SLOSSON INTELLIGENCE TEST

Name___________________________________

Test Results

PR...........................................................________ CA............................................_______

Z-Score...................................................________ MA..........................................._______

T-Score...................................................________ IQ.............................................._______

Stanine....................................................________

_______________________________________________________________________________________

Finding the MA Basal Age (Just before the first error)____________________

Added Months (After BA)................____________________

____________________

MA...................................................____________________

_______________________________________________________________________________________

Date of Test (Y, M, D) ____________________________________________

Date of Birth (Y, M, D) ____________________________________________

CA..................................____________________________________________

_______________________________________________________________________________________

1/2 month credit

1 month credit

2 month credit

3 month credit

___0-0.5 ___1-0.0

___2-0 ___4-0

___5-0 ___9-0 ___13-0

___16-0 ___22-0

___0-1.0 ___1-0.5

___2-1 ___4-1

___5-2 ___9-2 ___13-2

___16-3 ___22-3

___0-1.5 ___1-1.0

___2-2 ___4-2

___5-4 ___9-4 ___13-4

___16-6 ___22-6

___0-2.0 ___1-1.5

___2-3 ___4-3

___5-6 ___9-6 ___13-6

___16-9 ___22-9

___0-2.5 ___1-2.0

___2-4 ___4-4

___5-8 ___9-8 ___13-8

___17-0 ___23-0

___0-3.0 ___1-2.5

___2-5 ___4-5

___5-10 ___9-10 ___13-10

___17-3 ___23-3

___0-3.5 ___1-3.0

___2-6 ___4-6

___6-0 ___10-0 ___14-0

___17-6 ___23-6

___0-4.0 ___1-3.5

___2-7 ___4-7

___6-2 ___10-2 ___14-2

___17-9 ___23-9

___0-4.5 ___1-4.0

___2-8 ___4-8

___6-4 ___10-4 ___14-4

___18-0 ___24-0

___0-5.0 ___1-4.5

___2-9 ___4-9

___6-6 ___10-6 ___14-6

___18-3 ___24-3

___0-5.5 ___1-5.0

___2-10 ___4-10

___6-8 ___10-8 ___14-8

___18-6 ___24-6

___0-6.0 ___1-5.5

___2-11 ___4-11

___6-10 ___10-10 ___14-10

___18-9 ___24-9

___0-6.5 ___1-6.0

___3-0

___7-0 ___11-0 ___15-0

___19-0 ___25-0

___0-7-0 ___1-6.5

___3-1

___7-2 ___11-2 ___15-2

___19-3 ___25-3

___0-7.5 ___1-7.0

___3-2

___7-4 ___11-4 ___15-4

___19-6 ___25-6

___0-8.0 ___1-7.5

___3-3

___7-6 ___11-6 ___15-6

___19-9 ___25-9

___0-8.5 ___1-8.0

___3-4

___7-8 ___11-8 ___15-8

___20-0 ___26-0

___0-9.0 ___1-8.5

___3-5

___7-10 ___11-10 ___15-10

___20-3 ___26-3

___0-9.5 ___1-9.0

___3-6

___8-0 ___12-0

___20-6 ___26-6

___0-10.0 ___1-9.5

___3-7

___8-2 ___12-2

___20-9 ___26-9

___0-10.5 ___1-10.0

___3-8

___8-4 ___12-4

___21-0 ___27-0

___0-11.0 ___1-10.5

___3-9

___8-6 ___12-6

___21-3

___0-11.5 ___1-11.0

___3-10

___8-8 ___12-8

___21-6

___1-11.5

___3-11

___8-10 ___12-10

___21-9 ________

1/2 X _____=_______ 1 X _____=______ 2 X _____=_________ 3 X ____=_______