Vineland Adaptive Behavior Scales, Third Edition (Vineland™-3) SAMPLE
Vineland Adaptive Behavior Scales, Third Edition (VinelandTM-3) Multirater Report Sara S. Sparrow, Domenic V. Cicchetti, and Celine A. Saulnier
Examinee Information ID: Name: Jennifer Sample
E Gender: Female
Birth Date: 04/01/2010
L Respondent 1 Information
Form: Comprehensive Interview Form Test Date: 06/13/2016
P Respondent Name: Susan T. Sample
Relationship: Mother
Respondent 2 Information
M Form: Comprehensive Teacher Form
Test Date: 06/13/2016 Respondent Name: Teacher Jones
SA Type of Teacher: General Education Teacher
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). [ 1.0 / RE1 / QG1 ]
Vineland-3 Multirater Report Page 2
Jennifer Sample
The Vineland-3 is a standardized measure of adaptive behavior--the things that people do to function in their everyday lives. This report compares the results from a Vineland-3 Interview Form with those from a Vineland-3 Teacher Form. Please see the Vineland-3 Manual for guidance on interpreting this report.
SCORE SUMMARY
Respondent 1
Susan T. Sample
Respondent 2
Teacher Jones
Overall Composite Standard Score
Adaptive Behavior Composite
83
85
Domain Standard Scores
Communication
92
89
Daily Living Skills
79
79
Socialization Motor Skills Subdomain v-Scale Scores Receptive Expressive Written Personal Domestic Community Numeric School Community Interpersonal Relationships Play and Leisure Coping Skills Gross Motor Fine Motor Maladaptive v-Scale Scores Internalizing Externalizing
90
95
97
74
13
14
16
14
E 12
12
14
7
L 8
12
14
P12
15
14
14
14
11
14
M 18
8
11
11
A15
12
S20
20
Vineland-3 Multirater Report Page 3
Jennifer Sample
SCORE PROFILE
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
140
24
24
23
23
130
130
22
22
21
21
120
120
20
20
19
19
110
110
18
18
100
100
17
17
16
16
90
90
15
15
Adaptive Behavior Composite Communication Daily Living Skills Socialization Motor Skills Receptive Expressive Written Personal Interpersonal Relationships Play and Leisure Coping Skills Gross Motor Fine Motor
80 70 60 50 40 30 20
14
80
13
12
70
11
E 10
60
9
8
L 50 7
40
6
5
P 30
4
3
20
2
SAM1
14 13 12 11 10 9 8 7 6 5 4 3 2 1
Standard Score
q Resp 1
s Resp 2
ABC
83 85
COM
92 89
DLS
79 79
SOC
90 95
MOT
97 74
v-Scale Score
q Resp 1
s Resp 2
rec exp wrn per ipr pla cop gmo fmo
13 16 12 14 15 14 11 18 11 14 14 12 7 14 14 14 8 11
q = Respondent 1: Susan T. Sample s = Respondent 2: Teacher Jones
90% Confidence Interval (not plotted)
ABC
COM
Respondent 1
80 - 86 87 - 97
Respondent 2
82 - 88 85 - 93
DLS 74 - 84 74 - 84
SOC 85 - 95 91 - 99
MOT 90 - 104 68 - 80
Note: Pages 4-9 (Item-Level Comparisons) are not included in this sample for copyright protection.
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