TEST YOUR MEMORY

TEST YOUR MEMORY

PLEASE WRITE YOUR FULL NAME ....... . ............. . ...................... . .... .

TODAY IS ........ ...... ... ...DAY

TODAY'S DATE IS THE :

OF ........ .. ...(MONTH) 20... .. .

HOW OLD ARE YOU?

....................YEARS

ON WHAT DATE WERE YOU BORN? ........... I ......... .. .... (MONTH) 19.. .. ..

PLEASE 'OPY THE FOLLOWL G SE TTE F '

GOOD CITIZENS ALWAYS WEAR STOUT SHOES

PI. lASE REA}) TilE SE TEN( E ,\(.AI.? A D TRY TO RE. {EMBER IT

WHO IS THE PRESIDENT? IN WHAT YEAR DID THE FIRST WORLD WAR END? .....................

PLEASE LIST FOUR

o SUMS

CREATURES

... BEGINNING WITH "S"

20-4 = ........... ....- -....... e.g. Sha'rk

16+17 = ......... ..

1 S........... ............ .

8 x 6 = ...........

2 S....................... .

4 + 15 -17 = ..... ....

3 S............................... .

4 S...................... ..

WHY IS A CARROT LIKE A POTATO?................................. ....................................... WHY IS A LION LIKE A WOLF? ...................................................................................

REMEMBER: GOOD CIT ZENS ALWA YS WEAR STOUT SHOES

Please Turn (h er

PLEASE NAME THESE ITEMS

I-~--t-----I 1.......................... .

7 - 1 r -- -- I 2.................. ........

3....................... '"

4..........................

~~-----------i--------------------i !5...... ............... ............ .

PLEASE JOIN THE CIRCLES TOGETHER TO FORM A LEITER (IGNORE THE SQUARES)

0

0

0

0 0 0

0

0

0 0

0 00

0

0

0

0

0

PLEASE ORAW IN A CLOCK FACE, PUT IN THE NUMBERS 1 - 12 AND PLACE THE HANDS AT 9.20

()

\\ THOll" TPRNr. G BACK TIIE PAGE. PLEASE WRITE DOWN THE SENTENCE YOU COPIED EARLIER:

I OR 'I m. I 1 nSII .R

1111 P (01\'1 ? NtlNI 1 r!'I\! \! ':\IIN( IR/ 'l.H HH! \ TI ..., J lR

no'>: liCK

0 If \ \\\II~" \\RI! I F N I(lR 1'\ [II I

o

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TV]\t] SCORING [posted as supplied by author)

Spelling/ abbreviations/punctuation are unimportant if the words make sense (with the exception of box 2). Minimum score on a question is 0

Box 1 2 points for full name, 1 for initials/other minor error I point for each space correctly filled in the remai nder of the box. If the date is

wrong by a day it still scores a point.

Box 2 2 points all corre t, I point - mistake in 1 word, 0 - mistakes in 2.

Box 3 1 point for first name I for surname. 1914 scores 1 point, total 3

Box 4 1 point for each correct sum

Box 5 Any creature is fine bug, fish, bird or mammal Breeds of dog/cat eg spaniel are fine. Mythical creatures (eg sea monster) and shark not allowed.

Box 6 2 marks for precise word such as "vegetable" or "animal/mammaJJhunter/meat eater/pack animal" . Reasonable but less precise answer such as food, four legs or fierce scores 1 point. 2 such statements score 2 eg "grows in ground", "fierce and four legs" = 2

Jacket naming Answers are collarnapel/tie/pocketlbutton, 1 each. Shirt is acceptable for answer 1 and jackerlbJazer acceptable once for 2 or 4.

Letter W if traced with no mistakes 3 points, another letter formed 2 points, if all circles are joined 1 point

Clockface all numbers 1, correct number position 1, correct hands 1 each

Sentence Score 1 point for each word remembered up to maximum 6

Plea:e ................
................

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