Benton VRT

VISUAL RETENTION TEST

NO. _ _ __

Arthur l. Benton

-I

RECORD FORM NAME ___________________________________________________________ PLACE OF TESTING ________________________________

FIRST TESTING

ADMINISTRATION

FORM Design

EXAMINER ___________________________________

SECOND TESTING

DATE

Score (0 or 1)

FORM Number of Errors

Errors'

AGE _ _ _ ___ SEX _ _ __

Design

DATE ADMINISTRATION

Score (0 or 1)

Number of Errors

Errors·

I

I

II

II

III

III

IV

IV

V

V

VI

VI

o o

VII

VII

()

N M

o o

"-

I--

VIII

VIII

IX

IX

X

X

Number Correct Score

Number Correct Score

Error Score

'Use symbols; see Chapter 2 of manual.

w

o u o:J

«

Error Score

'Use symbols; see Chapter 2 of manual.

ERROR CATEGORIES:

ERROR CATEGORIES:

Omissions

Omissions

Distortions

Distortions

Perseverations

Perseverations

Rotations

Rotations

to to

Misplacements

Misplacements

'"