Ni = Sex:OF OM The Beery-Buktenica wy a in ast First Developmental Test of Visual-Motor Integration w Re Sehigke ae ec sec ee tre eae pada aE Beery) VM eos == Test Date: festa eery Sixth Edition Bade yaa cay Birth Date: Ages 2 through 100 (FULL FORM) yer month ay Chronological Age: by Keith E. Beery, Norman A. Buktenica, and Natasha A. Beery peaalates ae Sana SUMMARY PROFILE See the Beery VMI manual (sixth edition) for norms. Standard Beery —_Visual Motor Score VMI Perception Coordination Percentile Beery Visual Motor 997 MI Perception Coordination oe 99 Raw Scores: sae i : 95 Standard Scores: 91 84 Scaled Scores: 75 Percentiles: Comments and Recommendations: H 2 1 8 3 @PsychCore Product Number 45240/46241 ‘3637 30954041 42 2ABCOE Page 25Beery VMI Recording and Scoring ho} sr | age Norm | score Observations Ivo} “or | AgeNorm | Score Observations (Yrs:Mos) 16 56 a7 5:9 18 6:5 19 68 titted a ED In Sh 5 ena laa 96 44 2s 10:2 a4 25 to:tt 46 27 11:2 47 28 12:8 at 29 13:2 5:3 30 13:8 See the Beery VMI manual (sixth edi and teaching recommen Beery VMI Raw Score = = total points up to three consecutive No Scores Record raw score on page 24. | | Beery va Fut Form Page2Beery VMI Full Form Visual-Motor Integration Stepping Stones ‘These 48 are selected from the t-professional evaluation and planning. The items for ‘use, 591 VMI Stepping Stones age norms and specific age norms for ). Also see the teaching chapter in the manual for teaching toages. Ages shown below are in years and months. (For example, 03 = 0 years and 3 months) Age Beery VMI Stepping Stone 03. Reaches toward and touches toy 0:4 Picks up small objects or toys 0-4 Hits at dangling objects with hands 0-4 Looks at and manipulates 0:6 Bangs small objects on table 07 Reaches for small objects 08 Feeds self finger foods 041 Drops ings, such as raisins, into a rela suchasa ly small opening, iple clothing and extends arms and legs to help Imitates adult by scribbling with crayon or pencil ‘Makes a stack of 2 blocks Copies housework and other activities you do, such as combing hair Tries to kick ball by walking into it or by swinging leg (may miss) ‘Throws small ball (over- or underhand) a few feet whi Scoops from one container to another and feeds self some foods without much spilling 4:11 Builds a 6-block tower 2:0 Kicks ball forward with either foot without support 22. Throwsa large bail " with chimney 's and pullovers with narrow necks safe scissors and some help ther 241 Dresses help with fasteners Imitates making a 3-block bridge 35. Catches large ball thrown from 5 feet away 3:6 Puts shoes on complete 3:7 Brushes teeth with horizontal and Be 3:11 Throws small ball underhand 5 feet, ing a 2-foot-square target 2 feet above floor 4:0 Draws a person with 3 different body parts 41 le around obstacles and makes U-turns 43, sses when requested without much help 45 yunced from 3 feet away 486, Cuis easy foods with knife 47 Cuts out a big circle 3 4:11 Connects a series of dots spaced 1/2 inch apart to make simple drawings, such as lines, circles, squares 50 Ties shoes 5A Catches tennis 5:4 Draws a person 55 Connects 2 dots (about 6 inches apart) deviate more than 1/4 inch 56 Brushes or combs hair well 5:6 Cuts most foods with a knife 5:7 Prints own first name in either uppercase or lowercase without a model 5:11 Culs out a simple picture following general outline within 1/4 inch straight line that does not Do not photocopy or otherwise reproduce any part of this booklet. It Is against the law. Copirght © 1967, 1982, 1989, 1997, 2004, 2010 KekthE. Beery, Norman A, Buktenica, and Natasha A. Beery. All rights reserved Published and astributed excus ly by NCS Pearson, Ine. Page 22Visual Abilities ‘VMI Abilities Retention/Extension Other Summary Comments and Recommendations Beery VMI Full Form Do not photocopy or otherwise reproduce any part of this booklet. it is against the law. copyright © 1967, 1982, 1989, 