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

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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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