CPM Record Form
Coloured Progressive Matrices
Year Month Day.
Name v. J<. Gender lZ:J M □F Dateîested 2.ô25 ô+ 26
School - School Year - Date of Birth. ~01., 02. 28
Examiner NJ8
Behavioural Observations Htsltat1t) .sby wheo a wa y tram pa teo!s , d;al oot
lot for a few o 11e1oSti ao.s, impulsive ±owa rds the end.
f .
Summary of Scores
D Total Raw Score
Raw Score Confidence lnterval
(75%, 97.5%, 99.9%) Circle one
D Standard Score
Standard Score Confidence lnterval
(75%, 97.5%, 99.9%) Circle one
D Percentlle Rank
D Age Equivalent
CPM/CVS Discrepancy Score (optional) Cumulative Percentage*
CPM Standard Score
□ ~50% □
25%-49% □
CVS Standard Score □ 10%- 24% □
CPM - CVS (absolute differenœ) □ 5% - 9%
·□
□
Differenœ greater than 10 Yes D No D
If 'No' then difference is not statistically significant * lncreased shading denotes increasing probability of a
at .01 level. clinical/y significant difference.
~ SNded Section: Evidenc~
for Access Arrangenwnts @Pearson
(OPYfl&hl O (2004) by NCS PHrson Inc.
Acùpt•tion copyright O (20121 by NCS PeMson Inc.
Rfprml (OPYfl&ht O 2019 by Pf,mon Chniul lo T•~nt
Assessments.
Qu,~tllÎYI 0.acnption
Stend.,d Seo,,
"- ... Published by Pe.rson tndia Educ,tion SeNicH Pnv1te LIm1ted.
'A' Wlfll 11, Dlvy•Srte Chimbers, 7th Aoor. O'SNuchnHsy
Ro1d, Ben11luru- S6002S.
70 76 10 '86 80 100 110 116 120 130
14 Prlnted ln lndii.
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p.,centlle Seo,,
6 Hl 26 Ali nains restrwd. No p,rt of thls publlc•tlon m,y be
60 76 99
au,rtU. Seo,, reproduced or tr•nsmetted m •ny form or by •l'I'/ muns,
2 3 4 flectronic or mKtwnial, including photocopy. rKordlng or •l'l'i
1 1 infornwtlon stor•ae or rmiev•I system. wlthout permission ln
writing from thf copyright owner.
ISBN:978 93 80862 262
.CPM Record Form
Coloured Progressive Matrices
"'
Place a single line across the examinee's response. If you make a mistake or the examînee
)
changes their mind, put a cross (X) through that answer and a single line across the new answer.
If the examinee skips an item, make sure you miss out the item on this Record Form.
Work downwards through each column.
SETA SET As SETB
1 [D[D[D 1 [I)[D[D 1 O)C??[I)
~[[)[] ) ~[[)[] ) G)[I)[] )
2 [D[D[D 2 [I)[D[I ) 2 0)11)0 0
G)~[] ) G)~[] ) G)[I)[§ )
3 !Z)[D[ I) 3 IDCDED 3 ~[D[D
G)[I)[§ ) G)[[)[]) G)[I)[§ )
4 [Df.l)[I ) 4 ~[D[D 4 O)~[I )
[!)[i)[] ) @)[[)[] ) G)[I)[§ )
5 [D[D[D 5 O)~[D 5 {;E)[D[D
[V[D[[ ) G)[I)[ID
0CD~
6 [D[DIZJ 6 [D[D[D 6 O)[D ~
[!)[I)[§ ) [V~[[ ) [!)[I)[] )
7 [D[D[D 7 [D[D[Z) 7 [D[D[D
[!)[I) ~ G)[[)[]) G)[I)!Z )
8 [D!ZJ[ I) 8 0)/L)[D 8 [D[])[I )
[D[I)(] ) G)[D[] ) [!)[I)@
9 0[D[D 9 [D[D~ 9 [D[D[D
[!)[I)@ G)[i)[[ ) [!)[I)~
10 [D[D[D 10 [D[D[D 10 [I)[D!Z)
G)Ll)@ [!)[[)@ G)[I)@
11 O)CD[I) 11 [J'.) [D[D 11 [D[D[D
0®@ G)[I)[[ ) tz)[[)@
12 [D[D[D 12 [D[D[D 12 [D~[D
~[[)[[ ) [!)~[] ) G)[[)[])
.. -1
Total Set Al Total Set Aa / Total SeteO
1
Total Raw Score = -- - - !
(Max= 36)
@Pe arson
