Background Information:

Prompts:
- early development
- medical history
- family history
- academic history
- previous assessments and treatment
 

1. What is Client's name's overall level of ability?

On the Wechsler Intelligence Scale for Children - Third Edition (WISC-3), Client's name's verbal IQ was in the      range, at the       percentile, his/her performance IQ in the     range, at the     percentile, and his/her full scale IQ in the     range, at the      percentile.  This means that Client's name performed better than    % of children his/her age on language-based tasks, better than    % of children his/her age on non-verbal visual-spatial tasks, and better than     % of children overall.  Client's name has particular strengths in              .  Relative weaknesses were evident in        .
 

2. At what level is Client's name functioning academically?

The Wide Range Achievement Test (WRAT-3) was administered with the following results:

Subtest Grade Score Percentile

Reading
Spelling
Arithmetic
 

3. How is Client's name functioning socially and emotionally?

Prompts:
Self concept/self esteem
Social skills
Adult relations
Peer relations
Anxiety level
Depression
Impulsivity/Reflectivity
Introverted/Extroverted
Gifted Child Syndrome
 

4. To what extent does Client's name's profile suggest that he/she is intellectually gifted?

Prompts:
IQ
Achievement level
Speed of response
Divergent thinking/Creativity
Task commitment
Specific abilities or talents
 

5. What is an appropriate educational placement for Client's name?

Prompts:
Regular class
Regular class with enrichment
Resource Room
Special Education class
University program
 

6. What types of enrichment activities are appropriate for Client's name?

Prompts:
Integrated thematic program
Individual research
Thinking/problem-solving activities
Second/third language instruction
Specialized instruction in a specific area
Mentoring
 

7. How can Parents' name help at home?

Prompts:
Facilitating informal learning
Emotional support
 

8. Would Client's name benefit from additional assessment/therapy?

Prompts:
Psychological reassessment
Individual counselling/therapy
Family counselling/therapy