SCORING PAD
Seguin Form Board Test
Name Date of Birth
Age.......... Year . tVlonth...... Gender.......
Education Level Date
lnstructions :
"Here are ten wooden blocks which have to be put by you in the appropriate
space. Be as fast as you can.
4t
\
Trials Time (in Seconds) Behavioral Observation
Trial 1
Trial2
Trial3
Scoring :
Shortest of Three Trials (Seconds)
Totalof Three Trials (Seconds)
MentalAge :
lo =#* x 1oo =
Published By :
Agra Fsychological Research CeIl
Tiwari Kothi, Belanganj, Agra-282044
Email : vivekaprc@[Link], [Link]