1997, cd Natasha A, Beery. Al rights reserved. Page:Actions Taken Progress Beery VMI Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. ‘Copyright © 1967, 1962, 1988, 1997, 2004, 2010 Keith E. Beery, Norman A, Buktenica, and Natasha A. Beery. All hts reserved, Published and distributed exclusively by NCS Pearsen, Inc Page 20,28 20 Beery VMI Full Form Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1969, 1997, 2004, 2010 Ketth E. Bacry, Norman A, Buktenice, and Natashs A. Beery. Al rights reserved, Pubilshed end distributed exclusively by NCS Pearson, Inc. Page 18Eg 26| 27 25 26 27 Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1989, 1997, 2094, 2010 Ketth E. Beery, Norman A, Buktenica, and Natasha A, Beery Al rights reserved. Beery Vil Full Form Published and distributed exclusively by NCS Peerson, Inc Page 16es sseoneneoe23 28 Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1989, 997, 2004, 2030 Keith. Beery, Norman A, Buktanica, and Natasha A. Beery. Al rights reserved. Published and cistributed exclusively by NCS Pearson, tne. Beory Vil Full Form Page 14|aa 19 at Beery VMI Full Form Do not photocopy o! CCopytiaht © 1967, 1982, 1989, ise reproduce any pai Page 121 pinecoamamnmtonmeneneeece nope7 Beery VMI Full Form Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1989, 1987, 2004, 2020 Kelth €. Beery, Norman A. Buktenica, and Nat Published and distributed exclusively by NCS Pearson, tne Page 1013 “4 15 13 14 15 Boory VMI Full Form Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1989, 1997, 2004, 2010 Keith , Beery, Norman A, Buktenice, and Natasha A Beery. Publisnec and distributed excusively by NCS Pearsen, Ine. ights reserved. Page 81 SRR Seetbiasctietiee eg recaneay tecatrgorner teat wise10 " 12 10 1" 2 Beery Vid Full Form ‘Do not photocopy or otherwise reproduce any part of this booklet, It is against the law. Copyright © 1967, 1962, 1989, 1997, 2008, 2010 Keith E. Beery, Notmen A. Buktenie, end Natasha A, Beary. Al ghts reserved. Published and distriouted exclusively by NCS Pears Page (7 9 = z £ a 3 g 3 7 8 8 Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Conyioht © 1967, 1982, 1988, 1987, 2004, 2010 ith E. Beery, Narman A. Bukterica, and Natathe A. ery. Alright rerarved Pages Beery VMI Full Form Published and distributed excusivaly by NCS Pearson, Ine.Imitation of vertical, horizontal, and circular lines Do not photocopy or otherwise reproduce any part of this booklet. It is against the law. Copyright © 1967, 1982, 1989, 1997, 2004, 2010 Keith E. Beery, Norman A. Buktenic, and Natasha A, Beery Publishee and distributed Beery VM Full Form ly by NCS Pearson, Inc, its reserved, Page 2|Let’s Draw! Use a No. 2 pencil (or another pencil with soft black lead) or a ballpoint pen with black ink. Remember, you get one try with no erasing. Keep the booklet straight in front of you and don’t tilt it. THIS SIDE UP Just do the best you can on both the easy ones and the hard ones. THIS SIDE UP Don’t skip any! When asked to do so, please turn the page from the top to begin. Items 1-6 are for children; credit for adult if Item 7 is answered correctly. Items 1-3: Marking and Scribbling * Use the boxes for Items 1-3 only if necessary for immature children. Refer to the administration directions for these items Undivigual Children Under Functional Age 5”) in chapter If of the Beery” VMI manual (sixth edition) «# TE there are marks below, which box contains the chi leftside or ___ right side? Were the child’s marks: \___ spontaneous or ___ imi «For scoring directions refer fo the "Marking and Setibbling” section in chapter HL of the Beery VMI manual (Gixth edition). Do not photocopy or otherwise reproduce any part of this booklet. It is against the lav copyright © 1967, 1982, 1969, 1997, 2004, 2010 Keith €, Beery, Norman A, Buktenica, ond Natasha A, Beery. AI its reserved Pubizhed and distributed exclusively by NCS Pearson, Ine. Pag.