Rey-Osterrieth Complex Figure Score Sheet
Rey-Osterrieth Complex Figure Score Sheet
(Adapted from Osterrieth, 1944)
Mayo Clinic Number:_________________________ Date:________
Patient:_____________________________________ Age:________
Gender: M F Handedness: R L Ambidextrous
Neurological History:__________________________________________
___________________________________________________________
Copy Trial _____ minute Recall Trial
____ 1. Cross upper left corner, outside of rectangle 1. _____
_____ 2. Large rectangle 2. _____
_____ 3. Diagonal cross 3. _____
_____ 4. Horizontal midline of (2) 4. _____
_____ 5. Vertical midline 5. _____
_____ 6. Small rectangle, within (2) to the left 6. _____
_____ 7. Small segment above (6) 7. _____
_____ 8. Four parallel lines within (2), upper left 8. _____
_____ 9. Triangle above (2), upper right 9. _____
_____ 10. Small verticle line within (2), below (9) 10. _____
_____ 11. Circle with three dots, within (2) 11. _____
_____ 12. Five parallel lines within (2) and crossing (3), lower right 12. _____
_____ 13. Sides of triangle attached to (2) on right 13. _____
_____ 14. Diamond attached to (13) 14. _____
_____ 15. Verticle line within triangle (13), parallel to the right side of (2) 15. _____
_____ 16. Horizontal line within (13), continuing (4) to the right 16. _____
_____ 17. Cross attached to lower center 17. _____
_____ 18. Square attached to (2), lower left 18. _____
_____ TOTAL SCORE (_____ %ile) (_____ %ile) TOTAL SCORE _____
_____ TIME TIME _____
SCORING: Consider each of the 18 units separately. Appraise accuracy of each unit and relative position within the whole of the design. For each unit count as follows:
Correct
Distorted or incomplete
but recognizable
Absent or not recognizable
Percentile Norms for Accuracy Scores Obtained by Adults on the Copy Trial of the Complex Figure Test
|Percentile |10 |20 |30 |40 |50 |60 |70 |80 |90 |100 |
|Score |29 |30 |31 |32 |32 |33 |34 |34 |35 |36 |
Percentile Norms for Accuracy Scores Obtained by Adults on Memory Trials of the Complex Figure Test
|Percentile |10 |20 |30 |40 |50 |60 |70 |80 |90 |100 |
|Score |15 |17 |19 |21 |22 |24 |26 |27 |29 |31 |
-----------------------
Placed properly 2 points
Placed poorly 1 point
Placed properly 1 point
Placed poorly 1/2 point
0 points
O
Ï% Ï%
Ï%
Please draw the figure below on the blank half-sheet that was given to you:
● ●
●
Please draw the figure below on the blank half-sheet that was given to you:
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- navy pfa score sheet pdf
- complex number times complex number
- t score standard score conversion
- z score standard score conversion
- t score z score conversion
- raw score to standard score chart
- navy prt score sheet pdf
- figure to figure worksheet answers
- driving test score sheet washington
- scaled score to standard score conversion
- z score to t score calculator
- z score to raw score calculator