Form 6.6 ACFS VERBAL PLANNING TASK SCORES: [Supplemental Test] Number of steps to plan. Item 1 credit one point per step Pre Test Post Test 1. Child provides ____ steps. Maximum 6 points Description of steps in plan. 2. Child provides an action step 3. Child provides action step and a sequence (2 points) Sequence overall plan with correct order. 1 point for each. 4. Beginning (preparation) ____ 5. Middle (action) _____ 6. End (conclusion) _____ Use of “planning or sequencing” words. 1 point for each. (Regardless of number of times used. 7. First _____ 8. Next/Then/Now_____ 9. Last _____ /15 TOTAL Maximum 15 points (% Correct) VERBAL PLANNING TOTAL SCORES Mediation ( Pre Test %) Post Test Task Pre Test Score Total Task Score Post Test Total Transfer Score (Post test - Pre test) Behavior Score Total (Independent) Behavior Score Total (Interactive) Supplement: Haywood, H. & Lidz, C. S. (2007). Dynamic assessment in practice: Clinical and educational applications. New York: Cambridge University Press. /15 ( %) Transfer