Emotional and Adaptive Behavior Information This is the reason for referral.
ID: 2763411 Susie Sample
SAMPLE, NOT FOR RESALE OR ADMINISTRATION
Copyright ? 2019 NCS Pearson, Inc. All rights reserved.
BayleyTM-4 Cognitive, Language, Motor, and Social-Emotional and Adaptive Behavior Scales Score Report Page 3
ID: 2763411 Susie Sample
SCORE SUMMARY PROFILE
Subtest/Subdomain Score Profile
19
19
18
18
17
17
16
16
15
15
14
14
13
13
12
12
11 10 9
SAMPLE,
11 10 9
8
8
7 6 5
NOT FOR
7 6 5
4
4
3 2 1
RESALE OR
3 2 1
Cognitive (COG)
Language (LANG)
Motor (MOT)
SocialEmotional
(SOEM)
Adaptive Behavior (ADBE)
ADMINISTRATION
Cognitive (CG) Receptive Communication (RC) Expressive Communication (EC) Fine Motor (FM) Gross Motor (GM) Social-Emotional (SE) Receptive (REC) Expressive (EXP) Personal (PER) Interpersonal Relationships (IPR) Play and Leisure (PLA)
Scaled score
4
5
6
5
6
4
5
4
3
5
5
Copyright ? 2019 NCS Pearson, Inc. All rights reserved.
BayleyTM-4 Cognitive, Language, Motor, and Social-Emotional and Adaptive Behavior Scales Score Report Page 4
ID: 2763411 Susie Sample
SCORE SUMMARY PROFILE (Continued)
Standard Score Profile
160
160
160
150
150
150
140
140
130
130
120
120
110 100
SAMPLE, 110 100
90
90
NOT FOR 80
80
70
70
60
60
RESALE OR 50
50
40
40
Cognitive (COG) Language (LANG) Motor (MOT) Social-Emotional (SOEM) Communication (COM) Daily Living Skills (DLS) Socialization (SOC) Adaptive Behavior (ADBE)
ADMINISTRATION
Standard score
70
Conf int 95%
63 - 77
75
74
70
68 - 82 67 - 81 C 60t- 80
71
65
66 -9576% 57 - 73
75 69 - 81
70 66 - 74
Copyright ? 2019 NCS Pearson, Inc. All rights reserved.
BayleyTM-4 Cognitive, Language, Motor, and Social-Emotional and Adaptive Behavior Scales Score Report Page 5
ID: 2763411 Susie Sample
SCORE SUMMARY
Subtest/Subdomain Scaled Score Summary
Scale Subtest/subdomain
Raw score
Scaled score Age equivalent
Cognitive
Cognitive (CG)
48
4
8:00
Language
Receptive Communication (RC)
23
5
5:10
Expressive Communication (EC)
16
6
8:00
Motor
Fine Motor (FM)
32
5
7:00
Gross Motor (GM)
58
6
9:00
SAMPLE, Social-Emotional Social-Emotional (SE) Adaptive Behavior
59
4
Receptive (REC)
5
5
1:15
Expressive (EXP)
1
4
0:15
NOT Personal (PER)
0
Interpersonal Relationships (IPR)
10
Play and Leisure (PLA)
3
FOR 3
0:15
5
2:15
5
2:15
Growth scale value
488
482 487
490 493
464 455 458 470 466
Standard Score Summary
RESALE OR Scale Score
Sum of scaled scores
Cognitive, Language, and Motor
Standard score
Percentile rank
95% Confidence interval
Descriptive classification
Cognitive (COG)
4
70
2
63-77
Very low
Language (LANG)
11
75
5
68-82
Very low
ADMINISTRATION Motor (MOT)
11
74
4
67-81
Very low
Social-Emotional
Social-Emotional (SOEM)
4
70
2
60-80
Very low
Adaptive Behavior
Communication (COM)
9
71
3
66-76
Very low
Daily Living Skills (DLS)
3
65
1
57-73
Extremely low
Socialization (SOC)
10
75
5
69-81
Very low
Adaptive Behavior (ADBE)
22
70
2
66-74
Very low
Copyright ? 2019 NCS Pearson, Inc. All rights reserved.
BayleyTM-4 Cognitive, Language, Motor, and Social-Emotional and Adaptive Behavior Scales Score Report Page 6
ID: 2763411 Susie Sample
SUPPLEMENTAL ANALYSIS
Subtest/Subdomain Discrepancy Comparisons
In the table below, the first subtest/subdomain corresponds to Score 1 and the second subtest/subdomain corresponds to Score 2.
Scaled score
Score 1
Score 2 Difference Critical value
Significant difference*
Base rate
Cognitive, Language, and Motor
Receptive Communication Expressive Communication
5
6
-1
2.57
N
-
Fine Motor - Gross Motor
5
6
-1
2.26
N
-
Adaptive Behavior
Receptive - Expressive
5
4
1
1.87
N
-
SAMPLE, Interpersonal Relationships -
Play and Leisure
5
5
0
2.35
*Significance level chosen for discrepancy comparisons is .05.
N
-
Standard Score Discrepancy Comparisons
In the table below, the first scale corresponds to Score 1 and the second scale corresponds to Score 2.
NOT FOR Standardscore
Cognitive, Language, and Motor
Score 1
Score 2 Difference Critical value
Significant difference*
Base rate
Cognitive - Language
70
75
-5
10.06
N
-
Cognitive - Motor
70
74
-4
9.45
N
-
Language - Motor
Adaptive Behavior
Communication Daily Living Skills
RESALE OR 75
74
1
9.90
N
71
65
6
9.19
N
-
Communication Socialization
71
75
-4
8.20
N
-
ADMINISTRATION Daily Living Skills Socialization
65
75
-10
9.99
*Significance level chosen for discrepancy comparisons is .05.
Y
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