Clinical Assessment Marking and Interpretation Form
Clinical Assessment Marking and Interpretation Form
Clinical Assessment Marking and Interpretation Form
NAME OF CLIENT
AGE
BIRTHDAY
*Refer to the manual for the standard score based on the age of the client and its corresponding
classification.
PERSONAL ADJUSTMENTS
SUB-SECTIONS RAW SCORE PERCENTILE REMARKS
Self-reliance
Sense of Personal Worth
Sense of Personal Freedom
Feeling of Belonging
Withdrawing Tendencies
Nervous Symptoms
SOCIAL ADJUSTMENTS
Social Standards
Social Skills
Antisocial Tendencies
Family Relations
Occupation Relations
Community Relations
SEVERITY [based on T-scores]
75 above Moderate to Severe
65 – 74 Minimal to Mild
64 below NMS (No Marked Severity)
CATEGORY
70 above Clinical
60 – 69 Subclinical
59 below Low